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For Teens by Teens

Problematic Eating Habits / Question
Published: July 30, 2008

Dear TeenHealthFX,

I am currently a 18 y/o male that is 5'8" weighing around 240lbs. I know I grossly overweight but I am concerned about the fact that I do not eat much. On average I eat hardly anything, such as one package of ramen nooodles. I skip breakfast and never around to eat dinner. I am not physcially active which I know is bad. What my major concern is I do not have a huge appitite even though I am so big why is it that I am so fat even though I don't each much.

Signed: Grossly Overweight, But Don't Eat Much




Dear Grossly Overweight, But Don't Eat Much,

 

Weight gain can be an extremely frustrating thing. The usual culprit for weight gain is overeating, not exercising enough, or a combination of the two. When you take in more calories than you require, and you don’t expend through activity a sufficient amount of calories based on how much you are eating, those extra calories turn into excess weight. But there are cases where people might find that they are gaining weight despite exercising and/or eating a healthy diet on a daily basis – and various underlying causes to consider.

 

However, in your case before considering underlying causes FX thinks that it is important that you make certain adjustments to your eating and exercise habits. If you are skipping meals and not eating much throughout the day then it is possible that you body has moved into starvation mode. When the body worries about how much food is coming in that can be used for fuel, it automatically starts to turn the calories that do come in into fat. So it is very important that you eat more regularly throughout the day, and that you choose healthy foods while exercising good portion control. As for how physically active you are, FX suggests that you think about two things. The first is how you can start to incorporate aerobic activity at least 3-5 times per week into your schedule. You can participate in walking, running, biking, swimming, or any other activity that gets your heart rate up. In addition, if you find that you generally participate in activities where you are sitting (using the computer, watching tv, playing video games, etc.), that can definitely contribute to weight gain. Think about ways in which you can be up and around more – work PT, do volunteer work, join clubs at school, run errands with friends or family members – anything that keeps you more on the go.  

 

You can speak with your doctor about how to start making these changes to your diet and exercise regimen in healthy way. And if, after making these changes and working at this new lifestyle for some time, you find that you are still gaining weight, then talk to your doctor about whether there could be any underlying causes to your weight gain. Some of the following reasons people may gain weight despite a healthy diet/exercise regimen can include:

 

  

If you don't have a doctor and live in northern New Jersey, you can call the Adolescent/Young Adult Center for Health at 973-971-6475 for an appointment or contact your local teen health center. You can also contact your insurance company for a list of in-network primary care physicians and adolescent medicine specialists.

Signed: TeenHealthFX



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