Skip to content

What do I do if I am underweight?

4 min read

For most adults, a Body Mass Index (BMI) below 18.5 is classified as underweight, which can lead to various health problems like weakened immunity, malnutrition, and decreased bone density. Addressing low body weight is crucial for long-term health and well-being.

Quick Summary

This guide outlines actionable steps for individuals who are underweight, focusing on safe and effective methods. It details how to achieve a healthy calorie surplus with nutrient-dense foods, build muscle mass with targeted exercise, and implement lifestyle changes for sustainable weight gain.

Key Points

  • Consult a Doctor: Rule out any underlying medical conditions, such as a thyroid disorder, that may be causing low body weight.

  • Embrace Nutrient-Dense Foods: Focus on calorie-rich foods like nuts, seeds, and healthy fats instead of junk food to gain weight healthily.

  • Achieve a Calorie Surplus: Consistently eat more calories than you burn, aiming for a moderate increase of 300-500 extra calories per day.

  • Prioritize Strength Training: Incorporate weightlifting and resistance exercises to build muscle mass, ensuring healthy weight gain instead of excess fat.

  • Eat Frequently: If a large appetite is an issue, eat 5-6 smaller meals throughout the day to boost overall calorie intake.

  • Stay Consistent and Patient: Healthy weight gain takes time. Focus on long-term, sustainable habits and track your progress to stay motivated.

In This Article

Understanding the Risks of Being Underweight

While much public health focus is on the risks of being overweight, being underweight also carries its own set of significant health concerns. When your body doesn't receive enough fuel from food, it can turn to muscle mass and internal reserves, which can be detrimental over time.

Potential health issues linked to being underweight include:

  • Malnutrition and Nutritional Deficiencies: A low body weight often indicates inadequate intake of calories and essential nutrients, which can lead to a deficiency in vitamins and minerals like iron, leading to anemia.
  • Weakened Immune System: A lack of proper nourishment can compromise the immune system, making you more susceptible to frequent infections and illnesses.
  • Reduced Bone Density: Being underweight, especially for prolonged periods, can lead to decreased bone mineral density and an increased risk of developing osteoporosis.
  • Fertility Issues: For women, a low BMI can disrupt menstrual cycles, which can negatively impact fertility and increase the risk of preterm birth during pregnancy.
  • Constant Fatigue: Not consuming enough calories to fuel your body can result in low energy levels and chronic tiredness.

How to Approach Healthy Weight Gain

Healthy weight gain is not about eating junk food and excessive sugar, which can lead to unhealthy fat accumulation. The goal is to build lean muscle mass and gain a healthy balance of fat by focusing on nutrient-rich foods. A gradual approach, aiming for a small, consistent calorie surplus, is key. Consulting a doctor or registered dietitian is highly recommended to rule out any underlying medical conditions and create a personalized plan.

Increase Your Calorie Intake Smartly

The fundamental principle of gaining weight is consuming more calories than you burn. A modest daily increase of 300 to 500 extra calories is a healthy and manageable starting point. To achieve this, focus on energy-dense foods, which pack a lot of calories into smaller serving sizes.

Here is a list of nutrient-dense foods to incorporate:

  • Nuts and Seeds: Almonds, walnuts, macadamia nuts, and sunflower seeds are rich in healthy fats and protein.
  • Dried Fruits: Raisins, dates, and prunes are calorie-dense and easy to add to meals or eat as snacks.
  • High-Fat Dairy: Full-fat milk, cheese, and yogurt provide extra calories and protein.
  • Healthy Fats and Oils: Use extra virgin olive oil, avocado oil, and coconut oil when cooking or dressing salads.
  • Starches and Complex Carbohydrates: Brown rice, oats, sweet potatoes, and quinoa are excellent sources of energy.
  • Protein Sources: Include lean meats, eggs, fish, and legumes in your diet to support muscle growth.
  • Protein Shakes and Smoothies: These can be an easy way to consume a high number of calories and protein, especially if you have a smaller appetite.

Incorporate Strength Training

Exercise is not just for weight loss. In fact, strength training is a critical component of healthy weight gain. It helps ensure that the extra calories you consume are used to build muscle mass, rather than stored as unhealthy fat.

Effective exercises for muscle gain:

  • Compound Lifts: Focus on exercises that work multiple muscle groups at once, such as squats, deadlifts, and bench presses.
  • Upper Body: Include bent-over rows, overhead presses, and pull-ups to build back, shoulder, and arm strength.
  • Lower Body: In addition to squats and deadlifts, perform lunges and calf raises.
  • Targeted Isolation Exercises: Add exercises like bicep curls and triceps extensions to fine-tune your physique.
Comparison Table: Smart vs. Empty Calories Snack Type Healthy, Nutrient-Dense Option Empty, Sugary Option
Carbohydrates Whole-grain toast with peanut butter and banana A large donut or sugary cereal bar
Drinks Protein shake with milk, fruit, and nut butter A large soda or fruit juice
Fats A handful of mixed nuts or trail mix A bag of potato chips or french fries
Dairy Full-fat Greek yogurt with berries A sugary, low-fat dessert

Lifestyle Adjustments for Sustainable Gain

To support your dietary and exercise efforts, a few lifestyle changes can make a big difference in achieving your weight gain goals.

  • Eat Smaller, More Frequent Meals: If a large appetite is a challenge, eating 5-6 smaller meals throughout the day can make it easier to consume enough calories.
  • Don't Drink Before Meals: Drinking water right before a meal can fill up your stomach and reduce your appetite. Drink fluids between meals instead.
  • Manage Stress: Chronic stress can lead to a loss of appetite for some individuals. Practicing relaxation techniques like meditation or yoga can help.
  • Prioritize Sleep: Adequate sleep is crucial for muscle repair and growth. Aim for 7-9 hours of quality sleep per night.

Conclusion: Patience and Consistency are Paramount

Safe and healthy weight gain is a marathon, not a sprint. It requires patience and consistency in your eating habits, exercise routine, and overall lifestyle. Focus on making sustainable changes rather than seeking rapid results, which are often unhealthy and difficult to maintain. Regularly track your progress and celebrate small victories. Most importantly, listen to your body and consult with healthcare professionals to ensure your approach is safe and tailored to your individual needs. By combining a calorie-surplus diet with a consistent strength training program and healthy lifestyle choices, you can effectively and safely increase your body weight and improve your overall health.

For more detailed guidance, consider consulting with a qualified healthcare professional or dietitian. You can find more information on healthy eating and exercise guidelines from reputable health authorities, such as the National Health Service (NHS).

Frequently Asked Questions

For most adults, a Body Mass Index (BMI) below 18.5 is considered underweight. A healthcare provider can provide a more comprehensive assessment based on your individual health profile and history.

No, gaining weight solely by consuming junk food and sugary drinks is unhealthy. This can lead to excessive fat accumulation and an increased risk of health problems. The focus should be on nutrient-dense, calorie-rich whole foods.

A healthy rate of weight gain is gradual and steady, typically around 0.5 to 1 pound (0.2 to 0.5 kg) per week. Rapid weight gain is often unsustainable and may consist of unhealthy fat.

Yes, but in moderation. Excessive cardio can burn too many calories, hindering weight gain. Prioritize strength training to build muscle, and keep cardio sessions shorter and less frequent to support your goals.

Supplements are not a replacement for a balanced diet but can be helpful. They should be used to complement a diet rich in whole foods, not to replace them. Real food should always be the priority.

Factors like genetics, a naturally high metabolism, or underlying medical conditions can make it challenging to gain weight. Stress, inadequate sleep, and inconsistent eating habits can also play a role.

Protein is essential for building and repairing muscle tissue. When you're in a calorie surplus and strength training, a high-protein intake ensures that the extra calories are converted into muscle mass rather than just fat.

References

  1. 1
  2. 2

Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.