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Hi,

I am currently underweight. I was diagnosed with kidney stones a month back and was sick for a long time. I have pcos and kidney stones. My current weight is 45kg and height is 5’5. Could you please suggest a diet plan for weight gain ?

Shreya

7 months ago

Hi,

I am currently underweight. I was diagnosed with kidney stones a month back and was sick for a long time. I have pcos and kidney stones. My current weight is 45kg and height is 5’5. Could you please suggest a diet plan for weight gain ?

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Happy Tummy Expert

7 months ago

Dear Shreya, Thank you for the question 

WHO has given different BMI (Body mass index) classifications to categorise adults into different weight categories. BMI is a simple index of weight-for-height. It can be considered as a 2nd level indicator of overall health.

It can be calculated using a simple formula of BMI = Weight (kg) / Height (m²)

Following is the WHO BMI Classification

18.5 to 24.9 - Normal

Less than 18.5 - Underweight

25 to 29 - Overweight

Above 30 - Obese

As per WHO BMI (Body Mass Index) classification, a person weighing less than 18.5 kg/m2 is considered underweight.

 

According to your mentioned Height & weight your BMI is 16.54kg/m2 which is categorised as underweight as per WHO classification.

Ideal body weight for an individual can be calculated using the Broca Index (BI) which is: Ideal Standard Weight (kg) = Ht (cm) – 100

According to your mentioned Height & weight your Ideal body weight is 65kg

 

The causes of underweight or unintended weight loss can be due to genetics, inadequate food intake, stress, hormonal imbalance, malabsorption or other underlying health condition which may require medical assistance.



An ideal weight management program such as weight gain involves lifestyle management including dietary modification, regular physical activity, hydration and good sleep cycle. With any weight gain diet, changes take time to reflect as your body requires sufficient time to adapt to the changes in order to show results.



A high calorie and high protein diet is recommended for weight gain. Daily protein requirement should ideally be followed as 0.8-1g protein per kg body weight. Some of the sources of high biological value protein include pulses, lentils, milk, paneer, soybean, , , nuts & seeds etc., However in case of kidney stones, limit the intake of protein from sources sich as meat, chicken, eggs etc., as they contain oxalate and calcium.

 

Here are few guidelines that can be considered for weight gain

 

  • Having a Healthy Diversified Balanced Diet that includes all the food groups in the right quantity which thereby provides you with all the essential macro and micro nutrients that your body requires daily for proper functioning. Include energy dense foods, keeping in mind the daily needs.
  • Maintain a positive energy balance where the calorie intake should be more than the energy expenditure.
  • Include energy dense foods, keeping in mind the daily needs. Some of the energy dense   foods include Whole wheat, multigrain millets, dairy products, nuts, colocasia leaves, banana, raisins, pulses/lentils etc.
  • Do not skip meals. Eat small frequent meals.
  • Three major meals a day with healthy nutritious snacks in between is preferred.
  • Include good amount of fiber in your daily balanced, some of the god sources of fiber include whole grain, multigrain, millets, fruits and vegetables, nuts etc.
  • Try to increase the serving size and portion size gradually and systematically
  • Include healthy fats from nuts and seeds.
  • Drink at least 8 glasses of water per day to maintain hydration
  • Indulging in physical activity can help in increasing the appetite and give a feeling of hunger.
  • Try to follow a good sleep regimen in terms of both quantity and quality.

     

Nephrolithiasis, or kidney stone, is the presence of renal calculi caused by a disruption in the balance between solubility and precipitation of salts in the urinary tract and in the kidneys. There are various types of kidney stones such as calcium stones, uric acid stones, cystine stones, etc.

Here are few tips to manage Renal Calculi

  • Drink adequate amount of fluids as it reduces the concentration of calcium or oxalate in the urine.
  • Limit the intake of high protein foods such as red meat & Organ meat  as excessive protein in the diet can increase both the calcium and oxalate in the urine.
  • Limit the consumption of high oxalate foods such as Horse gram, Amaranth leaves, Curry leaves, Drumstick leaves, Neem leaves, Spinach, Tamarind leaves, Almonds, Cashew nuts, Gingelly seeds, Amla, Wood apple, Tea, Cocoa, Colas etc .
  • Dietary sodium restriction alone decreases urinary calcium excretion
  • High vitamin C intake can be a risk for stone formation by increasing endogenous oxalate. Vitamin C rich foods are acceptable but vitamin C supplements are not recommended since it can increase oxalate in the body.
  • B-complex vitamins and magnesium, may help prevent formation of kidney stone. Some of the sources include Lean meat- chicken, fish, prawns. Crabs, Eggs, Milk & milk products, Fortified cereals, Vegetables – Mushroom, beetroot, potato.

We request you to kindly contact your nephrologist for further assistance, diagnosis and management.

Polycystic ovarian syndrome (PCOS) is endocrine disorder in women of reproductive age, which may potentially affect the reproductive, hormonal and metabolic functions. Follow a healthy balanced diet with low fat intake, good amount protein and fibre for ideal weight management.

We request you to kindly contact your gynaecologist for further assistance, diagnosis and management.

Here are a few tips to help manage PCOS

  • Eat regular meals with balanced diets including all food groups
  • Low Glycaemic Index (GI) foods have proven to be effective when managing PCOS. Some of the Low GI include green leafy vegetables, carrots, green beans, apples, orange, pear, millets, lentils etc.
  • Limit intake of deep fried and high fat foods.
  • Engage in regular physical activity

For a customised and personalised meal plan for specific conditions, please contact your Health care professional.

 

Hope we have answered your query.

Wishing you a great day ahead

 

 

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