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My sister doesn't eat food at all. She skips breakfast everyday, barely finishes her lunch in school and doesn't eat dinner on most days. We are tired of forcing her to eat. She doesn't feel hungry at all despite all this. Is this an eating disorder?

Aishwarya A N

2 weeks ago

My sister doesn't eat food at all. She skips breakfast everyday, barely finishes her lunch in school and doesn't eat dinner on most days. We are tired of forcing her to eat. She doesn't feel hungry at all despite all this. Is this an eating disorder?

Food Lifestyle Kids
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Happy Tummy Expert

2 weeks ago

Dear Aishwarya Thank you for the question.

Adolescence or teen age is acritical period of our lives in which our body undergoes rapid changes, growth and development. It is very essential to consume a healthy balanced diet with adequate amount of protein and other nutrients such as calcium, iron, vitamin D etc., which will help support growth, development, pubertal changes and strong bones.

An adolescent girl should take enough calcium rich foods in her diet to support the increase of bone density and maintain healthy strong bones. Some of the calcium sources include milk, cheese, paneer, Ragi, curd, yogurt.

Reference ideal body weight and height for 19-year-old female can be considered as 48.1-59.5kg and 155.3-166.9cm height.

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.

Loss of appetite can be caused due to nutritional deficiency, infection, medications and/or an underlying health condition which may require medical assistance. For further diagnosis and assistance kindly contact your specialized health care professional.

Here are some tips to manage loss of appetite

- Eat a diversified balanced diet inclusive of all food groups to ensure intake of essential nutrients.

- Consume small frequent meals. Do not skip meals,

- Try to eat at regular meal times, do not wait for body’s hunger signal

- Eat along with social company.

- Ensure adequate water intake to maintain hydration.

- Engage in regular physical activity as it can stimulate appetite.

If you would like your sister to start on a weight gain program, here are a few guidelines to help her in her journey:

In any weight management programme, it is very essential to consume a healthy diversified balanced diet with few dietary modifications and regular physical activity. For weight gain it is essential to focus on your daily balanced diet with high calorie, high protein and regular meals. 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 per kg body weight. Some of the sources of high protein include pulses, lentils, milk, paneer, soybean, eggs, lean meat, nuts & seeds etc.

Here are a few general Dietary guidelines to be considered for weight gain

  • Adolescence represents a period of active life, hence no meal of the day should be missed to sustain energy and growth spurts
  • Having a Healthy Diversified Balanced Diet that includes all the 5 food groups (cereals, pulses, fruits, vegetables, milk & milk products) in the right quantity which thereby provides you with all the essential macro and micro nutrients that your body requires daily for proper functioning.
  • 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.
  • 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.

There are various tests like food frequency test, Eating disorder questionnaire etc.,  that can help identify presence of an eating disorder. These tests should be taken under the supervision of a healthcare professional or a registered dietitian, kindly contact the either or both for further diagnosis and management.

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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