Causes of being Underweight
Underweight is due to inadequacy in intake of food in terms of both qualitatively and quantitively. A low-calorie diet fails to complete the nutritional demand of the body. Ignorance and poverty are the major factors whereby individuals cannot purchase adequate food or are unaware of low-cost nutritious food. Individuals who have psychological disorders such as anorexia nervosa or bulimia nervosa are commonly underweight as they don’t take food in adequate amounts. Irregular eating habits and improper selection of food contribute to inadequacy in calories and nutrients. Increment in physical activity but not taking diet according to it led to a deficit in energy that reduces weight. Underweight commonly occurs in people who take little rest, are active the whole day, and are always tense and nervous. Gastrointestinal disturbances such as nausea, vomiting, and diarrhea lead to inadequate absorption of nutrients, use of laxatives for constipation also results in poor nutrients absorption. Increased metabolic demands in some pathological conditions such as chronic fever, infections, and cancer drain the reserved nutrient resources of the body. Due to poor appetite, individuals cannot take adequate food. Imbalance in hormones such as hyperthyroidism causes an increment in metabolic rate, and inability to maintain weight increases the energy demand and causes weight reduction, i.e., leads to the underweight condition.
The Risks of being Underweight
Underweight leads to retardation of growth in young growing children and failure to thrive. It can lead to kwashiorkor and marasmus in children. Underweight individuals have lower resistance to infections such as cold, flu and tuberculosis, etc., and their general health is commonly poor. Being underweight increases the risk of osteoporosis (brittle bones, prone to breaking) in women. Due to low energy, individual’s working efficiency is reduced, and they feel tired and restless. Underweight girls may have irregular periods, and their first period can be delayed or absent lead to infertility. Underweight also increases the complications during pregnancy lead to preterm labor and small babies. Individuals that suffer from underweight may experience thinning of hair and skin, dry skin, and poor oral health. They may have anemia that causes fatigue, dizziness, and headache. During surgery, underweight people are at high risk of mortality because of impairment in the healing process.
Management of Underweight
To manage and treat the underweight condition, it is essential to know the causative factor. Diet should be planned to be well suited to an individual’s living condition, underlying disease, and economic status. Dietary changes should be accompanied by proper counseling to build good eating habits with education. Diet modifications restore the bodyweight to normal, helps in rebuilding tissues and nutrient reserve, and nutritional status. A high-calorie, high carbohydrate, high protein, and high-fat diet is needed. Since the functions of the intestines (digestion and absorption) are decreased, the feeding program should be gradual. For weight gain, the total calorie intake should be higher than the energy requirement. The gain should be gradual for one or two weeks; otherwise, digestive disturbances may occur. A liberal supply of protein, over 1.2gram per kilogram, is necessary for tissue building. High-calorie fatty foods such as cream, butter, margarine, and oils help in weight gain. Fatty food should not be taken at the beginning of a meal as they reduce appetite. A sudden increment of fat in the diet can cause diarrhea. A high carbohydrate diet in the form of cereals, starchy vegetables, and fruits should be given. Supplements may be given to combat any nutritional deficiency.
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