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Friday, January 11, 2008 

Do you find it hard to gain weight? If so, you're probab

Do you find it hard to gain weight? If so, you're probably the envy of family and friends. It seems as if you can eat as many cheeseburgers and chocolate bars as you would like, and still not register an ounce.

Yet little do people know how much you'd love to put meat on your bones, perhaps to feel less lanky, to be able to wear certain clothes without appearing scrawny, or to just be healthier.

Ken Chuk is one such person. He is a 32-year-old finance manager who wishes he could put on a business suit without looking like he just got out of college. His fast metabolism and tendency to feel full with smaller portions, however, make it hard for him to add anything to his 5' 11", 140-pound frame. He's tried to lift weights, suck down protein shakes, and stuff himself with ice cream, cookies, or cereal at bedtime -- all to no avail.

"Everyone in my family is thin," explains the New York native. "I've given up trying to gain weight because I figure it will happen eventually."

Chuk is right in that all of us will tend to become heavier as we age, but health experts say there are plenty of things people can do now to build critical mass.

The Skinny on the Underweight

What's so wrong with being too thin when it seems to be a non-problem compared with obesity? The truth is that being underweight has its own risks.

Those who are extremely lean tend to have weaker immune systems, making them prone to infections, surgical complications, and slower recovery times for illness. They tend to have low muscle mass, and less than ideal hair, teeth, and skin composition. They may have disruptions in the ability to regulate hormones and protect bone health, and women could become unable to menstruate.

All of this could be avoided by maintaining a healthy weight, a measure that obviously differs from person to person. As a rough rule of thumb, women should be at least 105 pounds for the first five feet of height, and another five pounds per inch after that; men should be at least 106 pounds for the first five feet, and an added six pounds per inch, says Dan Heinemann, MD, a board member of the American Academy of Family physicians.

Another gauge could be an individual's body mass index (BMI), which is a system to categorize size based on a person's height and weight. The National Heart, Lung, and Blood Institute reports that people with normal weight have a BMI of 18.5-24.9. Anything below that is underweight, and anything above is overweight (25-29.9) or obese (30 or greater).

Why So Thin?

There are many reasons why people may find it hard to gain weight. Genetics can obviously play a role, but individual personalities and the environment can be strong factors.

"Sometimes people think they just have a fast metabolism, but that's not always the case," says Cindy Moore, MS, RD, director of nutrition therapy at the Cleveland Clinic Foundation, and a spokeswoman for the American Dietetic Association (ADA). "They just might be more physically active."

For example, there are people who tend to move around more, burning more calories than they take in. They're either always the first ones to volunteer to pick up after a spill, to do the chores, to walk everywhere, or to play a lot of sports. This level of physical activity is not a bad thing, says Moore, but being aware of it is important in understanding the factors affecting one's weight.

Then there are others who lose their appetite, experience a change in metabolism, and/or lose poundage and muscle mass fast because of various reasons, including illness, chronic pain, depression, stress, and side effects from drugs.

In children, the inability to gain weight may signal a condition known as "failure to thrive," which means a kid is not growing appropriately for his/her age. This may be caused by an illness, or eating patterns dictated by a parental idiosyncrasy. According to Wahida Karmally, DrPH, RD, spokesperson for the ADA, there have been kids who have not developed properly because they did not receive enough nutrients from being on a raw food, macrobiotic, or vegan diet.

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