While our culture places immense value on being thin, the prevalence of those who are underweight is a significant public health issue. There are a number of reasons people can be underweight, including genetics, fast metabolism, and underlying medical conditions such as thyroid problems or cancer. Women are at increased risk of being underweight, as are adults over the age of 60.
Health risks associated with being underweight include hair loss, dry skin, fertility issues, and poor dental health. In severe cases, underweight people may have weakened immune systems or develop osteoporosis. There is an increased mortality risk associated with being underweight.
If you're looking for ways to gain weight, the good news is there are nutritious foods you can add to your daily diet with increased portion sizes to incorporate more calories daily. Consuming beneficial fats, whole grains, fruits and vegetables, and plenty of water are ways to help achieve your desired weight.
Underweight is defined by a body mass index (BMI) of less than 18.5; a BMI of 18.5–24.9 is considered normal.
Body Mass Index (BMI) is a dated, biased measure that doesn’t account for several factors, such as body composition, ethnicity, race, gender, and age.
Despite being a flawed measure, BMI is widely used today in the medical community because it is an inexpensive and quick method for analyzing potential health status and outcomes.
Note that being underweight (or overweight) is not always solely measured by BMI, and there are other factors to consider. Some people naturally have less fat than others and could be perceived as underweight due to their low BMI but are otherwise perfectly healthy. The same goes for those who may be considered overweight or obese based on their BMI. That's why it's best to speak with your doctor who can provide an accurate diagnosis.
If you're underweight and it's determined that your health would benefit from gaining weight, your doctor will likely recommend that you eat more foods that are nutrient- and calorie-dense to help you gain weight.
In order to gain weight healthfully, you need to take in more calories than your body burns, ideally with nutrient-dense foods. Not all calories are created equal, and some food choices are more nutritious than others.
Foods to Help You Gain Weight
Some nutrient-dense foods that can help you gain weight include:
- Whole milk
- Starchy vegetables
- Avocado
- Creamy soups
- Red meat
- Juice
- Cheese
- Nuts and nut butters
- Salmon
- Protein smoothies
Stock Up on Nutritious Foods
It's important to consume nutrient-dense foods—regardless of your weight status. The U.S. Department of Agriculture (USDA) recommends including a variety of nutritious foods in your diet like protein, fruit, vegetables, grains, and dairy products for optimal nutrition.
The U.S. Food and Drug Administration (FDA) uses a 2,000-calorie diet as an example on Nutrition Facts labels. It is not necessarily a recommendation to consume 2,000 calories. The number of calories your body needs may vary based on age, gender, and activity level.
If you're underweight, you'll typically want to consume an additional 500 calories per day. To do this, you might eat extra meals or increase the size of your meals. You can also increase calories and fats by adding beneficial monounsaturated and polyunsaturated fats such as avocado, nuts, seeds, and plant-based oils.
If you don't have an appetite, you'll probably benefit from nibbling on small calorie-dense snacks throughout the day. If you're short on time for additional snack prep, you might increase the portion sizes of your meals.
While it may seem like an easy solution to reach for a bag of salty chips or sugary ice cream since these foods contain a significant number of calories, they fall short on nutritional value. Foods rich in sugar and salt can leave you feeling sluggish and bloated. In addition, consuming these foods regularly and in excess may put you at increased risk of developing cardiovascular disease and type 2 diabetes.
Though processed foods are typically associated with weight gain and obesity, they can also lead to chronic health conditions like inflammatory bowel disease (IBD), autoimmune diseases, colorectal cancer, and mood disorders including anxiety and depression.
Instead, get started with a healthy weight-gaining diet by using the following tips to eat more nutritious, nutrient-dense foods.