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Thursday, 5/2/2026 | 17:01 GMT+7

Why do some people gain weight despite eating little?

I eat two meals a day and the portion size for each meal is not large, yet why do I still accumulate belly fat and gain weight? (Huynh Mai, TP HCM)

Answer:

Gaining weight despite eating little or dieting is a common concern. An individual's weight depends on various factors. Some people metabolize food into energy quickly, making fat storage difficult. Others, however, metabolize food slowly, leading to greater fat accumulation. A person's metabolic rate is influenced by genetics, age, gender, and physical activity. Slow metabolism results in fewer calories burned and weight gain.

Your weight gain despite eating little likely stems from calorie intake exceeding energy expenditure. When dietary calories surpass the body's needs, the excess converts into stored fat. Sugars in food, even from fruit, if not fully utilized, transform into triglycerides and accumulate in fat cells. Consuming small amounts, yet primarily calorie-dense foods like those high in sugar, unhealthy fats, and processed items, can disrupt metabolism and promote weight gain.

A diet low in sugar and refined carbohydrates combined with exercise helps maintain a healthy, sustainable weight. Photo: Tam Anh General Hospital

A sedentary lifestyle, insufficient sleep, and chronic stress can elevate cortisol, a hormone linked to fat accumulation, particularly in the abdominal area. This promotes weight gain even with modest food intake.

To manage weight, maintain a balanced diet prioritizing green vegetables, fresh fruits, and lean protein, while limiting sugary foods and fast food. Adopting a healthy lifestyle, including at least 30 minutes of daily exercise, sufficient sleep, adequate hydration, and stress management, also helps control weight.

Doctor Vo Tran Nhu Thao

Endocrinology - Diabetes Unit

Tam Anh General Clinic District 7

Readers can send questions about endocrine diseases here for doctors to answer.
By VnExpress: https://vnexpress.net/vi-sao-an-it-van-tang-can-5014454.html
Tags: weight gain eating little weight loss overweight

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