From the Guidelines
The patient's BMI is 21.4 kg/m², which falls within the normal weight range, and to gain weight healthily, a caloric surplus of 300-500 calories daily above maintenance needs is recommended. To calculate the BMI, we use the formula BMI = weight (kg) / height (m)², where the patient's weight is 162 lbs (73.5 kg) and height is 6 ft 1 in (1.85 m). The patient should focus on consuming nutrient-dense foods, including:
- 3-4 balanced meals daily
- 1-2 snacks
- Emphasizing protein (1.6-2.0g/kg body weight daily)
- Complex carbohydrates
- Healthy fats As noted in the study on pharmacotherapy for obesity 1, medications can have unpredictable effects on weight, but Atarax (hydroxyzine) typically doesn't significantly affect weight. However, the patient should monitor for any appetite changes while taking it. Some additional strategies to support weight gain efforts include:
- Strength training 2-3 times weekly to build muscle mass
- Consuming small, frequent meals if anxiety reduces appetite
- Adding a protein shake between meals (with 20-30g protein, fruits, nut butter, and milk) to increase calorie intake
- Prioritizing adequate sleep (7-9 hours) and stress management to optimize hormonal balance. If weight gain remains difficult after 4-6 weeks of consistent effort, consultation with a registered dietitian for personalized guidance would be beneficial.
From the FDA Drug Label
For symptomatic relief of anxiety and tension associated with psychoneurosis and as an adjunct in organic disease states in which anxiety is manifested. The FDA drug label does not answer the question.
From the Research
Assessment of BMI
- The patient's height is 6 ft 1 in (185.4 cm) and weight is 162 lbs (73.5 kg).
- To calculate the patient's BMI, we use the formula: BMI = weight (kg) / height (m)².
- BMI = 73.5 kg / (1.854 m)² = 73.5 kg / 3.43 m² = 21.4 kg/m².
- According to the WHO classification, a BMI of 21.4 kg/m² falls into the normal weight category 2.
Plan to Gain Weight
- Since the patient is underweight, it is essential to gain weight in a healthy manner.
- A balanced diet that includes calorie-dense foods such as nuts, dried fruits, and avocados can help increase weight 2.
- It is also crucial to engage in regular physical activity, such as strength training, to build muscle mass.
- However, there is no direct evidence from the provided studies to support a specific plan for weight gain.
- The patient's anxiety treatment with Atarax (hydroxyzine) may also impact their appetite and weight, but the studies provided do not discuss this topic in detail 3.
Considerations
- The patient's hyperactivity may affect their weight and overall health.
- It is essential to monitor the patient's progress and adjust the plan as needed to ensure healthy weight gain.
- The studies provided focus on obesity and weight loss, rather than weight gain, so the information may not be directly applicable to this patient's situation 4, 5, 6.