If your child eats a lot but still seems underweight, several factors could be at play—from medical conditions to lifestyle habits. Here’s what might be happening and what you can do.
🩺 Possible Medical Reasons
- Malabsorption Issues
- Conditions like celiac disease, Crohn’s disease, or cystic fibrosis can prevent proper nutrient absorption, meaning your child isn’t getting enough calories even if they eat well.
- Hyperthyroidism or Fast Metabolism
- An overactive thyroid speeds up metabolism, burning calories too quickly. Some kids naturally have a high metabolic rate, making it harder to gain weight.
- Digestive Problems
- Food intolerances, acid reflux, or allergies can cause discomfort, leading to poor digestion or avoidance of certain foods.
- Chronic Illness or High Energy Needs
- Conditions like congenital heart disease, diabetes, or frequent infections increase the body’s calorie demands, making weight gain difficult.
- Genetic Factors
- Some children are naturally lean due to genetics, especially if parents or siblings have a similar body type.
🧠 Non-Medical Factors
- Poor Diet Quality
- Eating junk food or low-nutrient snacks can fill them up without providing enough calories or protein for healthy growth.
- Stress or Emotional Factors
- Anxiety, school pressure, or family issues can affect appetite and digestion.
- High Physical Activity
- If your child is very active (sports, running around constantly), they may burn more calories than they consume.
- Inconsistent Meal Times
- Skipping meals or irregular eating habits can lead to insufficient calorie intake.
✅ What You Can Do
✔ Visit a Pediatrician
- Rule out medical conditions with tests (e.g., thyroid, celiac screening).
✔ Track Growth & Eating Habits
- Keep a food diary to see if they’re truly eating enough. Monitor their height and weight trends.
✔ Boost Calorie & Nutrient Intake
- Add healthy fats (avocado, nuts, full-fat dairy), protein-rich foods (eggs, chicken, beans), and calorie-dense snacks (smoothies, nut butter).
✔ Create a Relaxing Mealtime Environment
- Avoid distractions (TV, phones) and encourage regular, stress-free meals.
✔ Check for Emotional Well-being
- If stress or anxiety is a factor, consider counseling or relaxation techniques.
✔ Consult a Nutritionist
- A specialist can help design a high-calorie, balanced meal plan.
🏥 If You’re in Singapore
For expert advice, consider visiting:
- KK Women’s and Children’s Hospital
- National University Hospital (NUH) Pediatrics
If your child is active, happy, and growing steadily, they might just have a naturally fast metabolism. But if you’re concerned, a doctor can help rule out any serious issues.
