Weight gain shockers slideshow: Surprising reasons you're gaining weight
Why are you gaining weight?
If you started taking in more calories than usual or cut back on exercise, you wouldn’t be surprised if the numbers on the scales crept higher. But what if you're doing everything the same as you always do and your weight still goes up? It's time to delve a little deeper into what else might be going on.
Lack of sleep
There are two issues at work with sleep and weight gain. The first is intuitive: If you're up late, the odds are greater that you'll eat some late night snacks that will increase your calorie intake. The other reason involves what's going on biochemically when you're sleep deprived. Changes in hormone levels increase hunger and appetite and also make you feel less full after eating.
Antidepressants
An unfortunate side effect from some antidepressants is weight gain, which may occur in up to 25% of people taking them long-term. Talk to your GP about changing to another drug if you think your antidepressant is causing weight gain. But remember that some people experience weight gain after beginning drug treatment simply because they're feeling better, which leads to improved appetite. Also, depression itself can cause changes in weight.
Corticosteroids
Anti-inflammatory steroid medications are notorious for causing weight gain. Fluid retention and increased appetite are the main reasons. Although weight gain is common, the severity of this side effect depends on the strength of the dose and length of time taking the drug. Some people may also see a redistribution of fat while taking the drug -- to places like the face, back of the neck or the abdomen. If you have any concerns about the side effects of a medication, talk to your GP.
Other drugs that may cause weight gain
Several other prescription drugs have been associated with weight gain. The list includes antipsychotic drugs (used to treat mood disorders like schizophrenia and bipolar disorder), as well as medicines to treat migraines, seizures, high blood pressure and diabetes. You and your GP should be able to find a medication that treats your symptoms without causing disrupting side effects.
'The Pill' does not typically cause weight gain
Contrary to popular belief, there is a lack of evidence that combination contraceptive pills (oestrogen and progestin) cause lasting weight gain. It is thought that some women taking the combination pill may experience some weight gain related to fluid retention, but this is usually short-term. If you're still concerned about possible weight gain, talk to your health care provider.
Hypothyroidism
If your thyroid (the butterfly-shaped gland in the front of your neck) is not making enough thyroid hormone, you're probably feeling tired, weak, cold and gaining weight. Without enough thyroid hormone, metabolism slows, making weight gain more likely. Even a thyroid functioning at the lower end of the normal range might cause weight gain. Treating hypothyroidism with medication may reverse some of the weight gain. If you have any concerns, seek medical advice.
Menopause
Don't blame the menopause and the loss of oestrogen for your midlife weight gain. These all may occur around the same time, during your 40s or 50s, but changing hormone levels probably aren't the cause. Ageing slows metabolism, and muscle mass decreases, so you burn fewer calories, and any changes in lifestyle (e.g. exercising less) play a role. But where you gain weight may be related to menopause, with fat accumulating around your waist, not around your hips and thighs.
Cushing's syndrome
Weight gain is a common symptom of Cushing syndrome, a condition in which you are exposed to too much of the hormone cortisol, which in turn causes weight gain and other abnormalities. Cushing's syndrome can occur if you take a corticosteroid for a condition such as asthma, arthritis or lupus. It can also occur when your adrenal glands produce too much of the hormone. The weight gain may be most prominent around the face, neck, upper back or waist.
Polycystic ovarian syndrome (PCOS)
PCOS is a common hormonal problem in women of childbearing age. Most women with PCOS grow many small cysts on their ovaries. The condition leads to hormone imbalances that affect a woman's menstrual cycle – and can lead to excess body hair growth and acne. Women with this condition are resistant to insulin, which may cause weight gain. The weight tends to gravitate to the abdomen, putting women at greater risk of heart disease.
Stopping smoking
A 2012 study suggest that on average, people who stop smoking gain about four to five kilos (8.8 to 11 pounds). Why? First, nicotine curbs your appetite so that once you stop you may feel increased hunger pangs, which leads to overeating. Nicotine also increases your metabolism, but many people don't decrease their calorie intake to compensate for the slowdown after they quit smoking. Lastly, nicotine is notorious for dulling the taste buds, so you may find food tastes better once you kick the habit, which can lead to overindulgence.
Rule 3: If you do gain weight …
Don't panic if the weight gain is just from water retention, which is not permanent weight or fat. Once you've finished taking the drug or the medical condition is under control, the puffiness from fluid retention may subside. Stick to a lower salt diet in the meantime.
Related Reading
Medically Reviewed by Dr Rob Hicks on September 01, 2014
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REFERENCES:
Azarbad, L. The Psychiatric Clinics of North America, June 1, 2010.
Daubenmier, J. Journal of Obesity, 2011.
Deshmukh, R. Cleveland Clinic Journal of Medicine, 2003.
Edelman, A. Human Reproduction, February 2011.
Hospital for Special Surgery: "How to Reduce Corticosteroid Side Effects."
Johns Hopkins Medicine: "Prescription Drugs that Cause Weight Gain."
Johns Hopkins Vasculitis Center: "Prednisone."
Knutson, K. Annals of the New York Academy of Sciences, July 2008.
Leproult, R. Endocrine Development, 2010.
Medscape: "The Impact on Sleep Deprivation on Hormones and Metabolism."
US National Endocrine and Metabolic Diseases Information Service, US National Institute of Diabetes and Digestive and Kidney Diseases: "Hypothyroidism," "Cushing’s Syndrome."
US National Institute of Mental Health, National Institutes of Health: "Depression," "Mental Health Medications."
Rosenberg, M. Contraception, December 1998.
US Weight-control Information Network, National Institute of Diabetes and Digestive and Kidney Diseases: "You Can Control Your Weight As You Quit."
WomensHealth.gov: "Menopause," "Polycystic ovary syndrome (PCOS) fact sheet."
'Weight gain in smokers after quitting cigarettes: meta-analysis', Professor Henri-Jean Aubin, University Paris-Sud, France, et al, BMJ.
'Quitting smoking and gaining weight: the odd couple', Esteve Fernández, associate professor of epidemiology, Institut Català d?Oncologia, Universitat de Barcelona, BMJ.
Action on Smoking and Health (ASH).
'Will I put on weight when I give up smoking?', NHS Choices.
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