When I make him exercise, his appetite increases and his weight increases even more! How troublesome!
"When I make him exercise"=「彼に運動させると」
"his appetite increases"=「彼の食欲は増して」
"and his weight increases even more!"=「そして彼の体重はさらに増えてしまう!」
"How troublesome!"=「なんて面倒なんだろう!」
Sentence in context:
"I made him exercise so that he can lose some weight, but it seems like he is gaining more weight, because his appetite increases when he exercises."