Menopause weight gain: Stop the middle age spreadMost women gain weight as they age, but excess pounds aren't inevitable. To minimize menopause weight gain, step up your activity level and enjoy a healthy diet.
By Mayo Clinic Staff
As you get older, you might notice that maintaining your usual weight becomes more difficult. In fact, many women gain weight around the menopause transition.
Menopause weight gain isn't inevitable, however. You can reverse course by paying attention to healthy-eating habits and leading an active lifestyle.
What causes menopause weight gain?
The hormonal changes of menopause might make you more likely to gain weight around your abdomen than around your hips and thighs. Hormonal changes alone don't necessarily trigger menopause weight gain, however. Instead, the weight gain is usually related to aging, as well as lifestyle and genetic factors.
For example, muscle mass typically diminishes with age, while fat increases. Loss of muscle mass decreases the rate at which your body uses calories, which can make it more challenging to maintain a healthy weight. If you continue to eat as you always have and don't increase your physical activity, you're likely to gain weight.
Genetic factors also might play a role in menopause weight gain. If your parents or other close relatives carry extra weight around the abdomen, you're likely to do the same.
Sometimes factors such as the stress of children leaving — or returning — home, divorce, the death of a spouse, or other life changes might change your diet or exercise habits and contribute to menopause weight gain.
June 11, 2013
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- Keller C, et al. Perimenopausal obesity. Journal of Women's Health. 2010;19:987.
- Rachon D, et al. Ovarian function and obesity — Interrelationship, impact on women's reproductive lifespan and treatment options. Molecular and Cellular Endocrinology. 2010;316:172.
- Ahn J, et al. Adiposity, adult weight change, and postmenopausal breast cancer risk. Archives of Internal Medicine. 2007;167:2091.
- Dietary Guidelines for Americans, 2010. U.S. Department of Health and Human Services. http://www.cnpp.usda.gov/DGAs2010-PolicyDocument.htm. Accessed Feb. 27, 2013.
- 2008 Physical Activity Guidelines for Americans. U.S. Department of Health and Human Services. http://www.health.gov/paguidelines/. Accessed Feb. 26, 2013.
- Kirk EP, et al. Minimal resistance training improves daily energy expenditure and fat oxidation. Medicine and Science in Sports and Exercise. 2009;41:1122.
- Lee I, et al. Physical activity and weight gain prevention. JAMA. 2010;303:1173.
- Kohrt WM. Menopause and weight gain: Does exercise attenuate or prevent weight gain during peri- and postmenopause? Geriatrics. 2009;64:28.
- The Menopause Guidebook. 7th ed. Mayfield Heights, Ohio: The North American Menopause Society; 2012. http://www.menopause.org/publications/consumer-publications/-em-menopause-guidebook-em-7th-edition. Accessed Feb. 27, 2013.
- Body weight and cancer risk. American Cancer Society. http://www.cancer.org/cancer/cancercauses/dietandphysicalactivity/bodyweightandcancerrisk/body-weight-and-cancer-risk-effects. Accessed April 3, 2013.
- Dietary Reference Intakes for energy, carbohydrate, fiber, fat, fatty Acids, cholesterol, protein, and amino acids (macronutrients). Institute of Medicine. http://www.nap.edu/openbook.php?isbn=0309085373. Accessed April 4, 2013.
- Santosa S, et al. Adipocyte fatty acid storage factors enhance subcutaneous fat storage in postmenopausal women. Diabetes. 2013;62:775.