Weight Gain

Weight gain during menopause is common and primarily caused by hormonal changes, particularly the decline in oestrogen, which slows metabolism.

Introduction

Why Does Weight Gain Happen During Menopause?

Weight gain is a common concern during menopause and is primarily driven by hormonal changes. As oestrogen levels decline, the body's metabolism can slow down, making it easier to gain weight and harder to lose it. Lower oestrogen may also cause fat to redistribute to the abdominal area, leading to increased belly fat. Additionally, age-related muscle loss (sarcopenia) can contribute to a decrease in metabolic rate, and other factors such as stress, poor sleep, and changes in physical activity levels can further exacerbate weight gain.

Our Adviser

Dr Shirin Lakhani

Dr Shirin Lakhani MBBS MRCGP DRCOG is a highly experienced GP and aesthetic physician, combining medical expertise with advanced aesthetic techniques. With a background in NHS medicine, surgery, and anaesthetics, she is passionate about patient safety, ethical practice, and natural results.

Find Out More
about

What Are the Typical Signs?

Signs of menopause-related weight gain may include:

  • Increase in body fat, especially around the abdomen and waist
  • Difficulty losing weight, even with diet and exercise
  • Slower metabolism, making it easier to gain weight
  • Changes in body composition, with a decrease in muscle mass and an increase in fat

These changes may be gradual but can have an impact on overall health and self-esteem.

Tips on How to Manage or Reduce Symptoms

Lifestyle Tips:

  1. Stay Physically Active: Engage in both aerobic exercise (like walking, cycling, or swimming) and strength training to maintain muscle mass and boost metabolism.
  2. Balanced Diet: Focus on nutrient-rich foods, such as lean proteins, whole grains, fruits, and vegetables. Limit processed foods, added sugars, and saturated fats.
  3. Portion Control: Be mindful of portion sizes and avoid eating out of habit or boredom. Eating slowly and paying attention to hunger cues can also help.
  4. Stay Hydrated: Drinking enough water can support metabolism and help with appetite control.
  5. Get Quality Sleep: Poor sleep is linked to weight gain. Aim for 7-8 hours of quality sleep per night, and practice good sleep hygiene.
  6. Manage Stress: High stress levels can lead to emotional eating and weight gain. Practices like yoga, meditation, or deep breathing can help manage stress.
  7. Limit Alcohol Consumption: Alcohol can contribute to weight gain and disrupt sleep patterns, so try to limit your intake.

Treatment Options:

  • Medical Assessment: A doctor can evaluate if hormonal imbalances, thyroid issues, or other conditions are contributing to weight gain.
  • Nutrition Counseling: A registered dietitian can help create a personalized meal plan to support healthy weight management.
  • Hormone Replacement Therapy (HRT): HRT may help with menopausal symptoms but should be discussed thoroughly with your healthcare provider to weigh the benefits and risks.

Conclusion

Weight gain during menopause is a common but manageable symptom influenced by hormonal changes, age-related muscle loss, and lifestyle factors. A combination of regular exercise, a balanced diet, stress management, and good sleep habits can help maintain a healthy weight. If weight gain becomes concerning or impacts your health, professional guidance can provide effective solutions.

Weight Gain FAQ's

Weight gain is common but not inevitable. With healthy lifestyle habits, including regular exercise and mindful eating, you can manage your weight and reduce the risk of gaining excess fat.

HRT may help alleviate some menopausal symptoms, but it is not specifically a weight loss solution. It can, however, improve overall well-being, which may support healthy weight management.

The decline in oestrogen during menopause can cause fat to be redistributed to the abdominal area. This type of weight gain is linked to a higher risk of cardiovascular disease and diabetes, making it important to focus on a healthy lifestyle.