How to manage weight gain around the menopause

Have you noticed your jeans fitting tighter lately, even though your diet and exercise routine hasn’t changed? If so, menopause could be the culprit. This stage of life can bring about weight changes due to hormonal shifts. But don’t worry – understanding these changes empowers you to take control. Let’s explore how to manage weight gain around the menopause.

Why Does Weight Increase During Menopause?

During menopause, oestrogen levels decrease significantly. This hormonal change leads to several physiological effects:

  • Loss of lean muscle mass: lower oestrogen levels contribute to a reduction in lean muscle mass, which slows down your metabolism. This means your body burns fewer calories at rest
  • Increased visceral fat: reduced oestrogen can lead to an increase in visceral fat (the fat stored around your organs) which can result in a noticeable increase around your middle or “belly fat”

How Common is Weight Gain During Menopause?

Weight gain is one of the most common side effects of perimenopause and menopause, affecting around half of all women. Research shows that:

  • Perimenopause: women may gain around 1.5kg (3.3lbs)
  • Menopause: by the time menopause is reached, the average weight gain is around 10kg or 1 stone 8lbs

Why Managing Weight During Menopause Matters

We know from research that excess weight can increase the risk of certain health conditions such as:

 

Heart disease

oestrogen reduction is linked to a higher risk of cardiovascular issues including high blood pressure, high cholesterol, heart attacks and strokes

Type 2 Diabetes

increased weight can increase insulin resistance, increasing the risk of developing type 2 diabetes

Reduced bone density

lower oestrogen levels can affect bone health, increasing the risk of osteoporosis

Cancer

increased weight is linked to an increased risk of several types of cancers, including breast cancer

Beyond health, weight can impact our confidence, how we feel and what we can do. However, with the right strategies, you can manage your weight effectively, protect your health and live a fulfilling life.

How to manage weight around the menopause

Let’s explore the aspects of our lifestyle when thinking about how to manage weight around the menopause.

how to manage weight around the menopause

Effective Strategies for Managing Weight During Menopause

Optimise your diet

As your metabolism slows and your body changes, adjusting your diet is crucial. There is no one diet for menopause and everyone will have different needs. Key things to focus on include:

  • Balanced nutrition: eating a varied, balanced diet with plenty of fruit, vegetables, lean protein, wholegrains and healthy fats
  • Limit highly processed foods: reduce intake of highly processed and sugary foods
  • Moderate alcohol consumption: limit alcohol intake as it can contribute to weight gain and can also exacerbate other symptoms of menopause including hot flashes, sleep and mood
  • Include more plant based foods: aim for 30 different plants each week and some fermented foods for gut health
  • Ensure key nutrients: get enough vitamin D, omega 3 fatty acids, and magnesium
  • Be mindful of portion sizes: be aware of your portion sizes and try to opt for healthier snacks
 

Start with 1-2 changes at a time and focus more on what you can add into your diet. If you’d like more guidance with evidence-based nutrition advice tailored to you, alongside support to make sustainable changes to your habits book in for a nutrition consultation at Willow with me here.

Increase Physical Activity

Regular movement is also key for managing weight and the benefits go beyond weight loss:

  • Boost metabolism: exercise helps to build and retain muscle mass, which can enhance your metabolic rate meaning you burn more calories at rest
  • Strengthen bones: weight bearing exercise improves bone density and will reduce your risk of osteoporosis
  • Improve heart health: your heart is a muscle too! Regular movement strengthens your heart and protects against cardiovascular diseases
  • Reduces the risk of type 2 diabetes: exercise increases insulin sensitivity and uses up the sugar in your blood for energy, helping to manage blood sugar levels
  • Enhances mood and sleep: physical activity has been shows to reduce stress and improves sleep quality
  • Reduced risk of certain cancers: regular movement can reduce the risk of certain cancers, including breast cancer and bowel cancer
how to manage weight around the menopause

How much exercise should you do?

It is recommended that adults aim for 150 minutes of moderate intensity exercise each week or 75 minutes of vigorous activity each week, or a combination of the two.

Moderate activity is any movement that gets your heart rate up but you’re still able to hold a conversation. Everyone has different fitness levels and abilities, and this will change over time. Start small, build up over time and listen to your body.

Movement could be a walk, a cycle, running, swimming, dancing, fitness classes, sports. But it could also be chair exercises, gardening, taking the stairs or housework. Anything that gets you moving! The most important thing is to find movement that you enjoy so that you’re more likely to stick with it long term.

It’s also essential to do resistance exercise at least 2-3 days each week, especially for women during menopause. Strength training helps to keep bones strong and retains and builds muscle mass. Examples include:

  • Your own body weight e.g. squats, lunges
  • Pilates
  • Yoga
  • Resistance bands
  • Weight training (or using what you have in the house e.g. bottled water, tins of soup etc)

Find out more about exercise & bone health.

Prioritise Sleep and Stress Management

Sleep is fundamental for our health. Think about a time you’ve had a bad night’s sleep. Now think about the following day. Did you:

Crave high energy, sugary foods?

Struggle to make healthier choices?

Have the energy to move?

Feel stressed, low or fed up?

These are just some of the knock-on effects of poor sleep which impact eating, movement and mood which in turn influence our habits and our weight.

Equally, stress can also negatively impact our weight and ability to make lifestyle changes. We can’t always remove or avoid stress, but we can implement strategies to help us manage stress better and improve our emotional wellbeing such as movement, mindfulness or meditation.

If sleep or stress is something that you’re struggling with, it may be worth focusing on these first and seeking some support.

For additional support in managing sleep or stress, Willow’s psychotherapist Kate offers CBT therapy.

Get Expert Support at Willow Health for Managing Weight

Navigating weight management during menopause can be challenging, but you don’t have to do it alone. At Willow Health, our specialist dietitian Emily offers personalised nutrition and lifestyle advice and support tailored to your needs. We have a range of options at Willow including lifestyle support and weight loss medications with a focus on creating sustainable changes that last.

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*Please note that the information provided within this article is for information purposes only and do not act as a substitute for professional medical advice.