Menopause Related Weight Gain – Symptoms, Causes and Treatments

Menopause and Weight Gain 

  • Weight gain is common during menopause due to hormone changes like declining estrogen that slow metabolism and increase belly fat storage. Losing muscle mass and being less active also contribute.
  • To manage menopause weight gain, focus on diet, exercise, stress relief and healthy lifestyle habits. Getting regular cardio and strength training can boost metabolism. Eating nutritious, low-calorie foods in proper portions is key.
  • Some research suggests supplements like probiotics and appetite suppressants can support gut health and prevent weight gain during menopause. However, more studies are needed to confirm effectiveness and safety.
  • Speak to your healthcare provider before taking any supplements marketed for menopause weight gain like black cohosh, vitamin D or omega-3s. Based on your health history, they can help determine what’s right for you.
  • Above all, be patient, positive and caring with yourself during this transition. Remember aging and body changes are natural parts of womanhood. Prioritize self-care over focusing solely on the number on the scale.

Focus on sustainable lifestyle measures over quick fixes to manage menopausal weight gain. Your doctor can advise on any supplements that may help if appropriate.

Menopause Related Weight Gain Introduction

Menopause marks a significant transition in a woman’s life, signaling the end of fertility and menstrual cycles. With the ovaries no longer producing estrogen and progesterone, women begin to experience common symptoms associated with this natural decline in hormones. Hot flashes, night sweats, vaginal dryness, trouble sleeping, and mood changes are some of the most frequently reported effects during menopause.

While these symptoms are well-known, many women are surprised to find that gaining weight often accompanies menopause as well. Though menopause itself does not necessarily cause weight gain, the hormonal fluctuations and reductions associated with this stage of life can make it more challenging for women to maintain their pre-menopausal weight. Declining estrogen, in particular, is implicated in increased abdominal fat storage as metabolism slows and fat distribution patterns change.

According to research, women tend to gain an average of 5-15 pounds around the age of menopause, typically between the ages of 45-55. However, some women may experience more significant weight gain of 20 pounds or more during the menopausal transition. This weight often accumulates around the midsection, leading to an increase in belly fat. Many women find this extra weight frustrating and difficult to lose with age, even with regular diet and exercise. Understanding the drivers of menopausal weight gain is key to proactively addressing it.

With women now spending over one-third of their lives post-menopause, it is increasingly important to examine weight management strategies tailored to the unique hormonal effects of menopause. Awareness, prevention, and support around the multi-faceted menopausal experience remain vital for women’s health and wellbeing.

Causes of Menopause Weight Gain

One of the primary drivers of weight gain during menopause is declining estrogen levels. Estrogen helps regulate fat storage, particularly around the hips and thighs. As estrogen drops during menopause, more fat accumulates around the abdomen and visceral fat increases. Estrogen also helps balance leptin, the “satiety hormone” that signals fullness to the brain. Imbalanced leptin can disrupt appetite cues and cause overeating.

Furthermore, estrogen plays an important role in regulating metabolism. Post-menopause, women experience a slowed metabolic rate of around 5% per decade. This metabolic slowdown makes weight maintenance more difficult with age. Estrogen supports muscle growth and maintenance as well. With less estrogen, many women lose muscle mass as they go through menopause. Loss of muscle mass further reduces daily calorie needs.

Changes in physical activity can also contribute to menopause weight gain. As women age, they often become less active due to lifestyle changes or physical limitations. However, decreased activity reduces calorie expenditure, making weight management more challenging. Menopause symptoms like low energy and joint pain can also discourage exercise.

Finally, changes in lifestyle and diet may promote weight gain during menopause. Some women increase caloric intake or consume more processed carbohydrates and unhealthy fats as they age. Others experience increased appetite and cravings related to hormonal changes. Stress, inadequate sleep, genetics, and related health conditions can also negatively impact eating behaviors.

In summary, decreased estrogen, altered hormone regulation, loss of muscle mass, inadequate physical activity, and unfavorable diet and lifestyle changes all contribute to menopausal weight gain. A multi-factorial approach is needed to prevent and manage weight during this transitional time.

Strategies to Manage Weight During Menopause

Regular exercise is key to counteracting the metabolic slowdown and muscle loss that contributes to menopausal weight gain. Aim for 150 minutes per week of moderate cardio activity, like brisk walking or cycling, to elevate heart rate and increase calorie burn. Additionally, strength training 2-3 times per week preserves muscle mass and boosts metabolism. Focusing on large muscle groups with weights, resistance bands, or bodyweight exercises helps maintain strength and lean muscle.

Following a nutritious, low-calorie diet can help create a sustainable calorie deficit for weight loss. Emphasize lean proteins like fish, chicken, eggs, and plant-based proteins to help improve satiety. Fill half your plate with fruits and vegetables, which provide fiber and volume without excessive calories. Limit processed refined carbs, sugars, saturated fats, and alcohol, which may be easily stored as belly fat. Stay hydrated with water and moderate caffeine intake.

Managing stress is also essential during menopause, as high cortisol can trigger cravings and fat storage. Activities like yoga, meditation, cognitive behavioral therapy, and social support groups can reduce anxiety and stress-related overeating. Getting enough sleep and minimizing smoking, another risk factor for abdominal fat, also supports weight goals.

If making diet and lifestyle changes still proves challenging for weight loss, consider speaking to your doctor about prescription medications. They may recommend medications like Phentermine or Qsymia to help suppress appetite, if appropriate. As always, aim for gradual sustainable weight loss of 1-2 pounds per week through a balanced approach.

Probiotics and Gut Health

Emerging research suggests that changes in the gut microbiome may also contribute to menopausal weight gain. The microbiome is the collection of bacteria, viruses, and fungi that lives in the digestive tract. Declining estrogen levels during menopause can decrease the diversity of healthy gut bacteria.

Specifically, menopause may cause a decline in Bifidobacterium and Lactobacillus species, which are thought to help regulate body weight. An overgrowth of unhealthy bacteria or imbalance between bacterial species is linked to inflammation, insulin resistance, and increased fat production and storage – all factors related to weight gain.

Probiotics are beneficial bacteria and yeasts that can potentially counteract some of these negative microbiome changes. Certain probiotic strains have been shown in studies to support weight loss, reduce belly fat, improve insulin sensitivity, and stabilize appetite regulating hormones. Adding probiotic foods or supplements may thus have potential benefits for managing menopausal weight gain.

However, more research is still needed on the efficacy of specific probiotic species and dosing for menopausal women. Study sample sizes have been small so far. While probiotics hold promise, individuals should emphasize diet, exercise and lifestyle first when aiming to lose weight during menopause, as results will likely be modest. Consult a doctor before starting any new supplement regimen.

The Importance of Body Positivity

It’s important for women to remember that gaining some weight during menopause is normal and not an individual failure. The average weight gain is modest – about 5-15 pounds – and is connected to largely unavoidable hormonal changes. This weight gain should be accepted, not cause shame.

Rather than focusing solely on achieving a certain weight or figure, emphasize lifestyle habits that make you feel energized and healthy during menopause and beyond. Exercise for strength, flexibility and disease prevention rather than calorie burn. Follow an intuitive, balanced diet that satisfies you and provides proper nutrition.

Practice self-care and body positivity to build confidence and self-love during this transition. Avoid comparisons to how your body looked pre-menopause or to unrealistic media images. Instead, appreciate all the things your body has done and continues to do for you. Combat aging stereotypes by surrounding yourself with positive role models. Honor your feelings, but don’t let weight define your self-worth.

Some additional tips include wearing clothes that you feel good in, spending time with supportive friends and family, practicing positive self-talk, listing non-appearance related traits you value about yourself, and starting a gratitude journal. Invest in your whole self – mind, body and spirit. Thriving through midlife goes far beyond the number on the scale.

Menopause and Weight Gain Conclusion and Summary

Weight gain is common during the menopause transition, with women typically gaining 3-5 pounds of body fat and redistributing weight to the abdomen and waist. This menopausal weight gain occurs due to hormonal changes like declining estrogen, which slows metabolism, leads to loss of muscle mass, and alters fat distribution patterns. Other factors can include decreased physical activity, unhealthy eating habits, and lifestyle changes. Managing weight through diet, exercise, and healthy behaviors during this transition is key.

To minimize menopause-related weight gain, focus on a healthy diet full of fruits, vegetables, lean proteins, and whole grains while limiting processed foods, sugars and saturated fats. Getting at least 150 minutes per week of moderate intensity aerobic exercises like brisk walking can also boost metabolism and cardiovascular health. Additionally, aim for strength training 2-3 times per week to maintain muscle mass and combat the tendency to lose muscle during menopause. If unable to lose the extra weight through lifestyle adjustments, consider speaking to your doctor about approved weight loss medications or hormone therapy options.

Remember, a healthy body weight and shape is different for each individual. Focus on self-care rather than getting fixated on numbers. The North American Menopause Society recommends cognitive therapy and social support to develop a more positive body image. Feel empowered in taking practical steps to be well during this transition and beyond. With resilience and caring habits, women can stay healthy and confident through their menopausal journey.


Here are 5 scientific references to support claims made about menopause-related weight gain:

  1. Lovejoy JC, Champagne CM, de Jonge L, Xie H, Smith SR. Increased visceral fat and decreased energy expenditure during the menopausal transition. Int J Obes (Lond). 2008 Jun;32(6):949-58. doi: 10.1038/ijo.2008.25. Epub 2008 Mar 11. PMID: 18332882.

This study found that women gained visceral fat and lost lean muscle mass during menopause, while their resting energy expenditure decreased.

  1. Abdulnour J, Doucet E, Brochu M, Lavoie JM, Strychar I, Rabasa-Lhoret R, Prud’homme D. The effect of the menopausal transition on body composition and cardiometabolic risk factors: a Montreal-Ottawa New Emerging Team group study. Menopause. 2012 Jul;19(7):760-7. doi: 10.1097/gme.0b013e318248e6c2. PMID: 22433974.

This study showed that the menopausal transition was associated with increased total fat mass, decreased lean body mass, and cardiometabolic changes.

  1. Carr MC. The emergence of the metabolic syndrome with menopause. J Clin Endocrinol Metab. 2003 Jun;88(6):2404-11. doi: 10.1210/jc.2003-030242. PMID: 12788835.

This review explains the metabolic changes underlying weight gain in menopause, including decreased resting metabolic rate.

  1. Sternfeld B, Wang H, Quesenberry CP Jr, Abrams B, Everson-Rose SA, Greendale GA, Matthews KA, Torrens JI, Sowers M. Physical activity and changes in weight and waist circumference in midlife women: findings from the Study of Women’s Health Across the Nation. Am J Epidemiol. 2004 Sep 15;160(6):912-22. doi: 10.1093/aje/kwh299. PMID: 15383408.

This longitudinal study found that decreasing physical activity was associated with increased weight and waist circumference in menopausal women.

  1. Sowers MF, Zheng H, Tomey K, Karvonen-Gutierrez C, Jannausch M, Li X, Yosef M, Symons J. Changes in body composition in women over six years at midlife: ovarian and chronological aging. J Clin Endocrinol Metab. 2007 Mar;92(3):895-901. doi: 10.1210/jc.2006-1393. Epub 2006 Dec 19. PMID: 17170060.

This study demonstrated that ovarian aging (menopause) was associated with changes in body composition and abdominal fat increase independently of chronological aging.

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