By Kelly Lahey, Master of Health Promotion & Education (MHPE)
Ladies, I have some news for you. The fatalistic view that weight gain around and during menopause is pre-destined due to factors outside our control is NOT TRUE! But it sure is a misconception that many of us have bought hook, line, and sinker.
I remember being in my forties thinking that I had better
prepare for the carnage that was about to unfold once perimenopause/menopause
arrived like a dark, ominous cloud, overtaking over my body. I heard from women
that were ahead of me in the process that weight gain was inevitable, that I
had no control over this ‘fact,’ and if I tried to prevent it would be a
lifelong struggle requiring that I consume practically no calories. If that
wasn’t enough, I was also going to begin storing fat in my middle, which has
never been my pattern. I could say ‘bye bye’ to my abs. The future looked
bleak.
As a healthcare
professional and health educator for over 20 years, I wasn’t buying it. I
am a true believer in the significant positive impact of a healthy lifestyle.
It is a powerful intervention and life-enhancer. I looked to the literature for
answers. Here are some factors contributing to (not causing) weight gain:
- Hormonal
changes in perimenopause and during late stage menopause may increase appetite.
If one responds by eating more than they burn, they will gain weight.
- Decrease
in physical activity. Many women are empty-nesters or have older children
by the time they have hit perimenopause and/or menopause. When children are
young, there’s a lot of daily physical activity involved in caring for them,
playing with them, transporting them, and so on. Raising children regardless of
whether you had an outside career or not, is a very active endeavor. All that
activity adds up. In lieu of children, some women find themselves unable to
engage in the sports that used to keep them fit and lean and haven’t replaced
them. If those now defunct activities are not replaced but the same amount of
calories are consumed, weight gain occurs.
- The aging
process. As we age, we tend to lose muscle mass which results in a decrease
in metabolism. If we don’t account for this decrease in metabolism and keep our
eating and exercise plan the same, we’ll gain weight. However, numerous studies
have shown that weight-bearing exercises can improve muscle mass and
metabolism, therefore mitigating muscle loss.
Looking at the
scientific evidence, there is nothing here that says to me, “It’s a wrap.
You’re doomed.” In fact, it validates healthy
lifestyle behaviors being the antidote to weight gain.
One research study published in the American Journal of
Epidemiology questions how different factors such as age,
menopause, and lifestyle changes account for the weight gain often experienced
by midlife women. They studied the activity levels of over 3000 women across
the country. They found that by remaining active, many women prevented weight
gain.
I see this time of
life as a wake-up call to those who have been slow to get on the healthy
lifestyle bandwagon and get their lives on track. Approximately 70% of
Americans are overweight so we can’t blame weight gain on menopause. Menopause
can highlight behavioral deficits as they relate to weight control. And by the
time we hit our fifties, the cumulative consequences of this extra weight start
to evidence themselves on our bodies in more profound ways. The hormonal
changes bringing this problem front and center may be the best thing that have
happened to many of us if it inspires us to make some changes and improve our
lives for good.
This is going to blow
your mind. Ready? Here goes…
You could actually
LOSE WEIGHT during this stage of life. What? No way! How?
Exercise daily,
The Surgeon General recommends working up to 150-300 minutes of moderate or
75-150 minutes of high intensity cardiovascular activity per week for heart
health. If you’re not exercising much now, this would be an excellent goal. Start slow and gradually increase time, days
and intensity. For those trying to maintain weight loss, you’ll want to work up
to 60-minutes of cardio every day. Also engage in strength training to
build/maintain muscle mass.
TIP: If you can,
invest in a few sessions with a personal trainer if you’re not sure how to go
about this and choose activities you
enjoy. Dance, play sports, do something that is fun.
Get on a healthy
eating plan. Cut portions, significantly decrease refined carbohydrates,
eat more non-starchy veggies, get more fiber in your diet. Go to
choosemyplate.gov for healthy eating guidelines and suggestions.
TIP: Check with
your health plan to see if you can meet with a Registered Dietician or
Certified Health Coach to help determine a healthy eating plan that you will
adhere to and enjoy that contains the right amount of calories. If you have to
pay out of pocket for this service, it’ll be worth the minor investment.
Get adequate sleep.
Chronic sleep deficit can wreak havoc with your hormones and being tired can
make it harder to have the energy to exercise and make good dietary decisions.
TIP: Get on a
sleep and wake schedule and keep it consistent, even on the weekends. Avoid
screen time a few hours before bedtime, keep the room dark, and try using a
white noise machine to wash out sleep-disturbing ambient sounds.
What about the matter
of mid-section weight gain? Extra weighton your bodymay
redistribute from hips and thighs to the mid-section. Gaining more than 2-5 pounds may create too much visceral fat,
which is the dangerous fat that can lead to serious health consequences. Another
reason to get going on improving your lifestyle habits to establish a healthy
weight and maintain it over your lifetime. It’s hard to get wider in the middle
(or anywhere else for that matter) if you’re maintaining a healthy weight!
Feelings aren’t
facts. It may feel like things are out of our control but they are not.
Science does not support that women will gain weight during perimenopause and
menopause. In fact, science supports that women can actually lose weight during
this time of life. You can learn how to develop the skills required to manage
your weight for your lifetime. Check with your health plan for registered
dieticians and health coaches, and your local gyms for personal trainers. There
are a wide range of qualified experts to help you in this journey. While hormonal changes can make this process
less linear and sometimes very frustrating, better eating and exercise habits
tend to lessen the symptoms of perimenopause/menopause, keep your weight under
control, and help you maintain your sanity!
I hope this has resonated with some of you. I have some first-hand experience with this topic and credit my good lifestyle habits for diminishing the impact of the hormonal fluctuations. I want to give you all hope that you are not doomed to gain weight and in fact can turn this into a life-enhancing opportunity. I wish you all well on your journey to living your best life.
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