Why do women gain weight during the menopausal transition?

There is a tendency to gain weight, particularly around the waist, at this time in our lives. Although many of us find our appetite has increased, the weight gain may occur even if we are eating the same way we always did. Although menopause is not, strictly speaking, the cause of this gain, it is true that estrogen has a role in body fat distribution.

Women of childbearing age tend to store fat in the hips and thighs, while postmenopausal women store fat around the abdomen, more as men do. Weight gain is probably related to changes in metabolism that occur with age. Our body's metabolism slows, and we tend to lose muscles and replace them with fat.

Muscles burn more calories than fat, so we need fewer calories than before. We also tend to be less active as we grow older. On average, women gain about a pound a year during the perimenopausal and postmenopausal years.

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