Unfortunately many women gain weight during perimenopause, on average gaining about 3-5 pounds per year. The loss of estradiol contributes to the change in metabolism and a shift in location of adipose cells. The deposition of fat predominantly located around the hips during our reproductive years giving the “curve” moves more towards the abdominal area. This is an unhealthy location for fat and is linked with increasing risk for cardiovascular health.
Interestingly the brain is the organ that often regulates weight, the hypothalamus is the origin for obesity defined by increased BMI greater than 30 (not the best way to actually assess being overweight but we use this as a guide). With the loss of estradiol in menopause there are new neurological pathways that will encourage the patient to eat more, satiety is reduced and of course there is more stress.
The stress a patient feels is complicated often by hormonal changes, life events, emotional and physical changes that are occurring as well. Medications may be prescribed during this time that also encourages weight gain (steroids, antidepressants, antihypertensives, etc.), cortisol is released all of which of course increase fat storage and is occurring during a time when estradiol is reduced. The patient may be exercising less, feeling more tired, reaching for different foods to get through the day leading to more weight gain. This is a very important time in our lives to understand what is happening and what we can do to prevent weight gain, and other changes happening during perimenopause.
To learn more about what to do to prevent weight gain during perimenopause and menopause call the office to schedule an appointment to review options in management.