What are the reasons for the increasing belly size in menopausal women

The increasing size of the belly in menopausal women may be related to factors such as hormonal changes, slowed metabolism, muscle loss, visceral fat accumulation, and stressful eating. This phenomenon is more common in perimenopausal women and needs to be judged comprehensively based on individual circumstances.

1. Hormonal changes

A decrease in estrogen levels can alter the pattern of fat distribution, promoting the transfer of fat from the buttocks and thighs to the abdomen. Ovarian dysfunction leads to abnormal secretion of leptin and adiponectin, further exacerbating the trend of central obesity. This physiological change usually begins to manifest during the menopausal transition period.

2. Metabolic slowdown

The basal metabolic rate decreases by about 2-5% every decade, especially after menopause. Muscle tissue is gradually replaced by fat, and mitochondrial dysfunction leads to reduced calorie expenditure. Even with the same amount of food, excess calories are more easily converted into abdominal fat storage.

3. Muscle Loss

Age related sarcopenia and estrogen deficiency work together, leading to a decline in core muscle mass. The relaxation of deep muscles such as the transverse abdominis weakens their support for internal organs, resulting in abdominal distension in appearance. A decrease in muscle mass will further slow down metabolism.

4. Accumulation of visceral fat

is different from subcutaneous fat, as visceral fat that wraps around organs is more sensitive to hormonal changes. This type of fat secretes inflammatory factors, increasing the risk of insulin resistance. Through waist circumference measurement, it can be preliminarily judged that women over 80 centimeters should be taken seriously.

5. Stress eating

Emotional fluctuations may trigger stress eating of high sugar and high-fat foods. Elevated cortisol levels promote the deposition of fat in the abdominal cavity, forming a vicious cycle. Some women may experience nocturnal eating syndrome, which further exacerbates metabolic burden.

It is recommended that menopausal women engage in 150 minutes of moderate intensity aerobic exercise per week, with a focus on strengthening core muscle training. Increase the intake of high-quality protein and dietary fiber in diet, and control refined carbohydrates. Calcium supplements and vitamin D can be supplemented appropriately, and bone density can be monitored regularly. For continuously worsening abdominal obesity, pathological factors such as thyroid dysfunction should be investigated. Establish regular sleep habits, relieve stress through mindfulness meditation and other methods, and seek professional nutrition guidance and hormone replacement therapy evaluation if necessary.