The increasing size of the belly during menopause may be related to factors such as decreased estrogen levels, slowed metabolism, and accumulation of visceral fat, commonly seen in menopausal syndrome, hypothyroidism, polycystic ovary syndrome, and other diseases. It is recommended to seek medical attention promptly to check hormone levels and metabolic indicators, and rule out organic diseases.
1. Decreased estrogen levels
After entering menopause, women's ovarian function declines, and reduced estrogen secretion can lead to changes in fat distribution, making it easier for fat to accumulate in the waist and abdomen. Estrogen has a regulatory effect on lipid metabolism, and a decrease in its level may lead to a reduction in fat breakdown. This situation can be improved through hormone replacement therapy, but it needs to be done under the guidance of a doctor.
2. Metabolic slowdown
As age increases, the basal metabolic rate decreases annually and calorie consumption decreases. If the amount of food consumed remains constant, excess calories will be converted into fat and stored in the abdomen. Reduced muscle mass is also an important cause of metabolic decline. It is recommended to undergo resistance training to maintain muscle mass, and choose aerobic exercises such as swimming and brisk walking to help control weight.
3. Accumulation of visceral fat
Menopausal women are prone to an increase in visceral fat, which is related to factors such as hormone changes and stress. Excessive visceral fat will increase the risk of cardiovascular disease and diabetes. The visceral fat content can be measured by CT or bioelectrical impedance. Reducing the intake of refined carbohydrates and ensuring adequate sleep can help reduce visceral fat.
4. Hypothyroidism
Hypothyroidism can lead to a significant decrease in metabolic rate, manifested as symptoms such as weight gain, cold sensitivity, and fatigue. The incidence rate of thyroid diseases in climacteric women is increasing, and five thyroid functions need to be checked. If diagnosed, medication such as levothyroxine sodium tablets can be used as a substitute for treatment according to medical advice.
5. Polycystic Ovary Syndrome
Some women who have already suffered from polycystic ovary syndrome before menopause may experience increased insulin resistance after entering menopause, leading to more pronounced abdominal obesity. This situation requires controlling blood sugar and improving insulin sensitivity, and medication such as metformin can be used under the guidance of a doctor.
Comprehensive regulation is needed for menopausal abdominal weight gain. It is recommended to maintain a balanced diet, increase intake of whole grains, high-quality protein, and vegetables, and reduce high sugar and high-fat foods. Engage in moderate exercise every week, combining strength training and aerobic exercise. Ensure adequate sleep and manage stress levels. Regularly monitor changes in waist circumference and weight. If accompanied by symptoms such as menstrual disorders and hot flashes, seek timely medical attention from a gynecology or endocrinology department, and if necessary, undergo hormone therapy. Avoid taking weight loss medication on your own, as certain ingredients may interfere with hormone balance.
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