Menopause and Weight Gain


Many women find that they put on weight when they are perimenopausal or menopausal. This can be upsetting, especially when it’s in addition to other challenging menopausal symptoms.

Quick Summary

  • Many women gain weight during menopause due to fluctuating hormone levels, insulin resistance, and decreased muscle mass
  • Weight gain typically occurs around the abdomen, contributing to the "middle-age spread"
  • Manage weight by reducing calorie intake, focusing on a balanced diet, and limiting processed foods, sugar, alcohol, and caffeine
  • Increase physical activity with strength exercises and at least 150 minutes of moderate or 75 minutes of vigorous activity weekly

Why Do We Gain Weight During Menopause?

According to the NHS, women gain weight during menopause as a result of fluctuating and falling hormone levels that can affect the way we store fat. We develop insulin resistance, which makes our bodies store rather than burn calories. 

Additionally, muscle mass declines with age which slows your metabolism. Without regular exercise, it’s therefore likely that you’ll put on weight. 

Other menopausal symptoms such as lack of sleep, hot flashes and low mood can make it harder to exercise and eat healthily, again contributing to weight gain. 

Why Do We Gain Weight During Menopause?

Where Do We Put on Weight During Menopause?

Most menopausal women find that most of their weight gain is around their stomach, rather than spread evenly across their bodies. This is often referred to as the ‘middle-age spread’. Some women find that their body shape changes and they have to go up a dress size. 

Some research has indicated that stomach fat accounts for 15-20% of peri/menopausal women’s total body weight, compared to just 5-8% in pre-menopausal women. 

What Can We Do to Manage Weight During Menopause?

Studies indicate that menopausal women need 200 calories less than they did previously, so eating less and adopting a more balanced diet can really help. 

Aim to reduce your intake of processed foods and sugar, which are notorious for making you gain weight around your middle. 

It’s also worth cutting the amount of alcohol and caffeine you drink, which can cause you to gain weight and disturb your sleep, making menopausal symptoms worse.

Increasing exercise will help you lose weight and improve your overall health. The NHS recommends: 

  • Strength activities that work for all major muscle groups at least twice a week
  • At least 150 minutes of moderate-intensity activity a week or 75 minutes of vigorous-intensity activity a week

As always, if you have any questions you can use our Menopause Q&A where you can ask for more advice.

We have lots of Menopause FAQs, Menopause videos, Menopause reviews, and Menopause before and after images for you to do more research.

If you want to look for your nearest verified Menopause clinic, your local menopause clinics are listed below.