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10 of 11 in Signs & Symptoms

Weight at menopause

Why weight often creeps up around menopause, especially around the tummy, and why it matters for your health.

Weight gain around the tummy

Fluctuating oestrogen levels in the perimenopause may increase body weight, especially around the abdomen (tummy). This in turn increases the risk of metabolic problems.

After menopause, there can be an average weight gain of 2 to 2.5 kg over 3 years. Weight also tends to rise with age in midlife, and menopause shifts where fat is stored, towards the tummy.

2–2.5kgAverage weight gain over 3 years around menopause
3–4yearsFat around the tummy can start increasing this long before menopause

Fat around the organs

Visceral fat is fat stored deep inside the tummy, around the organs. It can start to increase as early as 3 to 4 years before menopause. Together with changes in body composition and a loss of muscle mass, this further affects metabolic health. Read about muscle loss.

Why it matters: metabolic syndrome

Weight gain and obesity are the main contributors to metabolic syndrome, a group of conditions that includes:

  • Obesity
  • Insulin resistance
  • Glucose intolerance (blood sugar higher than normal)
  • Unhealthy cholesterol and blood fat levels
  • High blood pressure (hypertension)

These conditions raise the risk of diabetes and heart disease. Read about lifestyle changes.