Journal of Mid-life Health Journal of Mid-life Health
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NARRATIVE REVIEW
Year : 2021  |  Volume : 12  |  Issue : 3  |  Page : 187-192

Weight, shape, and body composition changes at menopause


Oxford Women's Health, Christchurch, New Zealand

Correspondence Address:
Anna Fenton
Oxford Women's Health, 132 Peterborough Street, Christchurch 8013
New Zealand
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jmh.jmh_123_21

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Obesity and overweight are associated with increased risks of cardiovascular and metabolic disease and overall poor health outcomes. Menopause is associated with significant changes in body composition and the accumulation of peri-abdominal or visceral fat. Changes in energy expenditure and spontaneous activity have been noted. These mid-life changes can add further to the burden of obesity and its associated risks. An understanding of the role of estrogen, gonadotrophins, gut hormones, sleep deprivation and the microbiome is still rudimentary, but research will ultimately provide further targets for more effective management. This narrative review will explore the pathogenesis of body composition changes at menopause, the impact on health outcomes and therapeutic and management options.


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