
If your body shape has changed in your forties or fifties, even though you are eating and exercising much as you always have, you are not imagining it. You have not suddenly lost your discipline either.
There are real changes happening in your body during menopause. Another crash diet is not the answer. In fact, losing weight too quickly can work against the muscle and bone health that matter so much at this stage of life.
Menopause can change where your body stores fat, but your everyday habits still make a real difference.
Why Fat Moves to Your Middle
In the Study of Women’s Health Across the Nation (SWAN), fat mass rose and lean mass fell during the menopause transition, independently of getting older. The changes began around two years before the final period and continued for roughly two years afterwards.
A separate longitudinal study following women through the transition found that the proportion of fat stored in the abdomen rose, resting energy expenditure fell, and physical activity declined.
That can mean several things are happening at the same time:
- Your body may store more fat around your abdomen instead of your hips and thighs.
- You may gradually lose muscle unless you train to maintain it.
- You may burn less energy each day, partly because activity levels often fall.
None of this says anything about your willpower. It simply means that the approach that worked for you at 30 may need adjusting now.
Why Crash Dieting Backfires Here
A very low-calorie diet may move the number on the scales quickly, but that does not always mean you are losing the weight you want to lose.
If you cut calories too aggressively without doing resistance training, you can lose muscle as well as fat. That is particularly unhelpful at a time when looking after your muscle and bone health is already important. You may end up lighter, but also weaker, hungrier and less able to maintain the result.
Heavy restriction can also leave you with less energy for training, poorer sleep and a plan that feels impossible to follow for more than a few weeks.
1. Make Strength Training a Priority
A systematic review and meta-analysis in Sports Medicine found that resistance training in healthy adults reduced body fat percentage, fat mass and visceral fat. A further meta-analysis in Obesity Reviews found resistance training reduced visceral fat both on its own and alongside calorie restriction.
Two or three structured full-body sessions a week can be a sensible place to start. Try to focus on:
- Compound movements such as squats, hinges, presses and rows
- Gradually increasing the challenge as you become stronger
- Giving yourself enough time to recover between sessions
Strength training helps you keep muscle and support bone health while you lose fat. Cardio can still be useful, but it does not offer the same benefits on its own. This is the kind of training we build together in one-to-one coaching.
2. Eat Enough Protein
For adults doing resistance training, around 1.6g of protein per kilogram of body weight each day is an evidence-based starting point. Your individual needs may be different, and eating more is not automatically better.
It can be easier to reach that amount if you spread it across the day. For example:
- Greek yoghurt or eggs at breakfast
- Chicken, fish, tofu or lean beef at lunch and dinner
- Cottage cheese, edamame or a shake if you’re short
Protein can help you feel fuller and protect lean mass while you are losing weight. It may also make cravings easier to manage.
3. Keep Moving During the Day
For adults under 60, 8,000 to 10,000 steps can be a useful target. It is not a magic number, though, and lower step counts still bring benefits.
Resting energy expenditure and activity levels both tend to fall during the menopause transition, so it helps to be a little more deliberate about everyday movement. You could walk after a meal, take a phone call on your feet or choose something active that you genuinely enjoy. It does not need to feel like another workout.
4. Treat Sleep as Part of the Plan
In a randomised trial published in JAMA Internal Medicine, adults with overweight who habitually slept under 6.5 hours and were coached to extend their sleep reduced their daily energy intake by around 270 calories on average, without being asked to change their diet.
Menopause can make sleep much harder. Night sweats, waking in the early hours and a busy mind are all common experiences. You may not be able to fix your sleep completely, but a regular wind-down routine, a cool dark room and a steady wake time are practical places to begin.
If disrupted sleep or other symptoms are affecting your life, please speak to your GP. Coaching can support you alongside medical care, but it does not replace it.
5. Aim for a Small, Sustainable Deficit
A modest calorie deficit that fits your life is usually more useful than an extreme plan you cannot maintain. When you combine it with strength training and enough protein, you give yourself a better chance of losing fat while keeping the muscle that supports your metabolism, bones and long-term independence.
In practice, your week might include:
- A source of protein at each meal.
- Two or three strength sessions a week.
- Regular walks or another form of daily movement you enjoy.
- A regular sleep routine wherever possible.
- Meals you can enjoy with family and friends.
What This Looks Like in Real Life
You do not need a 1,200-calorie plan, to cut out whole food groups or to spend two hours in the gym. The best approach is one that works around your job, family and everything else in your life.
At this stage of life, simple habits repeated consistently tend to matter far more than a dramatic short-term fix. Progress can show up in your strength, energy, the way your clothes fit and how you feel. It does not have to be defined by a number on the scales. I have written more about those everyday habits in why you do not need a new diet.
The aim is not to fight your body. It is to look after it for the years ahead.
Sources
The figures and physiological claims above come from these peer-reviewed papers. This is general information, not medical advice. Speak to your GP about menopause symptoms or treatment.
- Greendale et al. (2019), JCI Insight: body composition and weight during the menopause transition (SWAN)
- Lovejoy et al. (2008), International Journal of Obesity: increased visceral fat and decreased energy expenditure during the menopausal transition
- Wewege et al. (2021), Sports Medicine: resistance training, body fat percentage, fat mass and visceral fat
- Khalafi et al. (2021), Obesity Reviews: resistance training with and without caloric restriction on visceral fat
- Morton et al. (2018), British Journal of Sports Medicine: protein supplementation and resistance training
- Paluch et al. (2022), The Lancet Public Health: daily steps and all-cause mortality
- Tasali et al. (2022), JAMA Internal Medicine: sleep extension and energy intake