Your diet hasn't changed. Your workouts haven't changed. Yet your waistline seems to be changing anyway. A lot of women notice more fat around the middle in perimenopause and menopause even when their habits stay exactly the same.
What's happening
Often it isn't straightforward weight gain — it's a shift in body composition. You tend to lose some muscle while gaining fat around the abdomen.
Why your shape changes
As estrogen declines, it affects fat storage, muscle maintenance, insulin sensitivity and how efficiently your metabolism runs. Your body starts favouring the midsection over the hips and thighs. Reduced muscle, poor sleep, higher stress, lower activity and a naturally slowing metabolism all add to it.
What helps
- Prioritise protein — it helps you hold on to muscle
- Strength train — building muscle supports your metabolism
- Manage stress — high cortisol encourages fat around the middle
- Improve sleep — poor sleep is linked to weight gain and insulin resistance