By Muireann Prendergast, Contributing Columnist and Susan Callahan, Health Editor
HOW TO BEAT THE MIDDLE-AGE SPREAD
Are you post-menopausal? Have you noticed a steady weight gain since your periods stopped? Then read on. Many women, some of whom never have had weight problems in their 20s and 30s, struggle with what is often referred to as “the middle-aged spread” after menopause.
A 2008 Mayo Clinic report suggests that the issue generally begins to arise in the premenopausal period with women gaining on average a pound a year during this time with the problem escalating afterwards. Moreover, this weight, which generally accumulates around the hip and thigh area, is generally hard to shift.
A 2003 study carried out by researchers at Oregon Health and Science University in Portland (OHSU) suggests that 12% more women are overweight during this period of their lives than in their teens, 20s and 30’s.
WHAT IS THE MIDDLE-AGE SPREAD?
Do hormones cause weight gain after menopause? This 2003 OHSU report suggests that the decrease in ovarian hormones after menopause is an important factor in this weight gain. These hormones, chiefly estrogen and progesterone, diminish once the body stops producing eggs.
When Oregon researchers studied monkeys with such reductions in their hormone levels, they noted that their appetite increased up to 67%. This appetite spike caused ra 5% averag increase in body weight gain over the 6 week study. Researches believe that this is an important discovery for women as, reproductively speaking, humans and moneys are similar.
However, the 2008 Mayo Clinic report reminds us that the culprit for weight gain after Menopause might not be altogether hormone-based and that there are lifestyle changes during this period that might also be a factor in weight gain. The report suggests that during the midlife period people are generally much more sedentary, eating more and exercising less. The report however does also remind us that during the midlife period we have less muscle than fat and as a result a slower metabolism as muscle burns more calories than fat.
10 WAYS TO BATTLE THE MIDDLE-AGE SPREAD
There are a number of ways to battle midlife weight gain. Weight gain is more than an aesthetic issue. It's a serious health concern. Those who gain weight after menopause are more prone to illnesses such as breast cancer than their slimmer counterparts. This is borne out by a 2006 report carried out by researchers at Harvard Medical School report and published in the Journal of the American Medical Association (JAMA) which found that women who gained wait during and after menopause are at a significantly greater risk for breast cancer.
1. A BALANCED DIET Oregon researchers conclude that while postmenopausal weight gain is difficult to shift, this can be achieved through the old fashioned approach of a healthy, balanced, high fiber, low calorie, diet.
2. WATCH PORTION SIZE Along with watching food quality, it is critical to watch the quantity of food consumed, if you are weight watching. Keep portions small.
3. EXERCISE REGULARLY While the midlife period may be more sedentary, as people enter retirement and children have grown up, it is important that regular exercise be incorporated into the new lifestyle. Daily walks are not only enjoyable, but an effective way of keeping down the pounds. They also help build up some of the muscle that is depleted during the midlife period
4. CUT DOWN ON ALCOHOL A study published by the journal Menopause in 1997 found a link between alcohol and increased fatty tissue after Menopause. It’s a good idea to cut down on your alcohol units if you are worried about weight gain.
5. DRINK WATER Water is not only an effective way to keep the body hydrated and healthy but many studies have shown that it can also suppress the appetite and reduce the need to indulge in food cravings.
6. KEEP A FOOD DIARY A 2008 study carried out by researchers at Kaiser Permanente's Center for Health Research in Portland, Oregon, over 6 months found that those who kept a food diary lost twice as much weight as those who did not. The study suggests that such a diary makes people more accountable for what they consume.
7. PRACTICE YOGA A 2005 study led by researchers at the Fred Hutchinson Cancer Research Centre in Seattle found that yoga can be an effective way to reduce weight in middle age. The study concluded that those who practiced yoga regularly gained three fewer pounds than non-practitioners over the ten years between 45 and 55 years.
8. EAT LEAN BEEF A 2008 study carried out at the University of Illinois at Urbana-Champaign found that lean beef is an effective way to shed weight during the mid life years. 24 overweight women eating between 9 to 10 ounces of beef on a 1700 calorie a day diet lost more fat and less muscle than those consuming the same number of calories but less protein.
9. SLEEP WELL Does losing sleep after menopause cause weight gain? Many women suffer from insomnia after menopause. A 2006 study carried out at Case Western Reserve University in Cleveland, Ohio, found that participants who slept 5 hours a night were 32% more likely to experience a weight gain of 33 pounds or more and 15% more likely to be obese over the course of the 16 year old study, compared with those who slept 7 hours a night on average. Lack of sleep is said to reduce the body’s capacity to metabolize carbohydrates resulting in weight gain.
10. RELAX Numerous studies have found that the over-production the stress hormone Cortisol can trigger the accumulation of fat around the stomach area. Perform whatever activity relaxes you most regularly, be it reading a book or going for a long walk.