Posts Tagged "weight gain"

Wednesday bubble: age ain’t nothing but a…

Posted by Liz on Jun 10, 2009 in hot flash, menopause, nightsweats | 2 comments

Number?

Sometimes it is just that. And sometimes it’s not.

Confused yet? I certainly am.

Australian researchers suggest that many of the more common complaints of menopause may be possibly related to aging in general and not specifically the transition. In fact, in a study presented during last month’s 8th European Congress on Menopause, they reported that menopause is strongly associated with some but not other common complaints.

So what about the other symptoms? After reviewing data from 58,724 women (ages 45 to 50) participating in the Australian Longitudinal Study on Women’s Health, the strongest associations were seen between menopause and hot flashes/night sweats. These findings remained after adjusting for age during the study, age at menopause, smoking history, body mass index, sociodemographics (i.e. education, income, marital status and geographic location) and other factors that might influence outcomes. Other symptoms, including difficulty sleeping, stiff/painful joints and poor or fair self-reported health were also associated with menopause but to a much lesser extent. Headaches, migraines and incontinence appeared to be more strongly related to the aging process.

The researchers say that treatment (in this case, HRT) should be geared primarily towards alleviating vasomotor symptoms. Less clear, however, is how long therapy should be continued, since some symptoms can last for more than seven years. This study is scheduled to appear in Menopause.

Last September, I wrote a post about a survey being reported at the North American Menopause Society’s Annual meeting suggesting that women can actually discern the symptoms of menopause from those of aging.  Interestingly, many of the symptoms overlapped; in fact, 84%, 72%, and 77% of respondents associated vaginal dryness, urinary stress incontinence and weight gain, respectively, strictly with menopause, even though they can also be caused by aging as well.

So, what’s the primary point? It can be difficult to tease apart the effects of aging and the effects of menopause. Clearly, these new Australian data add a bit more to the confusion, and reinforce the point that more research and funding is needed in this particular area.

In the interim, I am just as happy to blame the ‘pause for my symptoms as I am to blame age. And equally as happy to take positive steps to overcome some of the more troublesome effects of the transition, regardless of whether it is a direct effect of menopause or not.

All in all, a good thing, right?

Wednesday Bubble: Restraint is the new black

Posted by Liz on Jan 7, 2009 in exercise, weight | 5 comments

Taking a restrained approach to eating may help to keep extra pounds and body fat away in middle age.

Sounds pretty dicey right? Especially since conscious restriction of calories has long been thought to lead to loss of control and binge eating.

Yet, results of a novel study published in the January 3 issue of the American Journal of Health Promotion suggest that women in midlife who do not restrict their eating have more than twice the risk of gaining substantial amount of weight than their peers who do.

In this study, researchers from Brigham Young University followed 192 women (mean age 40+3 years) over a three-year period, tracking their body weight, body fat, energy intake and physical activity at regular intervals.

Over the entire study period, and compared to their peers, women who did not restrain their eating had:

• a 69% greater risk of gaining more than 2.2 pounds
• a 138% greater risk of gaining more than 6.6 pounds
• a 49% greater risk of gaining more than 1% point in overall body fat

What’s more, the risk remained despite adjustments for age, weight, restrained eating, caloric intake and physical activity at the start of the study, and changes in caloric intake and physical activity during the study.

The researchers concluded that women who do not become more restrained in their eating habits or become more prone to emotional eating, are likely to gain both weight and body fat over a relatively short period of time.

While these data seem counterintuitive to a healthy relationship with food, the message is clear:  because our metabolism slows in midlife, we either have to cut calories or increase physical activity (or both).

Keep in mind, however, that any major change in your diet or exercise requires a conversation with a healthcare practitioner and certified trainer to insure that you are on the right track, and not heading into the injury jungle.

Makes sense, right?

Last year, I wrote a post about the need to move your body AND restrict caloric intake.  In fact, if you click on the word “exercise” in the tag cloud, you can access quite a bit of information about exercise during the menopause.

Trifecta

Posted by Liz on Sep 29, 2008 in weight gain | 2 comments

Midsection weight gain is a hard pill to swallow, especially when you’re doing all the things that experts keep telling you to do, like watching your diet, exercising and limiting indulgences. In fact, it’s been reported that women in their midlife years gain as much as 1.1 pounds yearly over a five-year period, which places the odds of gaining weight about twice the average rate.  So what gives?

Last week, I wrote a post on the importance of moving your body. Several experts chimed in and added that regular weight training and a change in how and what you eat might help to stave off those pounds. In the particular report cited above, researchers wrote that the one pound a year weight gain equated with only an extra 10 calories a day and suggested that small, sustained changes in daily physical activity and diet can prevent further weight gain. Okay, that sounds reasonable, right?

Another study, published last year in the Journal of Clinical Endocrinology & Metabolism, showed that weight gain and changes in waist circumference in midlife are associated with both regular aging and  changes in ovarian function.  The good news in this study was that while waist circumference increased over a 6-year period, the rate of increase slowed one year after the final menstrual period.

BTW, the reason for the buildup of fatty of tissue has to do with balance. That is, as estrogen production declines, the body starts to rely on secondary production sites, such as body fat and skin. So, fatty tissue starts function like an endocrine organ instead of simply a passive vessel for energy storage. The body also struggles to hold onto bone mass and may compensate for its loss by holding on to extra body fat longer.

The news isn’t all bad however.

That ‘Old Black Magic’ has struck again!

Results of an animal study in the journal Maturitas show that black cohosh extract attenuates body weight gain and accumulation of intrabdominal fat and also lowers glucose levels to the same extent as estrogen. The effect on blood fats in this study was a bit more complex; black cohosh extract was associated with higher LDL-cholesterol levels and lower triglyceride levels and estrogen, the exact opposite. The researchers remain uncertain how these effects ultimately influence weight gain as well as associated health risks, such as the metabolic syndrome.

These study results undoubtedly need to be replicated in humans. But they do suggest a potentially viable strategy to battle weight gain: black cohosh.

So, perhaps the trifecta in overcoming menopausal weight gain is diet, exercise and black cohosh. Only time will tell.

How Sweet it Is/’nt

Posted by Liz on Jul 7, 2008 in weight | 0 comments

Have you heard people age, they may experience changes in how they perceive things taste? Research suggests that menopause is also accompanied by changes in how taste buds function.

A small study published in the British Dental Journal shows a significant decline specifically in the ways that postmenopausal women perceive sugar and also, the sensitivity of the roof of the mouth to foods. This may be associated with an increased desire for sweeter foods and consequently, a higher risk for weight gain after menopause.

If you guessed that the primary culprit behind these changes is estrogen, you guessed correctly! Turns out estrogen affects many oral tissues, including salivary glands, the temporomandibular joint, the lining of the mouth, and the jawbones. This translates into directly into an increased risk for osteoporosis of the jaws, cavities and gum disease.

So how do you trick your tastebuds and protect your bones and teetch while still eating healthy foods? Yikes! Any suggestions?

Wait!

Posted by Liz on May 24, 2008 in weight gain | 4 comments

Midlife expansion is no myth. J ust ask any woman in her mid-to-late forties and early fifties and she’ll probably tell you that she is having a wee bit of trouble maintaining her usual weight. Ask her where she’s put on a few inches and she’ll inevitably tell you her waist/abdomen. Even my thinnest friends complain!

So what gives? For many women, weight tends to shift during the perimenopausal years. Some folks say that you might gain as much as a pound a year. Yikes! So what can you do?

Well, there’s certainly not a magic pill because if there were, well, I’d be marketing it right on this site and and planning that trip down to the Galapagos or over to Mali. But don’t fret either.

Researchers suggest that contrary to popular belief, declining hormones are not the primary culprit. Rather, a decline in physical activity, coupled with changes in fat distribution, play a huge role. In 6-year study of premenopausal women who became menopausal, study participants lost an average of 6 lbs of fat free mass and experienced increases in fat by 5.5 pounds! Other data suggest that as women go through menopause, resting heart rate declines significantly both due to the natural aging process and declining hormone levels.

Overall, the best “prescription” for weight gain appears to be a change in attitude coupled with an increase in activity. A general rule of thumb is to lower your caloric intake and percentage of fats in your diet and make sure you’re getting in at least 30 minutes aerobic activity plus some resistance/weight-bearing exercise daily. Incorporating weight-bearing exercise especially during the perimenopausal years might help to counteract our natural loss of muscle and bone mass that occurs during the three to five years following menopause.

This bad joke that Mother Nature plays on our bodies can be dealt with pretty easily if we set our minds to it. Like a lot of things, I guess, it’s all about changing one’s mindset!