Why do some people gain weight during menopause?

Weight gain during menopause is a common concern, though it is not necessarily an inevitable result of the transition. While many women report gaining weight during this time, the physiological causes are often complex and multifactorial.1

One potential factor is a decrease in thyroid function, which can influence metabolic rate and contribute to weight changes. Additionally, the metabolic activities of the adrenal and thyroid glands are interrelated with the actions of [estrogen]. As ovarian function declines, the resulting reduction in estrogen levels leads to hormonal rearrangements that may affect overall metabolism.12

It is important to note that menopause is not inherently associated with drastic changes in physical appearance or fitness. Factors such as lifestyle, nutrition, and general health habits play a significant role in how an individual experiences this transition.1