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Published on: April 7, 2014
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Obesity and menopause
Albert A Opoku1, Mandy Abushama2, Justin C Konje3
1Consultant Obstetrician and Gynecologist, Hamad Medical Corporation, Al Wakra Hospital, P O Box 82228, Al Wakra, Qatar; Assistant Professor in Clinical Obstetrics and Gynecology, Weill Cornell, Medicine, P O Box 24144, Doha, Qatar.
Summary
Obesity rates are rising globally, particularly during menopause. This review examines how menopause impacts obesity and associated health risks, informing better management strategies for women.
Area of Science:
- Endocrinology
- Public Health
- Women's Health
Background:
- The global obesity pandemic is a significant public health concern, affecting 13% of adults worldwide in 2016.
- Obesity increases the risk of cardiovascular diseases, diabetes mellitus, metabolic syndrome, and malignancies.
- The menopausal transition is linked to increased obesity, altered body fat distribution (gynecoid to android), and heightened visceral fat, exacerbating cardiometabolic risks.
Purpose of the Study:
- To review current evidence on the complex relationship between obesity and menopause.
- To explore the implications of increased obesity during the menopausal transition.
- To understand the impact of menopause on obesity and the effects of treatments on related morbidities.
Main Methods:
- Literature review of current evidence on obesity and menopause.
- Analysis of the interplay between menopausal changes and weight gain.
- Examination of treatment effects on obesity-related conditions during menopause.
Main Results:
- Menopause is associated with increased obesity and a shift towards abdominal and visceral fat.
- The exact causes of menopause-related obesity (menopause, age, genetics, environment) are debated.
- Understanding this relationship is crucial for effective health advice and management.
Conclusions:
- Obesity during menopause presents significant cardiometabolic risks.
- Further research is needed to clarify the causal factors of menopause-associated obesity.
- Effective management strategies are essential given women spend a large portion of their lives in menopause.
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