Fat Mass Is Associated with Aging Rather than Menopausal Transition
Carmen Gabriela Barbu1,2, Irina Manuela Nistor1, Alice Albu1,2
1Department of Endocrinology, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Healthcare (Basel, Switzerland)
|February 13, 2026
Summary
Midlife women
Area of Science:
- Endocrinology and Metabolism
- Women's Health
- Body Composition Analysis
Background:
- Midlife women experience body weight and fat distribution changes, but the causes (aging, menopause, lifestyle) are unclear.
- Menopause significantly impacts female physiology, potentially influencing body composition.
- Understanding these changes is crucial for women's health and metabolic disease prevention.
Purpose of the Study:
- To compare body fat distribution in pre- and postmenopausal women using DXA scans.
- To investigate the influence of age, menopause, and BMI on body fat parameters.
- To identify predictors of body fat distribution changes in midlife women.
Main Methods:
- Cross-sectional analysis of 171 women (45-55 years) using Lunar osteodensitometry scans (DXA).
- Comparison of body composition parameters (total, android, gynoid fat %) between premenopausal (n=50) and postmenopausal (n=121) women.
- Multivariable linear regression to examine associations between body fat outcomes and predictors like BMI, age, and menopausal status.
Main Results:
- No significant differences in android/gynoid fat percentages or ratios between pre- and postmenopausal groups.
- Body Mass Index (BMI) was the sole significant predictor of body fat distribution.
- Total body fat percentage correlated positively with age; menopause onset age correlated with BMI. Early postmenopause showed increased android/gynoid ratio with years since menopause.
Conclusions:
- Age correlates with increased total body fat, but not BMI or menopausal status.
- In early postmenopause, the android/gynoid fat ratio increases with time since menopause.
- The study observed a median menopause onset age of 48 years, earlier than reported in other Caucasian studies.
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