Experiences of weight and body shape changes during perimenopause

Menopause indicates the end of the female reproductive lifespan. The hormonal shifts prior to this event result in a frequently symptomatic period known as perimenopause, which has been linked to unfavorable changes in body composition. This study explored women's experiences of perimenopause, including perception of body shape and weight. Perimenopausal women living in Ireland were recruited via convenience sampling to participate in semi-structured virtual interviews with a focus on experiences of weight and body shape. Interviews were recorded, transcribed and subjected to thematic analysis. Seventeen participants with an average age of 50.6 ± 2.8 years participated. Six main themes were produced, describing the far-reaching impact of menopause and its symptoms. The women expressed a differing experience of weight and body shape during perimenopause, compared to previous experiences. They were attempting to make sense of body shape and weight variations, with body image often negatively affected. Women aspired to make lifestyle changes, driven by a desire to manage weight, reduce symptoms, or improve present/future health. Challenges specific to this life stage, including symptoms or additional life factors, act as barriers to engaging with healthy lifestyle strategies. Women are seeking guidance to navigate perimenopause and any weight and body shape changes indicating that targeted lifestyle interventions are required, with a role for supportive weight management strategies.