Why Weight Gain Often Happens After Menopause
None did anything for my pain but, I too experienced about 10 pound weight gain but just attributed it to lack osf exercise of any kind due to continued pain. The current guidance on diabetes screening suggests that risk assessment be done at least every three to five years in people at high risk of diabetes developing within 10 years. Accessed August 22, at https: These are foods that can be included into a regular or vegetarian diet depending on the level of restriction. People felt significantly less full after the smoothie.
How Do Prescription Drugs Cause Weight Gain?
Reduced estrogen may also lower metabolic rate , the rate at which the body converts stored energy into working energy. It's possible the same thing happens with women when estrogen levels drop after menopause.
Some evidence suggests that estrogen hormone therapy increases a woman's resting metabolic rate. This might help slow weight gain. Lack of estrogen may also cause the body to use starches and blood sugar less effectively, which would increase fat storage and make it harder to lose weight. As women age, many other changes happen that contribute to weight gain. The more active you are, the less weight you're likely to gain. A National Institutes of Health review showed that people who did aerobic activities every day for 10 or more minutes had 6 fewer inches around the waistline compared to people who didn't exercise.
And exercising while you're in the process of losing weight -- as well as after you've lost it -- may be critical to maintaining weight loss. For the best fitness results, combine your exercise efforts with good nutrition. Here are just a few tips:. Other Benefits of Exercise After Menopause Exercise has many other perks aside from weight loss, including: Lower risk of osteoporosis Lower risks of metabolic syndrome , heart attack , and other cardiovascular diseases Improved insulin resistance Keeps joints and muscles strong Helps bowels work well Relieves depression and anxiety Improves overall health Good Exercise Choices After Menopause What types of exercise can best help you lose and maintain weight after menopause?
Strength training , or a weight-resistance exercise program , helps build muscle mass and improve metabolism. Strength training also helps you maintain bone mass.
Because you lose muscle mass as you age, add strength training to your workouts, if you haven't before. Aim for two or three times a week. Examples of strength training include weight machines, dumbbells, exercise bands, yoga , and gardening.
Discussion with the patient is needed to determine the best course of action. This guideline has identified what benefits can be expected from weight-loss interventions, based on evidence from clinical trials.
Additional work is needed to further develop support mechanisms and counselling tools for primary care practitioners. Body mass index is easy and inexpensive to measure, and can be used to monitor weight changes over time. Interventions for prevention of weight gain in adults of normal weight have a minimal effect and the effects are not sustained over time. Some individuals with normal weight may still benefit from interventions for weight-gain prevention, such as those with metabolic risk factors, high waist circumference, or a family history of type 2 diabetes or cardiovascular disease.
For adults who are gaining weight and motivated to make lifestyle changes, practitioners should consider offering or referring to prevention interventions to prevent further weight gain. Although most participants in weight-loss studies regain some weight after intervention, the average amount regained is lower among intervention participants than control participants.
For adults who are at risk of type 2 diabetes, weight-loss interventions delay the onset of type 2 diabetes. Behavioural interventions are the preferred option, as the benefit-to-harm ratio appears more favourable than for pharmacologic interventions.
No other competing interests were declared. All of the authors contributed substantially to the interpretation of the findings. Paula Brauer, Sarah Connor Gorber and Marcello Tonelli drafted the article with assistance from the rest of the group, and all of the authors gave final approval of the version submitted for publication.
The views of the funding bodies have not influenced the content of the guideline; competing interests have been recorded and addressed. The views expressed in this article are those of the authors and do not represent those of the Public Health Agency of Canada. We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail.
We do not capture any email address. Skip to main content. Prevention of weight gain The task force initially developed an analytic model to assess effects of screening for obesity on health outcomes; however, no studies were found. Management of overweight and obesity The research questions and analytical framework Appendix 2 were based on the review of RCTs of behavioural and pharmacologic interventions for weight loss by the US Preventive Services Task Force.
Grading of recommendations Recommendations are graded according to the GRADE system, 18 which offers two strengths of recommendation: Recommendations Box 2 12 contains a summary of the recommendations. Weak recommendation; moderate-quality evidence For adults who are overweight or obese, we recommend that practitioners not routinely offer pharmacologic interventions orlistat or metformin aimed at weight loss. Strong recommendation; very low-quality evidence No studies of screening for weight issues in primary care were identified.
Interventions We recommend that practitioners not offer formal, structured interventions aimed at preventing weight gain in normal-weight adults. Weak recommendation; very low-quality evidence A new systematic review of primary care—relevant RCTs comparing weight-gain preventions with no treatment was conducted to inform the recommendations.
Adults at high risk of diabetes For adults who are obese BMI 30— Behavioural interventions For adults who are overweight or obese, we recommend that practitioners offer or refer to structured behavioural interventions aimed at weight loss. Weak recommendation; moderate-quality evidence Meta-analyses of trials with behavioural interventions e.
View inline View popup Download powerpoint. Pharmacologic interventions For adults who are overweight or obese, we recommend that practitioners not routinely offer pharmacologic interventions orlistat or metformin aimed at weight loss.
Weight maintenance Two studies on behavioural interventions and four on pharmacologic plus behavioural interventions reported on weight maintenance. Balance of benefits and harms The task force places a higher value on the evidence for short-term weight loss without important harms and on improvements in certain secondary health outcomes with behavioural interventions.
Considerations for implementation The task force has developed a series of tools to help practitioners interpret these recommendations for their patients, which can be found at canadiantaskforce. Patient values and preferences For adults of normal weight who express concerns about weight gain or who are motivated to make lifestyle changes, practitioners should discuss the evidence showing minimal short-term benefit from interventions for weight-gain prevention with their patients and should help each patient make a decision that is consistent with his or her values and preferences.
Assessment of BMI and health risk Practitioners should use clinical judgment to decide the frequency with which patients should have their weight and health status assessed.
Other considerations There is evidence showing an association between obesity and socioeconomic status, and related factors such as education and income. Suggested performance indicators Given the limitations of the evidence, no performance indicators were developed for prevention of weight gain in adults of normal weight. Economic implications Given the paucity of direct evidence for prevention, the task force did not evaluate the economic implications of interventions for prevention of weight gain in detail.
Gaps in knowledge Few studies exist that are designed to help patients of normal weight with or without specific health risks to maintain their weight. Conclusion The average weight and BMI of Canadian adults have increased over the last 40 years, with a corresponding increase in the prevalence of obesity.
Key points Prevention of weight gain Body mass index is easy and inexpensive to measure, and can be used to monitor weight changes over time. This article has been peer reviewed. Chronic disease indicator framework, Quick Stats edition. Canadian health measures survey: Statistics Canada ; Body composition of Canadian adults, to The incidence of co-morbidities related to obesity and overweight: BMC Public Health ; 9: Divergent body mass index trajectories between Aboriginal and non-Aboriginal Canadians — — an exploration of age, period, and cohort effects.
Am J Hum Biol ; Trends in weight change among Canadian adults. Health Rep ; Government Office for Science ; Overweight and obesity mortality trends in Canada, — Can J Public Health ; World Health Organization ; Recommendations on screening for type 2 diabetes in adults.
CMAJ ; The definition of weight maintenance. Int J Obes Lond ; Periodic health examination, update: Prevention of weight gain and obesity in adults: Screening for and management of obesity and overweight in adults [Internet]. GRADE handbook for grading quality of evidence and strength of recommendation.
Process for guideline development by the reconstituted canadian task force on preventive health care. Can J Diabetes ; Lindström J , Tuomilehto J. The diabetes risk score: Diabetes Care ; Treatment for overweight and obesity in adult populations: CMAJ Open ; 2: A comparison of direct vs. Obes Rev ; 8: Body mass index estimation and measurement by healthcare professionals. Open J Prev Med ; 2: Indices of relative weight and obesity. Int J Epidemiol ; The paradox of body mass index in obesity assessment: Managing obesity in adults in primary care.
Comparison of overall obesity and body fat distribution in predicting risk of mortality. Obesity Silver Spring ; Canadian guidelines for body weight classification in adults: Després J , Tchernof A. Classification of overweight and obesity in adults.
A proposed clinical staging system for obesity. Preventing weight gain in adults: Health Psychol ; 7: Exercise on prescription for women aged 40—74 recruited through primary care: BMJ ; A lifestyle intervention to reduce type 2 diabetes risk in Dutch primary care: Diabet Med ; Am J Clin Nutr ; Lancet ; Prog Cardiovasc Dis ; Mechanisms of weight regain following weight loss. ISRN Obes ; Brown I , Gould J. Decisions about weight management: Clin Obes ; 1: Garip G , Yardley L.
Diabetes prevention in the real world: Socio-demographic and geographic analysis of overweight and obesity in canadian adults using the Canadian Community Health Survey Chronic Dis Can ; Explained and unexplained regional variation in Canadian obesity prevalence. Preventive Services Task Force. Screening for and management of obesity in adults: Products All products Which Ensure is for me?
How do Ensure products compare? All products Which Ensure is for me? Every ready-to-drink shake has: Contains milk and soy ingredients. Please refer to the product label for the most current ingredient, allergen, and nutrient profile information. Is there a limit on how many servings of Ensure Plus one can consume each day? Ensure products should not be consumed by people with galactosemia. Ensure Plus is rated 4.
Rated 1 out of 5 by julianne from not healthy This product is not healthy as it is corn, milk and soy based. All of these products are GMO. It has sugar which we know is not good for us. Weight gain is determined by the physical and mental health of the patient not just by adding more calories in your diet. It would be much better to prepare your own fruit and vegetable smoothie with added protein and oils for your added energy and nutrients.
Rated 5 out of 5 by sue1 from This the best for maintaining weight plus no artificial sweetner I am so happy that Ensure Plus does not contain artificial sweetner as I and a few of my friends are actually allergic to the artificial sweetners.
Unfortunately, according to my allergist it is becoming more and more common as people are becoming allergic to the artificial sweetners. I drink two bottles per day to maintain my weight.