New Delhi:

Perimenopause refers to a transitional stage leading up to menopause, and it is characterised by significant hormonal changes that can affect a woman’s overall health. On the other hand, obesity is a global health concern that can add to the challenges women face during this phase. The combination of these two can lead to physical, emotional, and psychological difficulties that may affect a woman’s daily life.

What is perimenopause?

In an interaction with Dr. Sonia Golani, Consultant Gynaecologist and bstetrician, Bhailal Amin General Hospital, Vadodara, Gujarat, said, “Perimenopause usually begins at the age of 40 in women; it may start earlier or later as well. It is a result of fluctuating estrogen and progesterone levels, causing irregular periods, hot flashes, mood swings, and sleep disturbance. Some women may also experience joint pain, fatigue and slower metabolism.”

Obesity and perimenopause

Focus on a balanced diet that is rich in protein, fiber, and healthy fats. Strength training, yoga, and other physical exercises will help in maintaining muscle mass and will boost metabolism as well. Meditation and therapy may help in managing emotional changes. Establish a bedtime routine and avoid caffeine before bed; this will help improve sleep patterns.

Weight gain is common during perimenopause due to hormonal changes and a slower metabolic rate. Some women may have noticed that fat tends to accumulate around the abdomen rather than the hips and thighs. This is concerning because abdominal fat is linked to heart disease, type 2 diabetes, and other disorders. Lack of sleep and mood swings during perimenopause also contribute to weight gain. Poor sleep may affect hunger hormones, causing increased appetite and cravings. Emotional eating may also further fuel obesity.

Obesity, with declining estrogen levels, raises the risk of high BP, high cholesterol, and heart disease. Excess weight gain and insulin resistance make women more vulnerable to diabetes. Extra weight can put strain on joints, increasing the risk of arthritis. Hormonal changes may contribute to anxiety, depression, and low self-esteem. Obesity also increases the risk of sleep apnea due to hormonal shifts affecting breathing patterns.

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