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Why does belly fat increase
during menopause?
Many women notice that their midsection tends to expand during the stages of menopause.
This is a normal change in body shape that happens as hormone levels shift with age.
How hormones drive belly fat in menopause
The fluctuating oestrogen levels during perimenopause, and the eventual decline in oestrogen, influences where the body stores fat. During the menopause transition, weight gain is more likely around the abdomen rather than the hips or thighs.
What is visceral fat in menopause?
Tissue around the belly, sometimes called central or visceral fat, lies deep within the abdominal cavity, surrounding organs such as the liver and pancreas. This is different from the layer of fat just under the skin, which is more common in the hips and thighs.
How body shape changes during menopause
Before menopause, extra tissue usually gathers around the hips and thighs. During the menopause transition, the body becomes more likely to store it around the midsection.
These physical symptoms and changes can result in shifts in body shape even if overall weight stays the same.
Why menopause belly fat affects long-term health
An increase in abdominal fat can be linked to a higher risk of certain health conditions. Being aware of these changes can help you take steps to support your long-term health.
When to see a doctor
If you notice changes in your body shape or are concerned about health risks, a menopause consultation can offer clarity and guidance on lifestyle strategies and treatments.
Key points
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Belly fat often increases during menopause.
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Storage shifts from hips and thighs to the abdomen.
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Hormonal changes during perimenopause and the later stages influence this redistribution.
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Body shape may change even without major weight gain.
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Abdominal fat can have health implications.
Medically reviewed by Dr Susana Rodriguez, menopause clinician at ClaraSana Women’s Health, Perth.
Our content is based on up-to-date Australian guidelines & may differ from information on other sites.