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Why do you gain belly fat during menopause?

Writer: Monique Pols
Monique Pols
Aug 11
4 min read

I don't eat more than I used to. I still exercise. Why does all the fat suddenly seem to settle around my belly?


It is perhaps the most frequently asked question I receive from women in the peri- and menopause.


Many women blame themselves. They think they lack discipline, eat too much, or don't train hard enough. On social media, there is then quick talk of a "cortisol belly" : a belly supposedly caused by excessive stress hormones.


But is that really the cause?


The short answer is: no.


To understand why belly fat develops during menopause, we must first look at what changes in your body.


The role of estrogen

During the peri- and menopause, the amount of estrogen gradually decreases. Most women know that this affects their menstruation or hot flashes.


What is much less known is that estrogen also plays an important role in the way your body distributes fat.


Before menopause, fat is primarily stored around the hips, buttocks, and thighs. This fat distribution is partly controlled by estrogen.


When the amount of estrogen decreases, this pattern also changes.


Your body develops a greater tendency to store fat around the abdomen.


That doesn't mean you are suddenly doing something wrong. It is a natural biological change that is part of this stage of life.


Not all belly fat is the same.

When women say they are "getting a belly," they often think of the fat you can grab.


During menopause, however, it is often primarily visceral fat that increases.


Visceral fat lies deeper in the abdominal cavity, surrounding organs such as the liver, intestines, and pancreas.


And that is precisely what makes it important.


Unlike subcutaneous fat, visceral fat is metabolically active. It produces substances that influence inflammatory processes, blood sugar regulation, and insulin sensitivity.


A higher amount of visceral fat is associated with an increased risk of, among other things:

  • type 2 diabetes;

  • high blood pressure;

  • cardiovascular diseases;

  • metabolic syndrome.


Belly fat during menopause is therefore much more than a cosmetic issue.

It is also about health.


Does this mean that belly fat is inevitable?

No.


The drop in estrogen explains why fat distribution changes, but that does not mean that every woman automatically develops a lot of belly fat.

How your body reacts depends on multiple factors.


Consider genetic predisposition, muscle mass, nutrition, sleep, stress, and daily exercise.


I will write extensively about all these topics in separate blog posts.


For each of those factors deserves its own explanation.


What I mainly want to convey to you with this blog is that the change in fat distribution does not start with a lack of discipline.


It starts with a changing hormonal balance.

And that realization alone can take away a lot of guilt.


The vision of Victorious Women

At Victorious Women, I do not believe in quick fixes or pointing to a single hormone as the culprit.


I believe that women make better choices when they understand what is happening in their bodies.


That is why I never start a strict diet or a list of forbidden products.


I begin with knowledge.


Because when you understand why your body changes, you look at yourself with more kindness. You stop fighting against your body and can make choices that suit the woman you are today.


For me, that is the first step towards sustainable change.


About Monique Pols

I am Monique Pols , founder of Victorious Women and a certified Menopause Coaching Specialist . Drawing on my background as a personal trainer, lifestyle coach, and menopause coach, I help women in the peri-, meno-, and postmenopause to better understand their bodies. Not so that they become dependent on a coach, but so that they can make healthy choices for themselves with insight, strength, and control.

You can read more about my story and my mission on the About Me page.


Take this with you

Your body is not working against you.


It is changing.


And when you understand why it is changing, you can stop blaming yourself and start making choices that fit this new phase of life.

Understanding is always the first step towards sustainable change.


Reflection question

This week, take a moment to reflect on the following question:

Have you mainly been trying to change your body lately... or have you tried to understand it first?


Write this down for yourself:

  • What changes have you noticed since menopause?

  • What are your thoughts on that?

  • Are they based on facts, or on what you have started telling yourself?


Sometimes the biggest change doesn't start with a new diet or a different training schedule.


Sometimes it starts with a new way of looking at yourself.


Next step

In this blog you have read Why belly fat develops during menopause.

In my next blogs, we will continue step by step, including with:

  • What role does cortisol really play in belly fat?

  • Why does strength training become so important during menopause?

  • Why does muscle mass decrease?

  • How does sleep affect your metabolism?

This is how we build knowledge together. Not to overwhelm you with information, but so that you understand better and better what is happening in your body.


Sign up

Do you want to learn to understand, step by step, what happens in your body during menopause?


Then sign up for the Victorious Women Academy waiting list.

There you learn not only what you can do, but especially why . Because when you understand how your body works, you can make choices that truly suit you.


Sources

  • The Menopause Society (formerly North American Menopause Society). The Menopause Guidebook.

  • Lovejoy JC, Champagne CM, de Jonge L, Xie H, Smith SR. Increased visceral fat and decreased energy expenditure during the menopausal transition. International Journal of Obesity.

  • Davis SR et al. Global Consensus Position Statement on Menopausal Health. Climacteric.

 
 
 

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