Many postmenopausal women struggle to lose weight. Hormonal changes are only part of the puzzle.
Unwanted weight gain is a common problem for women after menopause. Primary care clinicians have likely heard from patients that attempts at shedding extra pounds are not working.
"The importance of weight management in midlife cannot be overemphasized," Faubion said. "Excess weight around the middle increases the risk of diabetes and heart disease and that is directly related to the loss of estrogen." "What's important is transitioning the patient from feeling like they've failed to a mindset of seeking help or seeking care for this condition," she said. Adams, a certified menopause specialist, uses the idea of "good enough" with her patients and suggests they think of weight loss as a journey, which may require different tools at various points.
Educate patients about obesity and postmenopausal weight loss challenges, to help destigmatize the condition. Explain that obesity is a chronic disease, like hypertension or diabetes. Body mass index was not designed to be a clinical tool and does not fully assess weight in many populations. Risk for chronic diseases and obesity varies depending on whether a person carries weight centrally or on the hips and thighs.
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