Dietary strategies for weight loss in midlife women.

  title={Dietary strategies for weight loss in midlife women.},
  author={Krista A. Varady},
  volume={25 6},
  • K. Varady
  • Published 1 June 2018
  • Medicine
  • Menopause
As women go through menopause, their risk of gaining weight increases. Clinicians will generally recommend dietary change as the first step toward losing weight, but which diets work best? This Practice Pearl reviews whether certain dietary therapies are more effective than others in facilitating weight loss in postmenopausal women. 

Losing Weight after Menopause with Minimal Aerobic Training and Mediterranean Diet

Assessment of the efficacy of a Mediterranean diet to promote weight loss in postmenopausal women suggested that a high adherence to a traditional MD would enable menopausal women to lose fat mass and maintain muscle mass with no significant difference to younger women.

A Stepwise Approach to Prescribe Dietary Advice for Weight Management in Postpartum and Midlife Women

Dietary advice including the setting of realistic weight loss goals, identifying an individual’s calorie needs, distribution of macronutrients and consideration of important micronut nutrients is provided.

High plant-based diet and physical activity in women during menopausal transition

Weight loss resulted in a significant improvement in some blood lipid values, such as total and high-density lipoprotein cholesterol, and a diet high in plant proteins improves body composition and reduces cardiovascular risk factors.

Fasting Physiology and Therapeutic Diets: A Look Back to the Future.

  • J. Bland
  • Psychology, Medicine
    Integrative medicine
  • 2019
The evidence presented at this event demonstrated the multiple clinical benefits of fasting physiology and points toward a future in which the clinical applications of dietary approaches will be well

Keeping the pelvic floor healthy

Alterations in the composition of the pelvic floor muscles at menopause appear to affect their properties and, thereby, their ability to function adequately, which can lead to an increased prevalence in urinary incontinence and other lower urinary tract dysfunction, pelvic organ prolapse, and genitourinary syndrome ofMenopause.

Pelvic Floor Muscle Training for Older Women with Urinary Incontinence

PFMT is an effective treatment for UI in older women and should be recommended as first-line treatment regardless of age, and recent RCTs propose a more holistic approach to PFMT to address concurrent cognitive, gait, and balance deficits in older incontinent women.



Protein intake, weight loss, and bone mineral density in postmenopausal women

Higher‐protein diets are promoted for effective weight loss. Striated tissues in omnivorous diets contain high‐quality protein, but there is a paucity of data regarding their effects on bone.

Quality of Life after Diet or Exercise-Induced Weight Loss in Overweight to Obese Postmenopausal Women: The SHAPE-2 Randomised Controlled Trial

In a randomized trial in overweight-to-obese and inactive postmenopausal women a comparable 6%-7% weight loss was achieved by diet-only or mainly by exercise and showed improvements in physical and mental HRQoL domains, but results were not statistically significant in either the diet or exercise group.

Understanding weight gain at menopause

There is strong evidence that estrogen therapy may partly prevent this menopause-related change in body composition and the associated metabolic sequelae and further studies are required to identify the women most likely to gain metabolic benefit from menopausal hormone therapy in order to develop evidence-based clinical recommendations.

Effect of Diet and Exercise, Alone or Combined, on Weight and Body Composition in Overweight‐to‐Obese Postmenopausal Women

Among postmenopausal women, lifestyle‐change involving diet, exercise, or both combined over 1 year improves body weight and adiposity, with the greatest change arising from the combined intervention.

Effect of alternate day fasting on markers of bone metabolism: An exploratory analysis of a 6-month randomized controlled trial

It is suggested that 6 months of ADF does not have any deleterious impact on markers of bone metabolism in obese adults with moderate weight loss.

Prevalence of Obesity Among Adults and Youth: United States, 2011-2014.

This report provides the most recent national data on obesity prevalence by sex, age, and race and Hispanic origin, using data for 2011- 2014.

Low-Fat Dietary Pattern and Weight Change Over 7 Years: The Women's Health Initiative Dietary Modification Trial

A low-fat eating pattern does not result in weight gain in postmenopausal women and a similar but lesser trend was observed with increases in vegetable and fruit servings, and a nonsignificant trend toward weight loss occurred with increasing intake of fiber.

Writing Group of the International Menopause Society for World Menopause

  • Climacteric
  • 2012