Obesity May Worsen Menopause Symptoms and Hormone Therapy Effectiveness

Apr 8, 2025

What Did the Research Discover?

Menopausal vasomotor symptoms (VMS)—such as hot flashes and night sweats—are common experiences for many women during menopause. While previous research has established a link between obesity and the presence of menopausal symptoms, this study sought to explore whether the severity of these symptoms is also influenced by body weight and fat distribution.

The researchers conducted a review of 16 recent studies that specifically examined the relationship between menopausal symptom severity and different measures of obesity, including:

  • Body Mass Index (BMI) – A general measure of body fat based on height and weight.
  • Waist circumference – A measure of central obesity that assesses fat stored around the abdomen.
  • Waist-to-hip ratio – A measure of fat distribution, indicating whether fat is stored more around the waist or hips.

The findings suggest that higher BMI, larger waist size, and greater waist-to-hip ratios were associated with more severe menopausal symptoms. Women with higher levels of obesity reported experiencing more intense and frequent hot flashes, night sweats, and other menopausal symptoms compared to those with lower BMI or smaller waist measurements.

How Can I Apply This Information?

For women experiencing severe menopausal symptoms, these findings highlight the potential role of weight management in symptom relief. While menopause is a natural phase of aging, maintaining a healthy weight may help reduce the intensity of symptoms, making this a valuable consideration for both personal health and treatment planning.

If you are struggling with intense hot flashes, night sweats, or other menopausal symptoms, lifestyle changes such as:

  • Healthy eating habits to support weight management.
  • Regular physical activity, which can help reduce body fat and improve hormonal balance.
  • Medical guidance to explore whether weight loss strategies may contribute to symptom relief.

For healthcare providers, these findings reinforce the need to consider weight and fat distribution as factors when assessing menopausal symptom severity. As obesity has been linked to more intense symptoms, weight management strategies could be included as part of a comprehensive menopause treatment plan.

Given that menopause affects millions of women worldwide, and symptom severity plays a crucial role in determining treatment decisions, further research is needed to better understand how weight loss and lifestyle interventions may alleviate symptom severity. This could provide a non-hormonal approach to improving quality of life for menopausal women.

Source

Cao V, Clark A, Aggarwal B. Obesity and severity of menopausal symptoms: a contemporary review. Current Diabetes Reports. 2023 Dec;23(12):361-70. https://pubmed.ncbi.nlm.nih.gov/37999882/

Reported by

Reviewed by

Tags:

You May Also Like