Purpose of Review

To summarize the evidence and clinical implications of weight and body composition changes during midlife in women and provide an overview of weight gain prevention and management in this population.

Recent Findings

Aging-related changes such as decreased energy expenditure and physical activity are important culprits for weight gain in midlife women. The hormonal changes of menopause also influence body adiposity distribution and increase central adiposity. These body changes can have health consequences including the development of cardiometabolic diseases, osteoarthritis, cancer, worsening in cognition, mental health, and menopause symptoms.

Summary

Midlife women experience changes related to aging, menopause, and lifestyle which favor weight gain. Clinical practice should focus on early counseling and anticipatory guidance on the importance of dietary changes and physical activity to attenuate this phenomenon. Future research should focus on the longitudinal relationship between weight trends in midlife and health consequences and mortality.

中文翻译：

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中年女性体重增加

审查目的

总结女性中年期间体重和身体成分变化的证据和临床意义，并概述该人群体重增加的预防和管理。

最近的发现

与衰老相关的变化，例如能量消耗和体力活动减少，是中年女性体重增加的重要原因。更年期荷尔蒙的变化也会影响身体脂肪的分布并增加中心性肥胖。这些身体变化可能会对健康产生影响，包括心脏代谢疾病、骨关节炎、癌症、认知能力恶化、心理健康和更年期症状。

概括

中年女性会经历与衰老、更年期和生活方式相关的变化，这些变化有利于体重增加。临床实践应侧重于早期咨询和预期指导，以了解饮食改变和身体活动的重要性，以减轻这种现象。未来的研究应重点关注中年体重趋势与健康后果和死亡率之间的纵向关系。