First, you notice shopping for clothes isn't as fun or simple as it used to
be. Next comes the "muffin top" spilling over the jeans. Then the scale
delivers dire news: You're 10, 15, maybe 20 pounds beyond your "normal"
Midlife weight gain is common. Many Americans gain a pound or so every year
as they make their way through young adulthood, ending up fat and flabby at age
40 and beyond.
Got a question about diet or nutrition? WebMD asked the experts for answers
about eating healthy and losing weight.
But it is not inevitable, says Pamela Peeke, MD, MPH, the author of the
best-seller Fight FatAfter Forty. Peeke also serves as the chief
medical correspondent for Discovery Health TV and often appears as a medical
commentator on television news and talk shows.
Why do so many people gain weight in midlife?
Blame it on hormones in convergence with poor lifestyle choices, overeating,
not exercising enough, and stress.
But hormones only account for about 2 to 5 pounds. The rest is the result of
overeating, poor lifestyle choices -- such as not exercising enough -- and
How can I not be one of those people who gains?
The keys are three: mind, mouth, muscle.
Use your mind to control stress. If you walk around and everything is
stressful, you have a problem. You may respond to stress by making poorer
lifestyle choices, such as not eating healthfully and not exercising
Look at your nutrition -- in terms of quality, quantity, and frequency of
eating. You should eat often.
Quality is all about eating whole foods, fruits, and vegetables, whole
grains, lean protein.
Processed foods are bad. Anything that comes in a family-size bag, turn in
the opposite direction and run.
Quantity is where a lot of people fall. The majority are baffled by what a
serving size should look like. When eating out, and in doubt, eat half of it or
Be accountable for calories. You need a general idea of how many calories
you need. An average woman, not an athlete, in her 40s or 50s, needs about
1,500 to 1,600 calories a day, on average, if she is exercising. A middle-aged
man, average height and not an athlete but exercising, needs about 1,800 to
Muscle, of course, refers to the need to exercise and, of course, to weight
Should my goal weight increase when I hit midlife?
A better goal than focusing on scale weight is to keep track of body fat.
The goals should be to decrease body fat and optimize bone strength.
For a man, a body fat percentage of 18% to 25% is not bad for 40-plus. For
women 40-plus, 22% to 27% is not bad.
To get that body fat percentage, you need to have excellent fitness to
maintain a good muscle base.
Also, a man should have a waist circumference below 40 inches and a woman
below 35 inches.