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A Dietitian’s Guide to Eating Well During the Peri- and Menopausal Years

by Daisy

As women navigate the transition into menopause, their bodies undergo significant changes that impact overall health and well-being. Susie Burrell outlines the best dietary practices for this crucial life stage, focusing on what to eat—and avoid—to ensure a healthier midlife and beyond.

Understanding the Changes in Your 40s and 50s

During the peri-menopausal years, typically starting in the 40s and lasting until menopause, a woman’s body experiences a decline in estrogen levels. This drop can lead to various symptoms such as:

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  • Sleep Disturbances
  • Brain Fog
  • Hot Flashes
  • Night Sweats
  • Irritability
  • Dry Eyes
  • Weight Gain

Estrogen plays a critical role in regulating body weight and protecting against central fat deposition. As estrogen levels fall, women may find themselves gaining weight more easily, particularly around the abdominal area. Additionally, the loss of muscle mass during this time can further contribute to weight gain.

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The Role of Inflammation

The menopausal transition often brings about a state of chronic inflammation. This condition can disrupt hormone balance, including insulin, and make weight management more challenging. Chronic inflammation is a significant factor in the increased risk of cardiovascular diseases during this period.

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The Mediterranean Diet: A Key to Better Health

One of the most effective dietary approaches during menopause is the Mediterranean diet. This eating plan emphasizes:

Brightly Colored Fruits and Vegetables: Aim for 7-10 servings daily.

Extra Virgin Olive Oil: Incorporate a couple of servings each day.

Oily Fish: Opt for fish such as salmon or sardines, which provide essential omega-3 fatty acids.

Whole Grains: Choose whole grain over refined grains.

Lean Proteins: Include lean meats, tofu, and legumes.

Studies have shown that a Mediterranean diet can:

Reduce Cardiovascular Disease Risk: It helps lower the risk of heart disease.

Improve Bone Health: It supports bone mineral density.

Enhance Mood: It may contribute to better emotional well-being.

Delay Menopause: Higher intakes of vitamin B6, legumes, and oily fish have been associated with a more delayed onset of menopause.

The Importance of Protein

Increasing protein intake is crucial during menopause. Protein helps:

Prevent Muscle Loss: Maintains muscle mass, which can decline with age.

Regulate Insulin and Glucose Levels: Helps to manage blood sugar and prevent cravings.

Control Appetite: Reduces cravings for high-carbohydrate foods.

Aim for a minimum of 1.2 grams of protein per kilogram of body weight daily. Include protein-rich foods such as:

  • Fish
  • Lean Meat
  • Tofu
  • Dairy Products
  • Legumes

Managing Carbohydrate Intake

Carbohydrates are not inherently bad, but their quality and quantity matter. As physical activity levels often decrease with age, reducing the intake of refined carbohydrates is advisable. Opt for:

Whole Grain Foods: Such as dense grain breads and oats.

Fruits and Vegetables: Including sweet potatoes for their nutrient density.

Bone Health: Ensuring Adequate Calcium

Declining estrogen levels can affect calcium absorption, making bone health a priority. Aim for 1,300 mg of calcium daily through:

  • Dairy Products: Like yogurt and cheese.
  • Fortified Plant Milks: Such as almond or soy milk.
  • Tofu and Soy Beans
  • Nuts and Seeds: Including almonds and chia seeds.

For those on plant-based diets, ensure that milk alternatives are fortified with calcium, and consider discussing supplementation with a healthcare provider.

Superfoods for Menopausal Women

Incorporate these superfoods into your diet for their beneficial properties:

  • Oily Fish (Salmon, Sardines): Rich in omega-3 fats.
  • Legumes: May delay menopause.
  • Pomegranate and Cherry Juice: High in antioxidants.
  • Extra Virgin Olive Oil: Can reduce hot flashes.
  • Tofu and Soybeans: Mimic estrogen effects.
  • Un-hulled Tahini: High in calcium.
  • Pepitas and Walnuts: Rich in zinc and plant omega-3s.

What to Avoid

To manage menopausal symptoms and maintain health, consider reducing or avoiding:

Alcohol: High in calories and can increase inflammation. Limit intake to minimize its impact on symptoms such as hot flashes and poor sleep.

Caffeine: Found in coffee, tea, and chocolate, caffeine can exacerbate hot flashes and disrupt sleep. Monitor and limit consumption.

Refined Carbohydrates: White bread, sugary treats, and heavy pasta or rice dishes can worsen insulin resistance and inflammation. Opt for whole, unprocessed carbs instead.

Conclusion

Navigating the peri- and menopausal years involves more than just managing symptoms; it requires a proactive approach to nutrition. By embracing a Mediterranean diet, increasing protein intake, managing carbohydrate consumption, and focusing on bone health, women can better manage the physical changes of this life stage. Avoiding alcohol, caffeine, and refined carbohydrates can further help in maintaining overall health and well-being.

Related Topics:

What Is A Low Calorie High Protein Diet

What Is A Good Calorie Count For Losing Weight

What Are The Principles Of Diet Planning

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