Women's health (7)
- Health issues for lesbians: Tips to stay healthy
- Kegel exercises: How to strengthen pelvic floor muscles
- Women's health: Preventing top 10 threats
- see all in Women's health
Breast health (10)
- Is it breast cancer? Procedures to evaluate breast lumps
- Breast implants: A choice between saline and silicone
- Breast cancer prevention: Lifestyle factors that can reduce risk
- see all in Breast health
Women's sexual health (55)
- Birth control pill FAQ: Benefits, risks and choices
- Women's sexual health: How to reach sexual fulfillment
- Emergency birth control
- see all in Women's sexual health
Women's life stages (12)
- Delaying your period through oral contraceptives
- Weight gain after menopause
- Fitness tips for menopause: Why physical activity matters
- see all in Women's life stages
Mayo Clinic Health Manager
Get free personalized health guidance for you and your family.
Get Startedcontinued:
Belly fat in women: How to keep it off
Measuring your middle
You know you've gained some inches around your torso, but how can you know whether it's an unhealthy amount? You can calculate your body mass index (BMI) or waist-hip ratio, but researchers have found that simply measuring your waist can tell you whether you have an unhealthy amount of belly fat. In fact, BMI may not be an accurate measure of body fat percentage or fat distribution, particularly after menopause.
To measure your waist, run a tape measure around your midsection at about the level of your navel. Breathe normally, don't hold your tummy in, and don't pull the tape so tight that it presses your skin down. In a woman of healthy weight, a waist measurement of 35 inches or more indicates an unhealthy concentration of abdominal fat. Some research has shown that a measurement of 33 inches or more, no matter what your weight, increases your health risks.
Fight back the bulge
Since visceral fat is buried deep in your abdomen, it may seem like a difficult target for spot reduction. As it turns out, visceral fat responds well to a regular exercise routine and a healthy diet. Targeted tummy exercises can help to firm the abdominal muscles and flatten the belly.
Exercise. Daily, moderate-intensity exercise is the best way to lose belly fat — when you lose weight and tone your muscles, your belly fat begins shrinking, too. In fact, you may notice that your tummy bulge is the first area to shrink when you start exercising. The amount and type of exercise you should get varies depending on your current activity level and your health goals. Talk to your doctor about the right exercise program to promote good health and specifically combat abdominal fat.
Strength training. Some research has shown that exercising with weights is effective in trimming tummy fat. Talk to your doctor about how to incorporate strength training in your exercise routine.
Healthy diet. Changing unhealthy eating habits can help fight belly fat. Read nutrition labels, and replace saturated fats with polyunsaturated fats. Increase portions of complex carbohydrates such as fruits and vegetables, and reduce simple carbohydrates like white bread and refined pasta. If you need to lose weight, reduce your portion sizes and daily calorie intake.
Tone your tummy. While you can't "spot-burn" belly fat, you can firm up your abdominal muscles and get a flatter belly. Traditional sit-ups aren't the most effective way to firm your tummy, however. Instead, use these exercises to target both deeper and lower abdominal muscles:
- Deeper abdominal muscles. Target deeper abdominal muscles by doing "abdominal hollowing" or "drawing in the bellybutton." First, get down on all fours. Let your tummy hang down as you take a deep breath. Let your breath out, and at the end of your exhalation, gently draw your bellybutton inward and upward toward your spine. You should feel a slight tightening around your waist — think of it as trying to squeeze through a partially closed door. Hold for 10 seconds, then rest for 10 seconds. Work up to 10 repetitions. During each effort, your spine position shouldn't change and you should breathe freely. Eventually, you'll be able to do this exercise standing up. It's so subtle, no one should be able to tell you're doing it.
-
Lower abdominal muscles. Tone your lower abdomen by doing pelvic tilts and pelvic lifts. To do a pelvic tilt, lie on your back on the floor with your knees bent. Flatten your back against the floor by tightening your abdominal muscles and bending your pelvis up slightly. Hold for five to 10 seconds. Repeat five times and work up to 10 to 20 repetitions.
For pelvic lifts, lie on your back with your knees bent up toward your chest and your arms relaxed by your sides. Tighten your lower abdomen and lift your buttocks up off the floor, with your knees aimed toward the ceiling. Hold for five to 10 seconds. Repeat five times and work up to 10 to 20 repetitions.
Hormone therapy. Although there are good reasons for some women to try hormone replacement therapy (HRT) after menopause, fending off belly fat isn't one of them. It's true that some studies have demonstrated that postmenopausal women who take HRT are less likely to accumulate abdominal fat than are postmenopausal women who forgo HRT. Other studies, however, found no difference. Meanwhile, questions about the risks and benefits of HRT persist. Talk to your doctor in detail about the risks and potential benefits of hormone therapy before trying it.
Previous page(2 of 2)
- Abdominal fat and what to do about it. Harvard Women's Health Watch. 2006;14:1.
- Kontogianni MD, et al. Does body mass index reflect adequately the body fat content in perimenopausal women? Maturitas. 2005;51:307.
- Ferrara CM, et al. Differences in adipose tissue metabolism between postmenopausal and perimenopausal women. Journal of Clinical Endocrinology & Metabolism. 2002;87:4166.
- Eliassen AH, et al. Adult weight change and risk of postmenopausal breast cancer. Journal of the American Medical Association. 2006;296:193.
- Gozansky WS, et al. Mitigating the menopausal middle. Obesity Management. 2007;3:267.
- Dubnov-Raz G, et al. Diet and lifestyle in managing postmenopausal obesity. Climateric. 2007;10(suppl):38.
- Teixeira PJ, et al. Resistance training in postmenopausal women with and without hormone therapy. Medicine & Science in Sports & Exercise. 2003;35:555.
- Green JS, et al. The effects of exercise training on abdominal visceral fat, body composition, and indicators of the metabolic syndrome in postmenopausal women with and without estrogen replacement therapy: The HERITAGE family study. Metabolism. 2004;53:1192.
- Chen Z, et al. Postmenopausal hormone therapy and body composition — A substudy of the estrogen plus progestin trial of the Women's Health Initiative. American Journal of Clinical Nutrition. 2005;82:651.