[Staying fit after fifty].
It is common knowledge that when women reach the menopause, they put on weight and change body shape. The menopause is particularly feared as a sign of aging. The deficiency in estrogen at the menopause is responsible for the change from a gynoid fat pattern to an android one (i.e. fat accumulates on the upper portion of the abdomen instead of on the hips). In addition, women are no longer protected against CardioVascular Diseases (CVD), and will rapidly share the same risks as men. The menopause is marked by an increase in the prevalence of various CVD risk factors: elevated blood pressure, hypertriglyceridemia, Diabetes, etc. This phenomenon may be explained by an increase in the occurrence of the polymetabolic (PM) syndrome at this time of life. In the IDF ((International Diabetics Federation) 2005 definition, waist circumference becomes the main criterion of PM syndrome. Keeping a slim waist can no longer be considered a woman's vain obsession but a justified health concern, since the waist to height ratio is a better predictor of CVD than BMI (Body Mass Index). A diet and healthcare program is now available which, if followed from the age of 35, can help women live 'in good shape' and for longer.
Berdah
J
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Service d'endocrinologie et médecine de la reproduction, hôpital de la Pitié-Salpêtrière, 47-83, boulevard de l'Hôpital, 75651 Paris cedex 13, France. dr.berdah@online.fr
D000328:Adult; D000375:Aging; D001294:Attitude to Health; D002318:Cardiovascular Diseases / Q000517:prevention & control; D015444:Exercise; D005260:Female; D006801:Humans; D008593:Menopause; D024821:Metabolic Syndrome; D008875:Middle Aged; D009765:Obesity / Q000150:complications / Q000517:prevention & control; D010809:Physical Fitness; D015430:Weight Gain; D016387:Women's Health