Effects of the menopausal transition on energy expenditure: a MONET Group Study

Objectives: Factors that influence weight gain during the menopausal transition are not fully understood. The purpose of this study was to investigate changes in energy expenditure (EE) across the menopausal transition. Methods: In all, 102 premenopausal women (age: 49.9±1.9 years; body mass index: 23.3±2.2 kg/m 2 ) were followed for 5 years. Body composition (dual-energy X-ray absorptiometry), physical activity EE (accelerometer), resting EE and thermic effect of food (indirect calorimetry) were measured annually. Results: Total EE decreased significantly over time in postmenopausal women ( P <0.05), which was mostly due to a decrease in physical activity EE ( P <0.05). Although average resting EE remained stable over time in postmenopausal women, a significant increase, over the 5-year period, was noted in women who were in the menopausal transition by year 5 ( P <0.05). Finally, the time spent in moderate physical activity decreased and the time spent in sedentary physical activity increased during the menopausal transition ( P <0.05). Conclusion: These results suggest that menopausal transition is accompanied with a decline in EE mainly characterized by a decrease in physical activity EE and a shift to a more sedentary lifestyle.