Reproductive endocrinology

Metabolic Health Differences Among Women of Age-Based Pre-, Peri-, and Post-Menopausal Stages

Endocr PractPublished Cross-sectional study

Authors' conclusion

These results underscore the need for targeted menopausal stage-specific interventions to improve metabolic health and promote healthier lifestyle behaviors across the menopausal transition. Premenopausal women may benefit from early lifestyle and metabolic risk management, while peri- and postmenopausal women should prioritize maintaining physical activity and glycemic control.

Study context

Population
Women with or at risk of metabolic syndrome; age groups used as a proxy for menopausal stages
Participants
718 women
Exposure
Age-based menopausal stages: Premenopausal (PreM) vs PeriM vs postmenopausal (PostM)
  • PreMn = 108reference
  • PeriMn = 218
  • PostMn = 392
Outcome
Lifestyle behaviors and metabolic characteristics by group
Methodological detailsChi square, ANOVA and Kruskal-Wallis tests, Self-reported surveys for diet, stress, substance use; accelerometer-assessed daily steps; standardized anthropometric and bioclinical measurements
  • Chi square, ANOVA and Kruskal-Wallis tests
  • Self-reported surveys for diet, stress, substance use; accelerometer-assessed daily steps; standardized anthropometric and bioclinical measurements

Main finding

As reported in the abstract

  • More negative health behaviors (diet, stress, substance use) and metabolic characteristics (BMI, waist circumference, HDL) in PreM (P < 0.05)
  • PeriM vs PreM: lower BMI and higher HDL (both P < 0.05)
  • PostM vs other 2 groups: lowest stress, physical activity and BMI; highest systolic BP, HbA1c and HDL (P < 0.05)

Observational data: associations, not effects.

Original publication

Metabolic Health Differences Among Women of Age-Based Pre-, Peri-, and Post-Menopausal Stages. Endocr Pract. Published 7 January 2026. doi:10.1016/j.eprac.2025.12.024

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