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A , Administration, answered. Changes in hormone levels from menopause affect where women gain weight, usually in the stomach area as opposed to the hips or thighs. The hormonal changes affect only where you gain the weight, not why you gain extra weight. After menopause, weight gain is more likely a result of an inactive lifestyle and eating more calories than you burn. Genetics can also play a role in weight gain as we get older.
Loss of muscle mass decreases the rate at which your body uses calories, which can make it more challenging to maintain a healthy weight. If you continue to eat as you always have and don't increase your physical activity, you're likely to gain weight. Genetic factors also might play a role in menopause weight gain.