Sometimes the medicines you're taking for other issues, such as high blood pressure and antidepressant meds, can increase your weight or keep you from losing it, says Dr. Stanford. Ask your doctor if your weight concerns could be side effects of the prescriptions you're getting filled. Often, there are other formulations that can be effective but wouldn't have those side effects for you.
As you enter your forties, you are also entering perimenopause, when levels of your sex hormones progesterone and estrogen decline. Besides regulating your menstrual cycle and reproductive functions, these hormones also impact restful sleep and relaxation. A decrease in progesterone and estrogen levels may lead to sleep disturbances, restlessness, and insomnia.1 Because changes in sleep patterns have been associated with weight gain, sleepless nights may make weight loss increasingly difficult.2
In your forties, your body may have an increasingly difficult time digesting carbohydrates, which may lead to weight gain. Living a stressful life can lead to an increase in the stress-hormone called cortisol, which can make you more prone to gaining belly fat. Estrogen loss may also lead to fat redistribution in your body and cause belly fat gain.11
Starting in your 30s, you can lose three to five percent of your muscle mass each decade if you don’t stay active. Note the last part of that point: “If you don’t stay active.” As you get older, "there's a lot of competition for your time and energy," says Dr. Yancy. For some men, that can push exercise out of the picture. But it doesn't take heroic efforts to put it back into your life.
It's a myth that eating at night leads to weight gain, Palinksi-Wade points out; it's more about what you're eating at night that can be an issue when it comes to weight management. "Since most of us don’t have a salad for a midnight snack, if you find you tend to eat calorie-dense, high-sugar foods in the evening (like a bowl of ice cream) setting guidelines as to when to stop eating may help you to lose weight faster."
As we age, we tend to become more insulin resistant which can put us at risk for type 2 diabetes. When you eat foods that break down into sugar, the pancreas pumps out insulin to escort the sugar out of your blood. People with Insulin resistance don’t use insulin effectively so that cells have trouble absorbing sugar which causes a buildup of sugar and insulin in the blood. Researchers still aren’t 100% in agreement as to why, but at the end of the day, people with insulin resistance gain weight, particularly around the middle. And some research shows that lack of estrogen may cause insulin resistance.
Guys often wonder whether a dip in testosterone is at the root of their weight gain, says Dr. Stanford. "When men develop overweight and obesity, they tend to have a drop in testosterone that leads to a drop in energy and more retention of adipose tissue,” she says. The excess adipose tissue drives testosterone down. But taking testosterone isn’t usually the answer. “That’s not the underlying problem. Once we normalize the weight, the testosterone normalizes," she explains.
However, the important takeaway here is this: The biggest factor in losing muscle is the lack of physical activity, which makes exercise a crucial component when it comes to preventing muscle loss. If you want to figure out the real deal, enter your information into a calculator to learn how many calories you really need for your age and activity level.