Abstract

LEITAO, Mafalda; PEREZ-LOPEZ, Faustino; MAROCO, João  and  PIMENTA, Filipa. Me-wel project: exploring underlying weight gain factors during menopausal transition. Psic., Saúde & Doenças [online]. 2024, vol.25, n.1, pp.111-123.  Epub Mar 31, 2024. ISSN 1645-0086.  https://doi.org/10.15309/24psd250111.

Women often experience weight gain during the menopausal transition, which can be influenced by personal (e.g., estrogen decrease), environmental (e.g., socio-cultural), and/or behavioural factors (e.g., unhealthy behaviours). This weight gain can lead to obesity and is associated with health problems. Qualitative studies provide valuable insights into the weight gain experience. This study aims to explore the underlying factors contributing to weight gain during the menopausal transition. Semi-structured interviews of 31 Portuguese post-menopausal women who transitioned from normal weight in pre-menopause to overweight/obesity in (current) post-menopause. The interviews were analysed using MAXQDA software through Directed Content Analysis, followed by multiple correspondence analysis, through IBM SPSS Statistics software. A four-factor model emerged: (1) Emotional eating/Cravings, Physical inactivity, and Pandemic effects (σ2=14.21; α=0.70); (2) Health, Lack of self-care, and Stressful life events (σ2=12.29; α= 0.64), (3) Biological/Physiological factors, Binge eating, and Interpersonal influences (σ2=10.82; α=0.59), and (4) Changing habits and routines, and Work Environment (σ2=9.65; α=0.53). The four-factor model aligns with the Triadic Reciprocal Determinism Model, revealing an interaction among behavioural, personal, and environmental factors explaining weight gain during the menopausal transition. Promoting healthy lifestyles within this population is essential. Future interventions for middle-aged women should include cognitive-behavioural strategies.

Keywords : Menopausal women; Menopause; Obesity; Qualitative approach; Weight gain.

        · abstract in Portuguese     · text in English     · English ( pdf )