Adipose–muscle crosstalk during the menopausal transition: mechanistic links to sarcopenic obesity in midlife women - Report - MDSpire

Adipose–muscle crosstalk during the menopausal transition: mechanistic links to sarcopenic obesity in midlife women

  • By

  • Weixin Zhang

  • Qianhao Wu

  • Qianyuan Chen

  • Wenxing Qin

  • Dongfang Zhang

  • Qingrong Xu

  • Peipei Han

  • Ji Sun

  • May 4, 2026

  • 0 min

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Clinical Report: Interactions Between Adipose Tissue and Muscle During Menopause

Overview

This report highlights the increased risk of sarcopenic obesity in midlife women, particularly during the menopausal transition. It emphasizes the need for improved screening and intervention strategies that address changes in body composition beyond traditional BMI measurements.

Background

Sarcopenic obesity, characterized by excess body fat and reduced muscle mass, poses significant health risks, particularly in middle-aged women. The menopausal transition is a critical period for these changes, which can lead to increased cardiovascular and metabolic complications. Understanding the mechanisms behind these shifts is essential for developing effective prevention and treatment strategies.

Data Highlights

No numerical data presented in the article.

Key Findings

  • The menopausal transition accelerates fat accumulation and lean mass decline in women.
  • Standard BMI measurements may fail to identify women with sarcopenic obesity.
  • Myosteatosis, the accumulation of fat within muscle, negatively impacts muscle function.
  • Estrogen depletion exacerbates metabolic and regenerative challenges during menopause.
  • Progressive resistance training and protein distribution are critical for managing sarcopenic obesity.

Clinical Implications

Healthcare providers should consider comprehensive assessments of body composition in midlife women, focusing on muscle quality and fat distribution. Interventions should prioritize resistance training and dietary strategies to mitigate the risks associated with sarcopenic obesity.

Conclusion

Addressing sarcopenic obesity in midlife women requires a multifaceted approach that includes improved screening and targeted interventions during the menopausal transition.

References

  1. Journal of Gastroenterology, 2019 -- Understanding Sarcopenia in Cirrhosis: Mechanisms and Treatment Approaches
  2. Response from the Author, 2021 -- Impact of Visceral Fat, Muscle Loss, and Combined Sarcopenic Obesity on Surgical Results Following Liver Resection for Colorectal Metastases
  3. The Journal of Clinical Endocrinology & Metabolism, 2025 -- Exploring the Role of Adipose Tissue in Sex Steroid Dynamics Among Postmenopausal Women Undergoing Hormone Therapy
  4. Sarcopenic obesity defined by the ESPEN and EASO consensus statement in older women: Risk of falls and bone mineral density implications, 2024
  5. Obesity Surgery — The Role of Adipose Tissue Structure in the Management of Human Metabolic Disorders and Dysfunction
  6. European Society of Endocrinology Guidelines, 2025
  7. Clinical outcome changes in sarcopenic obesity: a meta-analysis of exercise training methods
  8. Sarcopenic obesity defined by the ESPEN and EASO consensus statement in older women: Risk of falls and bone mineral density implications - ScienceDirect

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