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menopause lots of people have heard the
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word but many especially men have no
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idea what it is let's talk about that
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how's it going guys my name is richie
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kirwan and today we're going to talk
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about menopause what it is what it does
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to a woman's body why you should know
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about it and the diet and exercise
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strategies women can use during it oh
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and for all the guys watching i can
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promise that will be worth your while
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learning a little about this before we
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get into it i want to say a big thank
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you to amanda thieb author of men
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apocalypse for all the feedback and
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input on the content in this video now i
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also want to point out that none of what
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i say here should be considered medical
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advice and in fact i'll discuss how
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important proper medical treatment can
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be during menopause what i want to do
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with this video is create some awareness
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about menopause because it doesn't get a
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lot of attention in the mainstream and
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that's just wrong considering it'll
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affect half of the people on earth at
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this point for all the guys who are
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thinking this doesn't matter to them and
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want to click on yet another video on
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how to grow your biceps menopause is
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something that will affect your mother
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your sister your female friends and
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maybe even your future partner
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understanding what it is will help you
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understand a little of what they'll have
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to go through and there's nothing wrong
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with a little empathy so basically
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menopause is all about hormones from the
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time kids hit puberty they see a massive
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increase in the production of sex
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hormones testosterone in men and
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estrogen and progesterone in women those
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hormones are produced by the ovaries
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throughout a woman's reproductive life
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and they control the development of a
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woman's secondary sexual characteristics
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like breast growth and hip widening as
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well as controlling a woman's monthly
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cycle in men testosterone production
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starts to decline very gradually from
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their 30s and that also happens in women
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but a lot more happens too you see when
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women hit their late 40s or early 50s
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they experience a massive and sudden
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change in estrogen and progesterone
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levels in fact the change in the body's
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hormone levels is so significant that it
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leads to all of the physical symptoms of
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menopause which we're going to talk
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about in a moment the very beginning of
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menopause is called perimenopause and
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it's when symptoms start some but not
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all women start to get irregular periods
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which can mean shorter or longer cycles
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depending on the stage of menopause when
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a woman has gone a whole year without a
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period that's when she is officially
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menopausal now at this point some people
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might think not having to deal with
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periods anymore doesn't sound so bad
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well wait there's more thing is the
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change in hormone levels around
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menopause has a phenomenal effect on
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women's bodies for example some of the
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more common symptoms and conditions
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associated with menopause are hot
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flashes and night sweats which can
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happen in 75 of menopausal women and can
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last for years and in some cases decades
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there are also heart palpitations sleep
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disturbances osteoporosis which leads to
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brittle bones and a higher risk of
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mood disturbances like anxiety
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depression even foggy thinking loss of
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libido and sexual dysfunction cognitive
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decline including alzheimer's disease
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and even heart disease and virtually
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every woman you know will have to go
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through some of these symptoms that's
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how relevant this is on top of that
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around menopause women start to see
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changes in their bodies that can include
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gaining extra body fat loss of muscle
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tone and they may notice that they're
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storing fat in different parts of their
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bodies than before now the increase in
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body weight may have a lot to do with
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the loss of sleep quality women
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experience during menopause if you've
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seen my video on sleep you'll remember
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that a lack of sleep can lead to an
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increase in appetite and a desire for
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high carb and high fat highly processed
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foods lack of sleep also makes people
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less likely to follow healthy lifestyle
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habits like eating fruit and vegetables
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and exercising and related to that
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studies have shown a drop in women's
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activity levels around menopause too on
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top of that a lack of sleep can also
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lead to muscle loss as can a drop in
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estrogen levels you see in women
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estrogen carries out many of the same
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functions of testosterone in men so it's
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really important for maintaining muscle
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size as we get older muscle loss
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naturally occurs for a number of reasons
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and the hormonal changes play a big role
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too a loss of muscle means someone will
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have a slightly lower basal metabolic
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rate which can make weight gain easier
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and yes there's more the change in
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hormones around menopause can also
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change a woman's body fat distribution
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you see with normal estrogen and
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progesterone levels most women tend to
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store body fat around their bum and
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their hips this is called a gynoid fat
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distribution and we know that it's a
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healthier way to store fat compared to
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the way that men store fat you see men
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tend to store body fat around their
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waist around their abdomen and this is
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called an android fat distribution which
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is associated with a higher risk of
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heart disease but when menopause hits
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many women's body fat distribution can
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start to switch from the healthier
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gynoid to the less healthy android or
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male type fat distribution women also
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tend to see an increase in visceral fat
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or fat around the organs in the abdomen
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high levels of visceral fat are
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particularly bad for our health as they
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secrete a number of chemical signals
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that lead to higher levels of
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inflammation high blood pressure poor
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blood glucose control and high
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triglycerides this is one of the reasons
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why younger women have a much lower rate
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of heart disease compared to men that
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all changes though when a woman enters
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menopause and her risk of heart disease
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massively increases now this is the
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point of the video where i'm supposed to
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tell you how you can balance your
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menopausal hormones with a load of
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absolutely not if you ever hear a
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nutritionist or basically anyone who is
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not a doctor speaking about balancing
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hormones around menopause you can just
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assume that they are talking absolute
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and are probably trying to sell you
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something here's the thing if a woman
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has gone through menopause she is never
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going to naturally restore her former
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hormone production but there is
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something she can do and it's called
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menopause hormone therapy or mhd in mht
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a woman takes either estrogen alone or a
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combination of estrogen and progesterone
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depending on what her doctor deems
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appropriate to supplement the hormones
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she doesn't produce anymore you may have
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heard of hrt before which stands for
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hormone replacement therapy but this
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term isn't used as much anymore as the
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hormones aren't replaced to their
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previous levels that's why menopause
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hormone therapy is the more appropriate
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term these days that said i'm going to
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use the term hrt in this video because
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it's what people are familiar with
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remember all those horrible symptoms of
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menopause i mentioned earlier well hrt
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can actually improve all of them and not
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only that but women who take hrt have a
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higher quality of life many have a lower
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risk of heart disease and a lower risk
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of a number of other diseases and they
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also tend to live longer too the problem
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is that about 20 years ago hrt got a
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really bad reputation because of early
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results from a famous study called the
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women's health initiative which claimed
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that hrt was associated with a greater
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risk of breast cancer that result
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received a huge amount of media
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attention and because of that many women
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even today avoid hrt because of the fear
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of breast cancer however
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later more complete and longer term
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results from the exact same study showed
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that hrt was actually associated with a
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lower risk of breast cancer now i'm a
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nutritionist and it's not my place to
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recommend hrt to anyone because it's
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genuinely not for everyone but i do
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recommend to all of my own female
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clients who are going through menopause
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to speak with their doctors about their
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suitability for hrt now even if you
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can't balance your hormones with diet
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women going through the menopause can do
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a lot to improve their health and
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quality of life with diet and exercise
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from an exercise perspective resistance
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exercise like lifting weights or circuit
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training is really important for helping
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to maintain and even build muscle which
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both men and women lose more easily as
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they age it's also essential for helping
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to maintain bone density and strength as
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women get older now i've done a video on
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muscle loss as we age or sarcopenia
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which is my field of research before so
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if you want more information on muscle
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loss and what you can do to prevent it
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regular cardiovascular exercise like
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jogging or cycling is also essential for
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maintaining heart health on the
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nutrition side protein is a major
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nutrient to consider as women get older
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if you're doing resistance exercise
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protein can help to maintain and build
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more lean muscle size and strength it
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can also help to keep us feeling fuller
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for longer so it's useful to help keep
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people from overeating which as we
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mentioned might be an issue for some
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during menopause we know that as we get
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older building and maintaining muscle
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gets harder because of something called
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anabolic resistance this means older
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people need more protein than younger
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people for building muscle that's why
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aiming for at least 30 to 40 grams of
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protein per meal is a good idea great
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sources of protein include lean meats
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fish eggs low-fat dairy like greek
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yogurt quark and scare and vegetarian
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sources like tofu corn as well as beans
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peas and legumes in terms of improving
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heart health which is a major concern
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for menopausal women there are a lot of
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nutritional options to consider i've
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spoken in detail about cholesterol in
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one of my previous videos but one way to
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support long-term heart health is to
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keep your ldl cholesterol in a healthy
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range you can do that by reducing your
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intake of saturated fat which is found
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in foods like fatty cuts of meat full
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fat dairy and many processed foods high
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levels of saturated fat can increase ldl
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cholesterol that doesn't mean you have
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to cut these foods out entirely you can
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replace fatty meat with lean red meat
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chicken turkey and fish and you can
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switch some full fat dairy for lower fat
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or fat-free dairy alternatives you
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should also think about getting more
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unsaturated fats which help to lower ldl
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cholesterol levels you can get
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unsaturated fats from olive oil avocados
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nuts and seeds and fatty fish like
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salmon or macro the long chain
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unsaturated omega-3 fats in fish also
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have the added benefit of reducing blood
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triglycerides which is also important
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for heart health getting plenty of fiber
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is really important for your cholesterol
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levels too as fiber particularly soluble
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fiber is great for helping us to excrete
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excess cholesterol out of our digestive
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system great sources of fiber include
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fruits and vegetables but you can get
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lots of soluble fiber from whole grains
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like oats and barley which can be used
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to make porridge legumes like beans and
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peas which are a great addition to most
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diets and seeds like ground flax seeds
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sticking to a mostly unprocessed or
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minimally processed diet with lots of
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different types of plants like fruit
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vegetables whole grains legumes and nuts
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and seeds is also a really good way to
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keep you feeling fuller for longer and
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can help you maintain a healthy weight
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now something women going through
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menopause often get told is that
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menopause causes them to become insulin
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resistant which means they shouldn't eat
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carbs anymore this is a perfect example
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of how science can get mistranslated
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into bad advice yes insulin sensitivity
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or our ability to react to insulin to
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help control our blood sugar does get
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poorer around menopause but amazingly
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taking hrt improves insulin sensitivity
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as does getting regular exercise so if
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you're doing both of those it's a moot
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point even if someone is insulin
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resistant they still don't need to
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eliminate carbs from their diet you can
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still have a perfectly healthy diet by
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including many whole food sources of
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carbs in terms of supplements you don't
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need to use protein powders but they can
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be really useful and convenient for
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women who find it hard to get enough
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protein from whole foods i always
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recommend trying to get your protein
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from whole foods sources when possible
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when you need some extra help that's
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exactly what protein powders and other
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supplements are for creatine can be
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another great supplement for women
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during menopause as it helps to improve
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muscle strength and power which can
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allow women to train harder and build
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and maintain more muscle creatine has
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also been shown to have benefits on
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cognitive function or brain health which
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can be really important around menopause
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too lastly a good quality fish oil
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supplement can be useful for people who
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don't eat oily fish at least twice a
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week or who don't like fish at all
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remember long-chain omega-3s found in
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fish oil can help to reduce
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triglycerides and improve heart health
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now that was a huge amount of
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information but i hope you at least have
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a better understanding of what menopause
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is and how it can affect women's health
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and remember if you have any other
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questions let me know in the comments
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below and remember to like and subscribe
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to my protein youtube channel for more
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great evidence-based nutrition