The Complete Guide for Exercising During Menopause

“Grab those hand weights and  get ready to go into a squat position,” a popular exercise guru cheerily calls out in her exercise video.  So a group of women, ages 16 to 52, dutifully get their weights and huff and puff their way through the routine  for 20 minutes three times a week.  The oldest of them, Maria, has been doing aerobics for a year. She firmly believes that the workouts have helped her avoid the hot flashes, headaches, mood swings, sleeplessness and depression that is commonly experienced by women as they go into their pre-menopause stage — and she may be right.

Why Exercise is Good

Numerous studies have shown that exercise can be an effective antidote to the rough days caused by  the hormonal changes when women hit their late forties or early fifties.

The most common symptoms, like hot flashes and sleeplessness, are associated with weight gain.  Exercising also helps prevent weight gain and loss of muscle mass that goes with menopause.

The many benefits of regular exercise may also include boosting your mood, strengthening your heart, and even promoting bone density.

While many women  opt for hormone replacement therapy (HRT) as a way to cope with the oftentimes debilitating physical and mental challenges of menopause,  HRT often puts women at risk for  blood clots, heart disease, breast cancer, Type 2 diabetes, osteoporosis, loss of muscle strength and dementia.   Those push-ups and crunches are looking better by the minute, aren’t they?

So, it’s on with the sweat pants and off to the gym we go!

What are the Best Exercises?

Dr. Alexis Abrahams, a gerontologist (a doctor specializing in the elderly), advises that exercising consistently is the key to getting the best out the exercises rather than the kind of exercise. Women in their 40s, 50s and 60s should aim to do any of these three forms of exercises:

  1. Aerobic/cardiovascular – these exercises strengthen the heart and lungs and can burn calories to help with weight management.  If you’re a beginner, start with 10 minutes a day and gradually increase as you get stronger.
  • Walking
  • Jogging
  • Tennis
  • Cycling
  • Working out on the elliptical machine, StairMaster
  • Dancing – ballroom, zumba, salsa
  1. Strengthening – When menopause hits, estrogen levels go down along with muscle mass. Working out on machines can help strengthen muscles and bones, burn body fat and rev up your metabolism. Choose a weight or resistance level  that will tire your muscles after 12 repetitions.
  • Hand weights
  • Dumbbells
  • Resistance bands
  • Exercise machines that strengthen muscles and bones and help manage weight
  1. Flexibility/stretching/range of motion – exercises that keep our aging bodies more flexible and helpful for improving (and maintaining) joint function if you have  arthritis.
  • Stretching exercises
  • Yoga, taichi
  • Pilates

Before You Start

Always check with your doctor before you consider any strenuous activity.  Ask what kind of exercises are safe and how much you can do without causing additional harm to your body.  If you have bad knees, avoid running or jogging or jumping which will put additional stress on the knees.  For women with osteoporosis, don’t do activities like biking or any sport that would put you at risk of impact that could break a bone.  Better scratch those  judo  classes from your list!

Whatever the activity, choose exercises that you enjoy and chances are you’ll continue doing them regularly.

How Much Should You Do?

According to the Centers for Disease Control and Prevention, women younger than 65 should spend at least 150 minutes a week on moderate-intensity aerobic exercises, like walking or 75 minutes of vigorous aerobic exercises. This can be broken down into 30 minutes, five times a week or smaller increments such as 15 minutes daily.

Do strength training at least twice a week, making sure to rest for at least one day between these sessions.  Do balance and stability exercises for 5 minutes every day, along with 1 to 3 minutes of stretching twice a day. If you choose to include yoga and meditation in your exercise regimen, do them on an as-desired basis, especially when you’re stressed and need something to keep you from throwing a brick at your loud next-door neighbor. Or your boss.

Here’s a sample workout schedule from the excellent book “The Ultimate Guide to Taking Control of Your Health and Beauty During Menopause” by Staness Jonekos.

  • Monday: Warm-up/Stretch, strength training, cardio
  • Tuesday: Warm-up/Stretch, cardio
  • Wednesday: Warm-up/Stretch, strength training, cardio
  • Thursday: Warm-up/Stretch, cardio
  • Friday: Warm-up/Stretch, strength training, cardio
  • Saturday: Warm-up/Stretch, cardio
  • Sunday: Rest

Doing your exercises right

Getting on the exercise bike or walking everyday just doesn’t cut it.  To reduce injury and to make the most of exercising, make sure you steer clear of these 6 common mistakes.

  1.  You only do cardio

Sure, you’re sweating after a thirty-minute power walk, but as menopause kicks in, you also need strength training to maintain your muscles and burn the calories.  Edna Levitt of 50+ Fitness recommends master squats and lunges to keep the big leg muscles strong and help people stay independent and active longer.

  1. Focusing on low-impact exercises like swimming to walking or running

Yes, your muscles might be moving but your bones get left behind.  Keeping your skeleton strong and healthy requires bone-jarring exercises like running and weightlifting to help ward off osteoporosis.  For postmenopausal women, brisk walking four times a week may be enough to lower the risk of hip fractures compared to women who didn’t walk as much.

  1. You take it easy

You can still do the exercises you did when you were in your 40s, says a JAMA Oncology study.  Postmenopausal women who did 5 hours of vigorous aerobic exercises per week lost more body fat in a year than women who exercised less.

  1. You eat the same

You were already eating healthy before, but when your metabolism slows down during menopause, you need to eat 200 calories less than you did during your 30s and 40s.  Choose protein sources from fish, chicken, and turkey and lots and lots of fresh fruits and vegetables.

  1. You forget to warm-up

Skipping the warm-up leads to injuries.   A 10-minute warm-up like arm circles, high knees or neck rotations can get the old bones and muscles ready.

  1. You think you can do it on your own

As always, check with your doctor about any of the intensive exercises you plan to do.  Get a therapist or a personal trainer for proper guidance especially with the strength training and vigorous exercises.

To keep yourself motivated, get your pals and family to exercise with you.  The more the merrier!


M is a happily married Filipino mother to three wonderful little daughters, ages: 8 years, 5 years, and 4 months old. Her daily life is a struggle between being the Executive Content Director for Project Female and deciding who gets to watch television next. She specializes in creating and editing content for female empowerment, parenting, beauty, health/nutrition, and lifestyle. As the daughter of two very hardworking people, she was brought up with strict traditional Asian values and yet embraces modern trends like Facebook, vegan cupcakes, and the occasional singing cat video.

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MFN Contributing Author

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