Weight gain in women is often simplified as a matter of calories in versus calories out but it is far more complex. “We increasingly see women who eat balanced diets and stay active, yet still experience
unexplained weight gain,” says Dr Sashmitha, Consultant – Obstetrics and Gynecology, Manipal Hospital Yelahanka. “This clearly indicates that biological and hormonal factors are at play, which are often overlooked.”
“Hormonal imbalances are one of the key contributors,” explains Dr Sashmitha. Conditions like Polycystic Ovary Syndrome can lead to insulin resistance, making the body more prone to storing fat, particularly around the abdomen. “Similarly, thyroid disorders such as Hypothyroidism can slow down metabolism, leading to gradual weight gain even without significant changes in diet,” she adds.
“Chronic stress is another hidden factor that many people underestimate,” says Dr Sashmitha. Elevated levels of cortisol and other stress hormones can increase appetite, promote fat storage, and disrupt sleep patterns. “Poor sleep further affects hormonal balance, creating a vicious cycle that makes weight management even more challenging.”
She also highlights the role of modern lifestyles. “Sedentary behavior, irregular eating patterns, and excessive screen time can negatively impact metabolic health, even in individuals who believe they are eating well,” Dr Sashmitha notes. “Additionally, gut health, which is often ignored, plays a crucial role in how efficiently the body metabolises food and regulates weight.”
“It’s important to move away from a one-size-fits-all approach to weight management,” she emphasizes. Women experiencing unexplained weight gain should consider a comprehensive evaluation, including hormonal assessments, thyroid function tests, and metabolic screenings. “Early diagnosis, combined with personalised interventions, ranging from medical treatment to targeted lifestyle changes can make a significant difference.”
“In the end, weight gain is not always about a lack of willpower,” concludes Dr Sashmitha. “More often, it is a sign that the body is dealing with deeper imbalances that need proper attention and care.”
