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A new year is the perfect time to check in with your body. If you’ve noticed changes in your energy, sleep, or metabolism, you’re not alone.

January 16, 2026

Contributed by: Meg O’Keefe, MS, RDN / Clinical Dietician

Reset Your Health: Metabolism, Energy and Healthy Weight as You Age

Many women find that what used to work in their 30s and 40s, doesn’t work quite the same as they age. Hormonal changes, reduced muscle mass, and a slower metabolism can make it harder to maintain a healthy weight and steady energy levels. Meg O’Keefe, MS, RDN, talks about how small, intentional shifts can make a big difference. And with over 15 MetroHealth locations offering Women’s Health services, it’s never been easier to find care where is most convenient for you.

Understand Your Changing Metabolism

As estrogen levels drop, your resting metabolic rate slows, meaning your body burns fewer calories at rest. Muscle mass also tends to decline, which can further reduce calorie needs. Instead of focusing on restriction, think about fueling your body smarter. Focus on whole foods, lean protein, and plenty of fruits and vegetables. Protein at each meal supports muscle health and helps you feel satisfied longer.

Move with Purpose

Exercise isn’t just about burning calories. Strength training, walking, yoga, or swimming can all help preserve bone and muscle health. Aim for at least 150 minutes of moderate activity each week, plus two strength sessions. Even small daily movements, like taking the stairs or doing light weights at home, add up. Always talk to your MetroHealth Women’s Health Team provider to determine what makes sense for you.

Prioritize Sleep and Stress Management

Sleep disruption is common after 50, especially around menopause. Aim for consistent bedtime routines and limit caffeine or alcohol close to sleep. Stress also plays a role in weight gain, as high cortisol levels can increase appetite and fat storage. Mindfulness, stretching, and hobbies that bring joy can all help.

Nourish Your Body, Don’t Punish It

Weight control isn’t just about calories, it’s about balance. Focus on healthy habits rather than chasing the scale. Celebrate progress in strength, stamina, or energy levels instead of a specific number.

Examples of habits you may want to focus on include:

  1. Aim for exercise all year round. If you enjoy outdoor exercise, you may need to look for indoor alternatives for the extreme winter months of cold and icy streets. If your joints and muscles ache, you may need to look for types of exercise that are easier on your joints.
  2. Try to fuel your body more consistently and evenly throughout the day. This often helps in controlling the urge for ultra-processed high calorie snack foods in the afternoon and evenings.
  3. Enjoy a restaurant meal now and then but try to keep the frequency to once a week. Restaurant food is delicious partly due to the liberal use of fats such as the melted butter used on your grilled sandwich bread or bun
  4. Plan and pre-portion your snacks. Try to put your choice on a small plate instead of eating food out of bags/cans/boxes. Choose regular food items such as yogurt, fruit, cheese, olives, peanut butter on toast or nuts in small portions.

Looking to prioritize your health in the new year? We’re here for you. To make an appointment with a Women’s Health Team provider, call 216-778-4444. To learn more about Women’s Health at MetroHealth, visit metrohealth.org/obgyn.

Meg O’Keefe, MS, RDN

Meg O’Keefe, MS, RDN

Clinical Dietician