Metabolic disorders, muscle preservation, and specialized movement programs are increasingly capturing the attention of science concerning the health of women over 40. Globally, an estimated 170 million women are affected by polycystic metabolic ovarian syndrome (PMOS), with around 85% of patients showing signs of insulin resistance.
Medications and Risks
The basal metabolic rate remains largely stable until the age of 60, as a study published in the journal Science in 2021 with 6,000 participants demonstrates. However, treating metabolic disorders like PMOS continues to pose challenges. In May 2026, the European Medicines Agency (EMA) recommended an oral Semaglutide tablet, with market approval expected in mid-August. Yet, in July 2026, the German Society for Nutritional Medicine (DGEM) warned against the use of GLP-1 preparations, fearing potential muscle loss during therapy.
In parallel, research is ongoing on behavioral training. The University of Gießen is planning to launch the EASE study in November 2026, which will investigate the effects of intuitive eating.
Movement: Sometimes Less is More
Only 23% of women meet the WHO’s physical activity recommendations. To lower barriers, new methods are combining moderate exercise with breathing techniques. A mere 45-minute walk incorporating the Eight-Step Breathing Cycle can stimulate fat burning. This simple yet effective strategy combines three steps of inhalation, a pause of one step, followed by three steps of exhalation and another step pause. Experts recommend this practice for 45 to 60 minutes three to five times a week, improving not only muscle activation but also sleep quality.
For individuals aged 55 and older, specialized formats are becoming more established. This includes ballet classes like the “Silver Swans,” as well as Pilates, Tai Chi, and fall prevention training gaining traction among local educational providers from late summer 2026.
Psyche and Holistic Approaches
The connection between physical movement and mental well-being is gaining significance. Rehabilitative sports often require a medical prescription, focusing on stabilizing mental health conditions. Concerns arise regarding muscle loss from GLP-1 medications, but experts advocate natural alternatives: targeted breathing techniques and moderate exercise not only preserve muscle but also enhance sleep quality. For women over 40, obtaining a practical guide is highly recommended.
Local initiatives are leaning into nature-based approaches, offering guided forest excursions that integrate breathing exercises aimed at fostering inner peace. These strategies combine social interaction with physical exertion.
Additionally, Board Yoga is making its way into public health offerings. Exercises performed on unstable surfaces particularly engage core muscles. Starting in August and September 2026, community colleges will expand their programs to include yoga, Qi Gong, and aqua fitness. The fees for preventive courses range from 30 to 115 Euros.
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