Historical decline and current estimates of HRT

This week we welcome back protein and fat-loss researcher Dr. Bill Campbell to unpack early findings from what may be the largest menopause fitness survey to date, designed to finally study women who actively train. We dive into what thousands of fit midlife women report about calorie and protein intake, hormone therapy use, and the widely felt—but poorly studied—experience of weight-loss resistance during peri- and postmenopause. The conversation also explores why hormone therapy use appears far higher in fitness-engaged women than in national estimates, how muscle quality and power may decline even before we notice muscle loss, and why high-intensity interval work appears especially promising for reducing visceral fat.

Bill Campbell, PhD is a Professor of Exercise Science and Director of the Performance and Physique Enhancement Laboratory at the University of South Florida. He is also a Certified Strength & Conditioning Specialist from the National Strength & Conditioning Association and former president of the International Society of Sports Nutrition (where he is also 1 of 35 individuals to be recognized as a ‘Fellow’ of the organization—an honor reserved for those individuals who have outstanding contributions to the field of sports nutrition). He has published over 200 scientific papers and abstracts, three textbooks, and 20 book chapters in areas related to physique enhancement, sports nutrition, resistance training, and dietary supplementation. You can learn more about him and his work at www.billcampbellphd.com

Resources

Investigating weight loss resistance across the menopausal transition: a preliminary quantitative survey of resistance-trained women here

Insufficient sleep undermines dietary efforts to reduce adiposity here

Why the Calories In/Calories Out Equation Can Fail Women with Jody Dushay, MD here

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