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How much strength training per week for perimenopause?

4 min read

According to the American College of Sports Medicine, resistance training at least 2-3 times per week is recommended for adults. During the hormonal shifts of perimenopause, strategic strength training becomes even more vital for long-term health and well-being.

Quick Summary

Aim for at least two to three strength training sessions per week, focusing on progressive overload and lifting heavy enough to challenge all major muscle groups. This consistency helps combat muscle and bone density loss that can accelerate during perimenopause.

Key Points

  • Frequency: Aim for at least 2-3 strength training sessions per week to effectively combat muscle and bone density loss during perimenopause.

  • Intensity: Focus on lifting heavy enough to challenge all major muscle groups, aiming for near-failure on your final repetitions to stimulate bone growth.

  • Progressive Overload: Continually increase weight, reps, or intensity over time to avoid plateaus and ensure lasting results.

  • Incorporate Compound Movements: Prioritize multi-joint exercises like squats, deadlifts, and rows, as these are most effective for building full-body strength.

  • Listen to Your Body: Pay close attention to fatigue and recovery needs, allowing for adequate rest days and adjusting intensity as hormones fluctuate.

  • Consult a Professional: Especially if new to lifting, working with a physical therapist or trainer can ensure proper form and injury prevention.

In This Article

Understanding the 'Why' Behind Perimenopause Strength Training

As women transition into perimenopause, typically in their 40s, fluctuating hormone levels, particularly the decline in estrogen, bring about significant changes to the body. While symptoms like hot flashes and mood swings are well-known, internal shifts affect muscle mass, bone density, and metabolism just as profoundly. Consistent, targeted strength training is one of the most powerful tools to mitigate these effects and support a vibrant, healthy midlife and beyond.

The Direct Benefits of Regular Resistance Training

  • Preserves Muscle Mass: Estrogen decline directly impacts a woman's ability to maintain muscle. Strength training is the most effective way to combat sarcopenia (age-related muscle loss), keeping your metabolism higher and your body stronger.
  • Builds Bone Density: As estrogen decreases, bone loss accelerates, increasing the risk of osteoporosis. Weight-bearing and resistance exercises place controlled stress on the bones, stimulating them to rebuild and strengthen, which is crucial for fracture prevention later in life.
  • Regulates Body Composition: Hormonal changes can lead to an increase in visceral fat, particularly around the midsection, and a slower metabolism. Building and maintaining muscle mass through strength training is metabolically active, helping manage body weight and composition more effectively.
  • Improves Mental Health: Exercise, including resistance training, releases endorphins, the body’s natural mood boosters. This can help combat the anxiety and depression often associated with hormonal fluctuations during perimenopause.
  • Enhances Overall Health: Beyond these direct benefits, regular strength training improves insulin sensitivity, reduces the risk of cardiovascular disease, and enhances sleep quality, all of which are important for long-term health.

Your Weekly Strength Training Blueprint for Perimenopause

For women in perimenopause, aiming for 2 to 3 strength training sessions per week is the optimal starting point. The key is to challenge the muscles and consistently increase resistance, a concept known as progressive overload. Here is a breakdown of how to structure your week for maximum benefit.

Frequency and Intensity

  • 2-3 times per week: This allows for sufficient recovery time between sessions while providing enough stimulus for muscle and bone growth.
  • Target Major Muscle Groups: Ensure your routine is full-body or alternates to work all major muscle groups across your weekly sessions.
  • Progressive Overload: To see results, you must gradually increase the demand on your muscles. This can be done by increasing the weight, reps, or sets over time.
  • Lift Heavy: Experts recommend lifting weights heavy enough to reach near-failure, where the last repetition is a significant challenge. This is more effective for building bone density than simply lifting lighter weights for many reps.

Structuring Your Workouts

A well-structured strength training routine for perimenopause should include compound movements and target different muscle groups. Resting for 1-2 minutes between sets is beneficial.

Day 1 (Example Full-Body)

  1. Squats: 3 sets of 8-10 reps.
  2. Dumbbell Rows: 3 sets of 8-10 reps per arm.
  3. Overhead Press: 3 sets of 8-10 reps.
  4. Glute Bridges: 3 sets of 12-15 reps.
  5. Plank: 3 sets, held for 30-60 seconds.

Day 2 (Example Full-Body)

  1. Deadlifts (or Romanian Deadlifts): 3 sets of 6-8 reps.
  2. Push-ups (or incline push-ups): 3 sets of 8-10 reps.
  3. Lunges: 3 sets of 8-10 reps per leg.
  4. Bicep Curls: 3 sets of 10-12 reps per arm.
  5. Side Planks: 3 sets, held for 30 seconds per side.

Comparison of Exercise Approaches for Perimenopause

To make an informed decision, it is helpful to compare different exercise types and their benefits during perimenopause. While all forms of exercise offer benefits, strength training provides specific advantages for managing hormonal changes.

Feature Strength Training Low-Impact Cardio (e.g., walking) High-Intensity Interval Training (HIIT)
Primary Benefit Builds and preserves muscle mass and bone density. Cardiovascular health and endurance. Boosts metabolism and fat loss.
Effect on Metabolism Increases basal metabolic rate long-term. Increases metabolic rate during exercise. Significant but temporary boost in metabolism.
Joint Impact Controlled, low impact when performed with proper form. Very low impact, easy on joints. Higher impact, can be hard on joints.
Time Commitment 2-3 sessions per week for 20-45 minutes. 150 minutes of moderate activity weekly recommended. Short, intense sessions (20-30 minutes), 2-3 times per week.
Hormonal Support Directly helps mitigate muscle and bone loss from declining estrogen. Indirectly supports overall health and well-being. Can help reduce cortisol when done correctly, but can increase it if overdone.

Listening to Your Body: Adjusting to Perimenopause

Navigating perimenopause means recognizing that your body's needs are changing. You might find that your energy levels fluctuate, or that you need more recovery time. It's crucial to adjust your routine based on how you feel. Some days, a lower intensity session or a rest day may be exactly what your body needs to recover and grow stronger.

Incorporating other forms of exercise, such as yoga, Pilates, or brisk walking, alongside your strength training is also beneficial for flexibility, balance, and mental well-being. This balanced approach supports a more holistic sense of health.

Final Recommendations and Long-Term Outlook

For women seeking to understand how much strength training per week for perimenopause, the expert consensus points to 2 to 3 times a week, with a focus on heavier, multi-joint lifts and progressive overload. This is not just about building muscle for aesthetics; it is a critical investment in your future health, protecting your bones, managing your metabolism, and improving your overall quality of life. Consistency, rather than punishing intensity, is the ultimate key to success during this transitional period. Always prioritize proper form and listen to your body's cues to prevent injury.

To ensure you are using proper technique and maximizing your results, especially if you are new to strength training, it is highly recommended to consult with a professional. The National Strength and Conditioning Association (NSCA) offers resources and guidance on safe and effective resistance training for all age groups. https://www.nsca.com/.

Frequently Asked Questions

During perimenopause, declining estrogen accelerates muscle and bone loss. Strength training directly counters these effects, helping preserve muscle mass, increase bone density, and support a healthier metabolism and body composition.

If you're new, start with bodyweight exercises to learn proper form. As you build confidence, gradually introduce resistance bands or light weights. A great starting goal is 1-2 sessions per week, with a focus on consistency over intensity.

Yes, cardio is still important for heart health. However, many experts now recommend prioritizing strength training. A balanced routine incorporating 2-3 strength sessions, 2-3 HIIT sessions, and low-impact cardio like walking or cycling can be very effective.

You should feel challenged by the last few repetitions of a set. If you can complete 15+ reps with ease, it's likely time to increase the weight or resistance to continue building strength and bone density.

Focus on compound movements that work multiple muscle groups, such as squats, deadlifts, and push-ups. Incorporate unilateral movements like lunges and single-leg Romanian deadlifts to improve balance and address muscle imbalances.

Progressive overload is the gradual increase of stress on your muscles over time. It's important because it forces your muscles and bones to adapt and grow stronger, preventing plateaus and ensuring continued progress.

No, this is a common myth. The hormonal environment during perimenopause does not typically support significant 'bulking.' Instead, strength training will build lean muscle, which is metabolically beneficial and results in a more toned physique.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider regarding personal health decisions.