When Indian women turn 40, the body begins to function under new conditions. Perimenopause brings subtle changes. Estrogen, which quietly controlled everything from mood to bone density to where fat is stored, starts to slowly leave the body. Most women don't know this, but muscle mass starts to go down by about 1% every year. In our country, the conversation about women’s health often jumps from reproductive health to old age, leaving almost nothing in between. Metabolism slows down, just enough that the effort you put in and the results you see start to feel out of balance, in ways that feel personal and frustrating.
This is also harder because of cultural differences. In Indian homes, exercise was either a waste of time or a sign of vanity. Many women have spent 20 years taking care of their family members; their children's diets, parents' medications, and their husbands' stress by the time they turn 40. They have never really gotten to know their own physical strength. The real problem is this missing foundation. Not the hormones. Not the age.
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What the body really demands
When women observe changes in their bodies, like stubborn weight, low energy, or decreases in strength, they often choose to walk more, sign up for a class, or do activities that might make them feel better.
That helps to an extent, but cardio alone does not stop the changes. Muscle mass declines with age, and the only way to protect it is through resistance training.
A woman losing muscle isn't just losing strength. She's losing the tissue that kept her metabolism honest, that cushioned her joints, that gave her posture its architecture. Estrogen did a lot of that protective work quietly for twenty years. When it starts pulling back, something has to replace it. No walk replaces it. Lifting does.
For Indian women specifically, Vitamin D deficiency runs through the population at rates we've normalised without really reckoning with. Diets that look balanced on paper often fall short on calcium once you look past dairy. Bone density loss during this decade is a concern. Strength or resistance training is one of the few proven ways to maintain muscle and bone health.
What's not on the plate
Indian diets are high in carbs and low in protein. This works well enough when you are younger, but it starts to cost after 40. Often, women get only about half the protein requirement to keep muscles strong. The rough benchmark is approximately a gram of protein per kilogram of body weight daily. To close that gap, they need small shifts in proportion. It is advised to have eggs at breakfast instead of just toast. A larger serving of curd. Dal that's thick rather than watered down. Paneer or fish at dinner rather than a second roti.
The hours that no one talks about
During sleep, the whole system either heals or slowly falls apart. Perimenopause can impact sleep patterns much before obvious symptoms appear. Poor sleep raises the level of stress hormones. This, in turn, increases cravings and fat storage while making other health efforts less effective. Taking care of sleep is thus essential for energy, repair, and overall health.
The decade that wants the most
The 40s are also, for most Indian women, a decade that doesn't leave much margin. Some teenagers need attention in different and more exhausting ways than toddlers did. There are parents who are aging faster than expected. Some jobs have become more demanding precisely because this is the decade when careers either consolidate or get away from you entirely. In that context, fitness is always the first thing to go. We need to understand that our body does not slow down after 40; it only becomes more persistent about what it truly needs.
(This is an authored article by Dipali Mathur Dayal, Mrs India 2025, and CEO at Kestone Utsav)