Eating Well in Your 40s

When hormones shift, metabolism changes, and the strategies that worked before stop working. What the research says about nutrition in midlife.

7 min read

Your 40s are when many people notice that their body doesn't respond to food the same way it used to. Weight creeps on more easily. Energy fluctuates more. What worked in your 30s stops working.

This isn't imagination - real physiological changes are happening. Understanding them helps you adapt rather than fight a losing battle.

What's Actually Changing

Metabolism Shifts

Research published in Science (2021) challenged the old belief that metabolism crashes in middle age. The reality is more nuanced:

  • Basal metabolic rate stays relatively stable from 20-60
  • But body composition changes - muscle decreases, fat increases
  • Less muscle means burning fewer calories at rest
  • Activity levels often drop (desk jobs, family commitments)

The "slower metabolism" you feel is often a combination of muscle loss and reduced activity - both of which you can address.

The Sarcopenia Factor

From age 30, adults lose 3-8% of muscle mass per decade if they don't actively maintain it. By your 40s, this loss is noticeable. Muscle is metabolically active - less muscle means lower energy expenditure. Resistance training and adequate protein are the evidence-based solutions.

Hormonal Changes

For women: Perimenopause typically begins in the mid-40s, bringing hormonal fluctuations that affect:

  • Where fat is stored (more central/abdominal)
  • Blood sugar regulation
  • Sleep quality (which affects hunger hormones)
  • Energy levels and mood

For men: Testosterone gradually declines (about 1% per year from age 30), affecting:

  • Muscle maintenance
  • Energy levels
  • Body fat distribution

Nutritional Priorities in Your 40s

1. Protein Becomes More Important

Your body becomes less efficient at using protein for muscle synthesis (a phenomenon called "anabolic resistance"). Research suggests you need more protein to achieve the same muscle-maintaining effect:

Protein Targets for Your 40s

  • Sedentary: 1.0-1.2g per kg body weight
  • Active: 1.2-1.6g per kg body weight
  • Very active/building muscle: 1.6-2.0g per kg body weight

For a 75kg person, that's 75-120g of protein daily - higher than the standard RNI recommendation.

Distribution matters too. Research from the University of Texas showed that spreading protein across meals (25-40g per meal) is more effective for muscle synthesis than eating most protein at dinner.

2. Manage Blood Sugar More Carefully

Insulin sensitivity often decreases in your 40s, making blood sugar management more important:

  • Choose complex carbs over refined ones
  • Pair carbs with protein and fat to slow absorption
  • Be mindful of portion sizes for starchy foods
  • Don't skip meals - irregular eating worsens blood sugar control

This doesn't mean avoiding carbs - it means being more strategic about them.

3. Bone and Joint Health

Bone density starts declining, especially for women approaching menopause (oestrogen is protective for bones). Prioritise:

  • Calcium - 700mg daily (NHS recommendation). Dairy, fortified foods, leafy greens
  • Vitamin D - Supplement recommended in UK, especially autumn-spring
  • Vitamin K2 - Helps direct calcium to bones. Found in fermented foods, egg yolks
  • Magnesium - Often overlooked. Nuts, seeds, whole grains

4. Support Hormonal Health

While diet can't replace hormones, certain nutrients support hormonal balance:

For women in perimenopause:

  • Phytoestrogens (soy, flaxseed) - may help some women with symptoms
  • Omega-3 fatty acids - support mood and reduce inflammation
  • B vitamins - energy metabolism and mood support
  • Iron - still important until periods stop completely

For men:

  • Zinc - supports testosterone production. Meat, shellfish, seeds
  • Vitamin D - associated with testosterone levels
  • Healthy fats - needed for hormone production

What Stops Working

Strategies that may have worked in your 20s and 30s often backfire in your 40s:

  • Crash dieting - Accelerates muscle loss, making long-term weight management harder
  • Skipping meals to "save calories" - Worsens blood sugar control and often leads to overeating
  • Cardio-only exercise - Without resistance training, you'll lose muscle even while losing weight
  • Ignoring sleep - Sleep deprivation has bigger impacts on hormones and hunger than when you were younger

Practical Strategies

Meal Structure

  • Protein at every meal (aim for 25-40g)
  • Vegetables covering half your plate
  • Complex carbs in moderate portions
  • Healthy fats included (don't go low-fat)

Lifestyle Factors

  • Prioritise sleep - Poor sleep increases hunger hormones and insulin resistance
  • Resistance training - 2-3 times per week minimum to maintain muscle
  • Manage stress - Cortisol promotes abdominal fat storage
  • Moderate alcohol - Tolerance decreases; impacts on sleep and hormones increase

The Bottom Line

Your 40s require a shift from "eating less" to "eating smarter." Prioritise protein, maintain muscle through resistance training, manage blood sugar with balanced meals, and address the lifestyle factors (sleep, stress) that increasingly affect your metabolism. The goal isn't perfection - it's sustainable habits that support your changing body.

← Back to Life Stages guides
Sources: Pontzer et al. (2021), Daily energy expenditure through the human life course, Science. Phillips SM (2017), Current Concepts and Unresolved Questions in Dietary Protein Requirements, J Nutr. British Nutrition Foundation, NHS dietary guidance.

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