Resistance Training to Mitigate Sarcopenia in Menopausal Women Commentary

Abstract

Introduction: Menopause is associated with hormonal changes that contribute to declines in skeletal muscle mass, strength, and functional capacity. Resistance training (RT) is a widely recommended non-pharmacological strategy to mitigate sarcopenia and support musculoskeletal health in peri- and postmenopausal women. This short narrative review summarizes recent evidence on resistance training interventions in peri- and postmenopausal women, with emphasis on muscle strength, body composition, and functional performance outcomes.

Methods: A narrative literature review was conducted using PubMed, Scopus, and SPORTDiscus to identify peer-reviewed studies published between 2019 and 2025 examining resistance training interventions in peri- and postmenopausal women. Due to heterogeneity in study designs, intervention protocols, and outcome measures, findings were synthesized qualitatively rather than quantitatively.

Results: Across the reviewed literature, resistance training was consistently associated with improvements in muscular strength, preservation or modest increases in lean mass, reductions in fat mass, and enhanced functional performance. Most studies reported moderate-to-large strength improvements and favorable neuromuscular adaptations when resistance training programs were progressive and sustained for at least eight weeks. Resistance training was well tolerated, with no serious adverse events reported.

Conclusions: Current evidence supports resistance training as a safe and effective intervention to counteract menopause-related declines in muscle strength and function. Structured and individualized resistance training programs should be prioritized to promote healthy aging and functional independence in peri- and postmenopausal women.