It’s a good idea to keep weight constant, as already-weakened bones may not be capable of supporting an extra 20 or 30 pounds.

In the 1983 report Obesity by the Royal College of Physicians, 8 per cent of women and 6 per cent of men are obese. Chronically overweight women seldom suffer from osteoporosis, probably because they put heavier stress on their bones, with the bone responding by building new tissue to meet the demand for more strength. Or it could be that larger women produce more of the male hormone, androgen, which in turn is converted to oestrogen to reduce the risk of bone loss.

Because of this higher production of androgen hormones after menopause, being obese (or grossly overweight) increases the chances of endometrial cancer (cancer of the lining of the uterus). Obesity also increases the risk of cancers of the cervix, uterus, ovaries and breast, and of developing high blood pressure, heart disease and diabetes.

If you are seriously overweight, ask your doctor to refer you to a trained dietician for expert advice.

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