Statistics show potentially that the chance of living until age 90 for women is around 32%. If the average age of menopause is 51 then approximately half of women’s life will be lived in menopause. Add to this all the health changes that happen at this time then the potential is also to live this ‘half’ of your life in ill-health.

So the time to address this and start taking action has to be in the peri-menopause stage. At this stage women tend to start moving less (and nutrition and lifestyle habits remain the same) at a time that consistent movement should be non-negotiable and is more valuable than ever.

Metabolic syndrome as described by the NHS is the medical term for a combination of diabetes, high blood pressure and obesity.

It puts you at greater risk of getting coronary heart disease, stroke and other conditions that affect the blood vessels.

On their own, diabetes, high blood pressure and obesity can damage your blood vessels, but having all three together is particularly dangerous.

One of the symptoms of Metabolic syndrome is a waist circumference of 80cm (31.5 inches) or more in European and South Asian women. In the peri-menopause to menopause stage the declining oestrogen and ensuing key enzymatic processes change where excess fat is distributed to and stored and favours the abdominal region where it is more metabolically active.

So what are the essential elements of the midlife movement and lifestyle protocols that we need to incorporate? Think of the 6 S’s: Strength & Stamina, Suppleness, Speed, Sharpness and Sleep. On top of this ditch the scales and fall in love with the tape measure and keep an eye on that waist circumference!