Belly fat won't budge? Genetics, hormones, or easy-to-fix mistakes could be to blame.
Belly fat blues
Getting
rid of your belly bulge is important for more than just vanity's sake.
Excess abdominal fat—particularly visceral fat, the kind that surrounds
your organs and puffs your stomach into a "beer gut"—is a predictor of heart disease, type 2 diabetes,
insulin resistance, and some cancers. If diet and exercise haven't done
much to reduce your pooch, then your hormones, your age, and other
genetic factors may be the reason why. Read on for 11 possible reasons
why your belly fat won't budge.

You're getting older
As you get older, your body changes how it gains and loses weight. Both men and women experience a declining metabolic rate,
or the number of calories the body needs to function normally. On top
of that, women have to deal with menopause. "If women gain weight after
menopause, it's more likely to be in their bellies," says Michael
Jensen, MD, professor of medicine in the Mayo Clinic's endocrinology
division. In menopause,
production of the hormones estrogen and progesterone slows down.
Meanwhile, testosterone levels also start to drop, but at a slower rate.
This shift in hormones causes women to hold onto weight in their
bellies. The good news: you can fight this process. Read on.

You're doing the wrong workout
A daily run or Spin class is great for your heart, but cardio workouts
alone won't do much for your waist. "You need to do a combination of
weights and cardiovascular training," says Sangeeta Kashyap, MD, an
endocrinologist at Cleveland Clinic. Strength training
increases muscle mass, which sets your body up to burn more fat.
"Muscle burns more calories than fat, and therefore you naturally burn
more calories throughout the day by having more muscle," says Kate
Patton, a registered dietitian at Cleveland Clinic. Patton recommends
250 minutes of moderate-intensity exercise or 125 minutes of
high-intensity exercise a week.

You're eating too many processed foods
"Refined
grains like white bread, crackers, and chips, as well as refined sugars
in sweetened drinks and desserts increase inflammation in our bodies,"
says Patton. "Belly fat is associated with inflammation, so eating too
many processed foods will hinder your ability to lose belly fat."
Natural foods like fruits, vegetables, and whole grains are full of antioxidants, which have anti-inflammatory properties and may therefore actually prevent belly fat, Patton says.

You're eating the wrong fats
The
body doesn't react to all fats in the same way. Research correlates high
intake of saturated fat (the kind in meat and dairy) to increased
visceral fat, says Patton. On the other hand, monounsaturated fats (the
kind in olive oil and avocados) and specific types of polyunsaturated
fats (mainly omega-3s, found in walnuts, sunflower seeds, and fatty fish
like salmon) have anti-inflammatory effects
in the body, and if eaten in proper portions may do your body good. But
Patton warns that eating too much fat of any kind increases your
calorie intake and could lead to weight gain, so enjoy healthy fats in
moderation.

Your workout isn't challenging enough
To banish stubborn belly fat, you have to ramp up your workouts. In a study published in the journal Medicine and Science in Sports and Exercise, people who completed a high-intensity workout regimen lost more belly fat
than those who followed a low-intensity plan. (In fact, the
low-intensity exercises experienced no significant changes at all.) "You
need to exercise at full intensity because the end goal is to burn more
calories, and high intensity exercise does just that," says Natalie Jill,
a San Diego, Calif.-based certified personal trainer. High intensity
workouts mean you're going all out for as long as you can. If this
sounds intimidating, think of it this way: you'll burn more calories in
less time.

You're doing the wrong exercises
Doing
crunches until the cows come home? Stop it! When you're down to your
final inches of belly fat, the dreaded crunch won't be the exercise that
finally reveals your six-pack. "You can't spot reduce," Jill says.
Instead, she suggests doing functional exercises that use the muscles in
your core—abdominals, back, pelvic, obliques—as well as other body
parts. "These exercises use more muscles, so there is a higher rate of
calorie burn while you are doing them," she says. Planks are her
favorite functional exercise—they activate not just your core muscles
but also your arm, leg, and butt muscles.

You're stressed
Tight deadlines, bills, your kids—whatever your source of stress, having too much of it may make it harder for you to drop unwanted pounds,
especially from your middle. And it's not just because you tend to
reach for high-fat, high-calorie fare when you're stressed, though
that's part of it. It's also due to the stress hormone cortisol, which
may increase the amount of fat your body clings to and enlarge your fat
cells. Higher levels of cortisol have been linked to more visceral fat.

You're skimping on sleep
If
you're among the 30% of Americans who sleep less than six hours a night,
here's one simple way to whittle your waistline: catch more Zs. A
16-year study of almost 70,000 women found that those who slept five hours or less a night
were 30% more likely to gain 30 or more pounds than those who slept 7
hours. The National Institutes of Health suggest adults sleep seven to
eight hours a night.

You're apple shaped
If
you tend to pack the pounds around your middle rather than your hips and
thighs, then you're apple shaped. This genetic predisposition means
ridding yourself of belly fat will be harder, Dr. Kashyap says, but not
impossible.

You're sick
If your testosterone levels are high—something that can occur with polycystic ovary syndrome (PCOS)—you
might have difficulty losing weight. "If you're an apple shape and
overweight, it's a good idea to see your doctor," Dr. Kashyap says,
since there may also be a chance that you are prediabetic or diabetic.

You're unmotivated
Are
you committed to the work needed to lose belly fat? "Reducing belly fat
takes a combination approach of a low-calorie diet that is high in fiber
and low in carbohydrates and sugar along with cardiovascular and weight
training," Dr. Kashyap says. "If you are willing to do the work, you
can move past genetics and lose it."
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