Many people believe eating disorders mostly affect teenagers, but experts say these conditions are increasingly prevalent—and often overlooked—in women during midlife.
Middle-aged women face unique health challenges as their bodies change with age, menopause, and shifting life roles. These factors can trigger or worsen eating disorders, posing serious risks to physical and mental health.
Midlife Eating Disorders: A Silent Health Struggle
Anne Poirier, who battled anorexia multiple times starting in adolescence, found her disorder returning in her 40s. After becoming a surrogate and giving birth to twins, she thought pregnancy was “permission to eat,” but the struggle only deepened postpartum as she pushed herself to regain control over her body.
This experience is not uncommon. Eating disorders in middle age often go undiagnosed or untreated due to stigma and misconceptions that these are “youth problems.” Many women feel shame and isolation, believing they “should have it all figured out” by this point in life.
The Health Impact of Midlife Eating Disorders
Eating disorders during middle age can cause serious health issues including:
- Malnutrition and vitamin deficiencies
- Bone density loss and osteoporosis
- Cardiovascular problems
- Hormonal imbalances, especially with menopause
- Increased risk of depression and anxiety
A recent survey found that 82% of menopausal women engaged in disordered eating behaviors like skipping meals or excessive exercise, even without formal diagnoses. Up to 7.7% of middle-aged women meet clinical criteria for eating disorders, and the number seeking treatment is rising sharply.
Why Midlife is a Vulnerable Time
Clinical experts note several stressors that make midlife uniquely challenging for women’s health:
- Hormonal changes from menopause affecting appetite and body composition
- Societal pressures linking thinness to youth and worth
- Life transitions such as children leaving home or difficult relationships
- Increased responsibilities and stress without adequate support
These factors often lead women to use food restriction or over-exercising as coping mechanisms, which can escalate into full eating disorders.
Breaking the Stigma and Seeking Help
Women like Betsy Brenner, diagnosed with anorexia in her 40s, emphasize that eating disorders are not about food but underlying anxiety and control. She stresses the importance of understanding that recovery is possible at any age.
Treatment specialists recommend group therapy and community support to combat feelings of isolation and shame. Encouraging body-neutral attitudes and self-compassion are vital for healing.
What You Can Do for Midlife Eating Disorder Health
- Recognize that eating disorders can affect anyone, regardless of age or body size
- Understand the physical health risks and seek medical evaluation if concerned
- Support open conversations to reduce stigma around midlife mental health
- Promote healthy, balanced eating and positive body image
- Encourage professional help including therapy and nutritional counseling
