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AIIMS, Harvard, Stanford-trained gastroenterologist explains why belly fat increases after 30; shares tips to lose it

The body undergoes a number of physiological changes that results in slower metabolism and greater storage of fat, according to Dr Sethi. 

Updated on: Dec 21, 2025, 15:47:43 IST
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Losing the extra pounds around the belly is likely to be a popular resolution in the coming new year. However, actually achieving it is a steep hill to climb, especially for people in their thirties and older.

Slower metabolism leads to increased belly fat, shared Dr Sethi. (Unsplash)
Slower metabolism leads to increased belly fat, shared Dr Sethi. (Unsplash)

Also Read | AIIMS-trained gastroenterologist shares 3 tips to lose belly fat with intermittent fasting, backs ‘12-12 method’

In an Instagram post on 21 December, Dr Saurabh Sethi, aCalifornia-based gastroenterologist trained at AIIMS, Harvard and Stanford Universities, stated that after the age of thirty, people are likely to find their belly fat increasing without making any noticeable change in their diet.

“The same foods lead to more belly fat. The same workouts give fewer results,” he noted. Even small “cheat days” have a much larger impact than before. This shift is not random, but rather the result of physiological changes that the body undergoes, as listed below.

Loss of muscle

“After 30, we naturally lose 3-8% of muscle per decade,” shared Dr Sethi. Less muscle results in the body burning fewer calories while at rest.

Daily energy burn is significantly reduced even if the body loses just one kilogram of muscle tissue. This is because muscles handle approximately 70-80% of glucose disposal.

As per the gastroenterologist, “When muscle mass drops, glucose stays in the blood longer and is more likely stored as abdominal fat.”

Declining insulin sensitivity

With age, our body’s sensitivity to insulin declines at the rate of 4-5% per decade. This means that the intake of the same amount of carbs as before will provide greater sugar spikes, which in turn lead to faster fat storage, especially around the waist.

Shift in hormones

As age progresses beyond 30, the levels of human growth hormone, testosterone and oestrogen are reduced, while the level of cortisol is increased. “This combination favours deep abdominal fat storage,” highlighted Dr Sethi.

As a cumulative result of all these changes, visceral fat (deep belly fat) accumulates faster than subcutaneous fat. “This fat surrounds organs and worsens insulin resistance and inflammation, “ stated Dr Sethi.

He pointed out that the effects are stronger if a person suffers from fatty liver, prediabetes or diabetes, or has high triglycerides, since insulin resistance pushes more fat into the abdomen and liver.

Signs that point to slowing metabolism

  • Increase in belly size despite maintaining stable weight
  • Energy crash in the afternoon
  • Stronger sugar cravings
  • Bloating after carbs
  • Gaining fat in the upper abdomen

Tips to lose belly fat

  • Ensure sufficient protein intake. The body needs roughly 1.2-1.6g of protein per kg of mass per day
  • Participate in strength training at least three times every week
  • Walk daily to improve insulin sensitivity
  • Get 7-8 hours of sleep daily

Note to readers: This article is for informational purposes only and not a substitute for professional medical advice. Always seek the advice of your doctor with any questions about a medical condition.

This report is based on user-generated content from social media. HT.com has not independently verified the claims and does not endorse them.

  • Debapriya Bhattacharya
    ABOUT THE AUTHOR
    Debapriya Bhattacharya

    Debapriya Bhattacharya is a Content Producer at Hindustan Times. He started his career in 2022, working in newsrooms in beats like education, US news, trending stories, and entertainment. In his new role in the lifestyle desk, he seeks to deliver a balanced blend of research-driven reporting and creative storytelling from health and recipes to art and culture. Science, philosophy, food and pop culture are what pump his veins and help bring heart to his stories. Debapriya tries to see out subjects that will allow him and readers to explore new frontiers and improve the quality of life for all. The explorations can be both external and internal, as thoughts seek to be as chaotic as the greater universe. As a citizen of the world, Debapriya has been fascinated by the lives of people across the globe throughout time. His curiosity leads him to explore new linguistic and cultural landscapes to broaden his horizons and deepen his understanding of global narratives. Beyond the newsroom, Debapriya loves to participate in debate and theatre, spaces that he considers to be holy grounds for nuance and self-expression. A graduate from Ashutosh College, University of Calcutta, Debapriya completed his Master's degree from the same university in 2022. An ambiverted bibliophile, he loves his solitude as much as he adores stimulating conversations. And despite his reverence for tech, libraries continue to be his favourite place for research.Read More

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