Most menopause advice is based on walking more, lifting something or stretching, however, there’s one piece of the picture that is often missing: power.
This is the first physical ability to decline during this stage and it is the one that decides whether you can catch yourself when falling, sprinting or getting out of a chair without thinking too much about it.

Is strength and power the same?
Strength is how much force you can produce and power is how fast you can produce it. A review on ageing muscle found that strength and power decline with age and this problem’s main drive is atrophy of fast-twitch fibres.
These fibres help you handle short-duration high-intensity activities. They are the recruited fibres when you sprint or jump but they’re also the ones that fade first when you stop asking them to work.

Why does menopause make it more urgent?
Muscle fibres contain little receptor for estradiol. Without it, muscle cells struggle to repair and replace damaged fibres, which leads to an accelerated and cumulative loss of function over time. A review presented to the Physiological Society found that postmenopausal women show lower muscle mass and strength than premenopausal women, although researchers noted that more evidence is needed.
Practitioners also describe a loss of type II fibres and a decrease in power as part of how falling estrogen affects the musculoskeletal system. The only problem is timing. Muscle loss that is already under way only gets faster the less active they are, due to fatigue, joint aches, poor sleep or lack of time.

What NICE and the NSCA say
NICE tells clinicians to explain to women the importance of maintaining muscle mass and body strength through physical activity during the menopause. Joint and muscle pain are among the symptoms to discuss. NICE doesn’t prescribe sprinting but it sets the principle of protecting muscle and strength through movement.
NSCA gives us the training details. It recommends a combination of strength, power and aerobic training. It reports that this power component is linked to greater functional improvement in activities of daily living. It also states that most resistance-training injuries in older adults happen in inexperienced exercisers and that power exercises should be carefully taught.

What ‘sprinting’ actually means
A sprint is a short, fast, controlled effort of roughly 5 to 10 seconds, followed by plenty of rest. Good starting options include:
- Fast uphill walking or hill strides. It limits impact and lets you push hard safely;
- Bike or cross-trainer sprints. These are low impact and easy to control;
- Short strides build up to about 80% effort before ever going all out;
- Explosive strength work. Fast sit-to-stands, kettlebell swings and medicine-ball throws all train the same pathway.

Safety first
Check in with your doctor first if you have cardiovascular risk factors, joint problems, osteoporosis, pelvic floor symptoms or haven’t exercised in a long time. NSCA advises people to be aware of cardiovascular risk factors before starting. Don’t forget to begin with controlled strength work before adding speed. Warm up properly and include mobility work, light jogging or cycling and a few build-up efforts.
Respect your recovery, as fatigue, poor sleep and joint pain are common in menopause. Don’t forget to stop if something feels wrong.
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Coaching can make a difference
Speed work done with poor mechanics or without gradual progression is exactly the situation the NSCA warns about. A coach who can see the way you move and adjust the intensity of the workout while making the plan fit around menopausal symptoms is an advantage.
Papayya’s model was built on live one-on-one virtual sessions in which trainers give real-time guidance and form correction. For power training, this means a trainer can watch your landing, your posture and how your body responds. Whatever route you take, the principle stands, which is, learn the movement properly, build up gradually and don’t train power alone and unsupervised if you’re new to it.

Takeaway
Menopause doesn’t mean you need to slow down permanently, but it does change the rules. Strength needs to get more attention, yet speed and power are what you lose first and what you notice most in your daily life.
Start small, progress patiently and get a professional eye on your technique.

Sources
- NICE. Menopause: diagnosis and management (NG23). https://www.nice.org.uk/guidance/ng23
- Fragala, M.S., Cadore, E.L., Dorgo, S., et al. (2019). Resistance training for older adults: Position statement from the National Strength and Conditioning Association. Journal of Strength and Conditioning Research, 33(8), 2019–2052. https://www.nsca.com/about-us/position-statements/resistance-training-for-older-adults/
- Kravitz, L. Resistance Training for Older Adults: New NSCA Position Stand (summary). https://www.unm.edu/~lkravitz/Article%20folder/NSCApositionstand.html
- Macaluso, A. & De Vito, G. (2004). Muscle strength, power and adaptations to resistance training in older people. European Journal of Applied Physiology. https://paulogentil.com/pdf/Muscle%20strength%2C%20power%20and%20adaptations%20to%20resistance%20training%20in%20older%20people.pdf
- Society for Endocrinology. Musculoskeletal ageing in the world of endocrine disease. https://www.endocrinology.org/endocrinologist/147-spring-23/features/musculoskeletal-ageing-in-the-world-of-endocrine-disease
- The Role of Oestrogen in Female Skeletal Muscle Ageing: A Systematic Review. Proc Physiol Soc 54, PCB043 (2023). https://www.physoc.org/?p=111255
- Jean Hailes for Women’s Health. Menopause and musculoskeletal health (webinar slides). https://www.jeanhailes.org.au/wp-content/uploads/2026/01/menopause-and-musculoskeletal-health-webinar.pdf
- Pharmacy Magazine. Helping women through their menopause journey (summary of NICE advice on muscle and strength). https://www.pharmacymagazine.co.uk/clinical/helping-women-through-their-menopause-journey
- MDPI. Review on muscle fibre types and ageing in women. https://mdpi.com/724112
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