The main thing is gaining weight, and genetics telling the body where to put it. Other effects are, at best, secondary.
Middle aged men typically like to sit, drink beer and eat bad food. Men (and esp older) typically carry weight around the waist. “Beer belly” is a cutesie way to describe the result.
An interesting thing is that even lean men apparantly typically get a more solid torso with age. Ragusea talks about this in body building context, where it goes even for the real slimmest folks. We apparantly get more solid.
Buuuuuut, the Main thing is weight and calories and bmi.
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