Q: Since turning 50 I have noticed a fat accumulation around the inside of my knees, making my knees look “fat.” I realize this may be due to my age, but I believe it doesn’t have to be. Any suggestions would be greatly appreciated.

A: The bad news is that as we age, and with each passing decade, we lose more and more precious muscle mass and at the same time gain body fat.

Where we gain fat tends to be genetically determined, so the fat accumulation around the inner knee happens to be one area where your particular body tends to store fat.

The good news is that there is a lot you can do to lessen the decline in muscle mass with age and tone up your inner knee area. The best type of exercise for hanging on to that nice, shapely muscle tissue is to get in regular strength training exercise—a minimum of two times per week for at least 20 minutes.

A good program of muscle building exercises should include exercises that target the major muscle groups. There are plenty of muscle building and toning exercises that target the inner thigh and knee area.

I suggest making an appointment with a certified personal trainer (you can find one in your area on either www.acsm.org or www.nsca-lift.org) and have them set you up with a good program.

That said, you should also include a daily bout of calorie-burning aerobic exercise and combine that with a nutrient-dense, calorie-controlled diet to help you whittle away at extra body fat.

Put this all together and you will be taking the best course of action for a lifetime of health and fitness.