Cardiovascular disease (CVD) is the leading cause of death in women.
Hormonal changes - as early as in your 40’s during perimenopause - alter several cardiometabolic and vascular health parameters strongly linked to a higher CVD risk.
It’s important to monitor your heart health during midlife, a critical window for implementing early intervention strategies to reduce CVD risk.
RISK FACTORS:
STRESS
It’s a killer. Literally.
The stress response kicks off a surge of cortisol, the “fight or flight” hormone. It’s the strongest hormone in our body’s arsenal because it’s linked to survival. Once this surge of cortisol allowed us to out maneuver a tiger, now it kicks in when we’re late for a social event.
Sleep Disturbance
Sleep disturbance is a common and chronic complaint during the MT (menopause transition) and is linked to a greater risk of subclinical CVD and poorer cardiovascular health indexes in midlife women.
Also a lack of sleep inhibits a good diet often, and fatigue means skipping workouts. It’s a vicious cycle and it starts with not getting a solid 8 hours sleep regularly.
Depression and Mood Disorders
In healthy women 46 to 59 years of age in the SWAN Heart Study followed up for 5 years, having recurrent (greater than 3) episodes of depression lasting several weeks was significantly associated with elevated coronary artery calcification scores.
Exercise
Not only does the MT cause visceral fat to increase while lean muscle mass decreases, but a general sense of fatigue that many women feel working out would be virtually impossible.
Diet
You are what you eat and it’s never too early to start to minimize your CVD risk.
Supplemental Research
https://www.menopause.org.au/image/docs/Menopause_transition_and_CVD_risk.pdf
AHA SCIENTIFIC STATEMENT Menopause Transition and Cardiovascular Disease Risk: Implications for Timing of Early Prevention A Scientific Statement From the American Heart Association
https://www.menopause.org.au/image/docs/Menopause_transition_and_CVD_risk.pdf
https://www.sciencedirect.com/science/article/abs/pii/S0002870311002055?via%3Dihub
https://pubmed.ncbi.nlm.nih.gov/33251828/
https://www.nhlbi.nih.gov/science/womens-health-initiative-whi