
Today’s pressures and coping with stress influences our everyday life. How we respond to stress impacts our health and may put us at risk for heart related conditions. Heart disease is one of the leading causes of death in Canada, second to cancer. According to the Heart and Stroke foundation one person dies in Canada every five minutes from heart conditions, stroke or vascular cognitive impairment. Women are disproportionately affected by stroke: 45% more women die of stroke than men in Canada. (1)
Women’s Heart Health
Heart disease is the number one killer of women worldwide and the leading cause of premature death in Canadian women. (2) Women’s heart health is influenced by the changes they experience from puberty onward which considerably differs from men. For instance, girls with early or late puberty have a greater risk of developing heart disease later in life. Also, the physical, physiological and lifestyle changes that occur throughout pregnancy influences a woman’s future health. Positive pregnancy related factors for long term heart health include; maintaining healthy weight levels, breastfeeding and birth-spacing (18 months). Lastly, menopause brings on hormonal and natural age-related changes which significantly increase women’s risk for heart disease. (3)
Menopause is diagnosed one year from a woman’s last menstrual cycle occurring on average at age 51, with perimenopausal symptoms lasting as long as a decade beforehand. The physiological changes throughout perimenopause and menopause are due to the decreasing hormone levels of estrogen in the body. Estrogen plays a role in many functions in the body and its declining levels throughout the transition into living with menopause leave women at a higher risk to develop heart disease. Heart disease may also develop because it runs in the family, but is also influenced by lifestyle and nutritional factors such as; stress, not being physically active, being overweight, an unhealthy diet and other lifestyle habits. Although there are a variety of risk factors to be aware of, there are a number of things that are within our control. Integrating daily preventative lifestyle and nutritional measures is how to actively take steps towards staying heart healthy.
Lifestyle Prevention
Taking the necessary steps to managing heart health during and after the menopausal transition is about focusing on what’s in our control. Lifestyle preventative tips to staying heart healthy:
- Stress Management: Stress and adrenal function is critical to lifestyle prevention because of its role in hormonal management. The adrenals become a backup system to produce enough hormones beyond menopause. Manage stress by doing things that make you happy, set boundaries and take time for yourself daily. Get social and take time to connect with loved ones or join a group, team, or club to further engage with others and do things you enjoy.
- Exercise: Being active has far reaching effects on a woman’s health including maintaining good heart health. Aim to move 20-30 minutes daily, and do not overdo it. Create a schedule, try different physical activities like walking, yoga and weight lifting which all support heart health, and don’t forget to have fun.
- Sleep: Sleep hygiene can affect cardiovascular health. To get better sleep, keep your room cool, minimize nighttime stimulants like exercise, smoking, drinking alcohol or caffeine, and eating too much too late. Also, modify your sleep schedule by going to bed and waking up at the same time 7 days a week.
- Diet: nutritional prevention and enjoying a diet rich in whole and fiber rich foods like fruits, vegetables, nuts, seeds, healthy fats, and lean protein is a natural way to support your heart health.
Preventative Nutrition
Our relationship with food is essential to reconnecting with our bodies. Developing a mindful approach to nutritional prevention is an empowering way to support ourselves throughout life, especially in menopause. Being aware of what foods to avoid and what to enjoy, as well as consuming a nutrient dense diet rich in whole foods can easily be integrated daily. The Mediterranean diet is a good example of this and is known as the cardiac diet because it has been shown to reduce heart disease. Consider integrating supportive nutrition:
- The Mediterranean diet is made up of traditional and nutrient dense foods from countries bordering the Mediterranean Sea (France, Spain, Greece, and Italy). It includes; fruits, vegetables, nuts, seeds, whole grains, and heart-healthy fats, as well as poultry, eggs, cheese, and yogurt in moderation.
- Foods high in bioflavonoids found in fruit (citrus, apples, peaches, plums, strawberries and blackberries) and vegetables (kale, onions, spinach, and broccoli), etc.
- High Fiber foods such as fruit (pears, avocado, banana and raspberries), vegetables (dark leafy greens, carrots, beets, artichoke, Brussels sprouts ), beans (lentils and kidney), whole grains (quinoa and oats), nuts (almonds, walnuts and pistachios) and seeds (chia, pumpkin and sesame), etc.
- Omega-3 rich foods: wild caught salmon, cold pressed olive oil, chia seeds and flax seeds.
- Ensure adequate protein from both lean animal and plant protein
- Pure filtered water
Women may be at greater risk for heart disease than men because of the different health issues, concerns and changes they experience across a lifespan. There are increased risks with age during the transition into menopause and after which is why it’s so important to focus on prevention. Mindfully implementing lifestyle modifications to stress management, exercise and sleep. As well as integrating preventative nutrition by bringing awareness to what foods to avoid, and enjoying beneficial foods is an empowering approach to reconnect with the body. These preventative measures are within our control, can be easily implemented daily and are effective ways to stay heart healthy.
1 Heart & Stroke Foundation: Connected by the numbers
2. Wear Canada Canada: Her heart matters
3. Society of Behavioural Medicine, Women’s Heart Health Part 1: What to Know about Women and Heart Disease across the Lifespan
**Always consult your primary health care provider before making any changes to your lifestyle, nutrition or health management plan. **