In a recent discussion hosted by the Philippine Heart Association (PHA), experts emphasized the critical importance of understanding menopause as a significant risk factor for cardiovascular disease (CVD) among women.
Titled "Biyaheng Menopause ng Pusong Pinay (The Journey of Menopause in the Filipino Heart)" as part of Women’s Heart Month celebrations in the country, the event on Thursday, March 21, shed light on the inevitable transition of menopause and its profound implications for women's heart health.
Former chair of the PHA Council on Women’s Cardiovascular Health Dr. Cynthia de Lara, stressed the need for women to embrace menopause as a natural phase of life.
“Embracing it allows women to focus on overall well-being, both before and during this time," de Lara said. "By making healthy lifestyle choices throughout life, Filipinas can be prepared for the changes associated with menopause and prioritize their cardiovascular health, a critical aspect of well-being at any age," she added.
Meanwhile, PHA Director III and Advocacy Committee Chair Dr. Louella Santos underscored the link between menopause and adverse changes in cholesterol levels and blood pressure, which significantly elevate the risk of CVD.
“During menopause, estrogen levels decline, reducing a woman’s natural protection against heart, brain, and bone disease,” she pointed out.
“This decline can lead to higher bad (LDL) cholesterol and lower good (HDL) cholesterol. This imbalance increases the risk of plaque buildup in arteries, which can restrict blood flow and increase the risk of heart attack or stroke,” Santos explained.
Menopause can lead to weight gain
Moreover, Cardinal Santos Medical Center (CSMC) obstetrician and gynecologist (OB-GYN) Josephine Almaria further elaborated on how menopause can lead to weight gain, particularly around the abdomen, exacerbating inflammation and cholesterol imbalances.
“This increased belly fat releases hormones that can contribute to inflammation and unhealthy cholesterol levels, further elevating CVD risk,” she noted.
“Studies also suggest a rise in blood pressure during perimenopause (the years leading up to menopause) and high blood pressure puts additional strain on the heart and arteries,” Almaria added.
Highlighting the multidisciplinary approach needed to address menopause-related health concerns, the chair of CSMC’s OB-GYN Department Evangeline Santiago, emphasized the importance of collaborative care involving gynecologists, cardiologists, endocrinologists, and other specialists.
“To the menopausal woman, do not despair; aging is not lost youth, but a new stage of opportunity and strength,” Santiago stated.
Proactive measures
However, despite the challenges posed by menopause, the experts provided proactive measures to safeguard cardiovascular health.
They advocated for a balanced diet, regular exercise, weight management, and adherence to medication as essential strategies for mitigating CVD risks during menopause.
Also, regular checkups and discussions with healthcare providers were emphasized to monitor cholesterol levels, blood pressure, and overall health status as early as 40 years to prepare for menopause.
De Lara emphasized that while estrogen offers protection against specific ailments, "an unhealthy lifestyle and strong family history of heart disease, either of the two, put you at risk of CVD even at an early age."
Furthermore, the PHA's advocacy for the "52100 healthy lifestyle code" further underscores the importance of adopting healthy habits, including adequate fruit and vegetable intake, limited sodium consumption, physical activity, and avoidance of sugary drinks and vices like smoking and excessive alcohol consumption.
The experts urged women to prioritize self-care and health-conscious behaviors to navigate menopause confidently.
By embracing change and taking proactive steps to protect heart health, women can continue to nurture themselves and their loved ones through every stage of life, the expert said.
READ: https://mb.com.ph/2024/3/5/menopausal-women-at-higher-risk-of-heart-attacks