Stethoscope

Menopause and cardiovascular disease

How the fall in oestrogen at menopause affects the lipid profile and cardiovascular risk — and the role of diet.

With menopause and the fall in oestrogen, total and “bad” LDL cholesterol rise while “good” HDL falls. Fluid retention and blood pressure increase, as does total body fat — particularly abdominal fat, which is linked to cardiovascular disease.

Carbohydrate metabolism is also disturbed, with increased insulin resistance and poor glucose tolerance — conditions that predispose to metabolic syndrome. Finally, blood coagulability rises, raising the risk of embolism.

A study from Brown University of 153,569 post-menopausal women aged 50–79, followed for a mean of 10.5 years, found that higher magnesium intake was associated with a significant reduction in the risk of coronary heart disease and sudden cardiac death.