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Menopause is filled with challenges that can be seen and felt—such as hot flashes, thinning hair, and brain fog.

But menopause has a more silent—and deadly—side effect: declining heart health.

According to a recent study, 80 percent of menopausal women don’t have optimal heart health.

Fortunately, this same study revealed a powerful way to fight back…

As you age, your risk of heart problems naturally rises. But for women, menopause is like putting your foot on the accelerator.

To determine the impact of lifestyle factors on this risk, researchers began collecting data on over 3,000 women volunteers starting around age 46.

They evaluated their Life’s Essential 8 (LE8) scores at the beginning of the study and then followed their health over time.

The American Heart Association Life’s Essential 8 evaluates eight key behaviors that impact heart health. Your overall score gives you a heart health “grade” and lets you know if you’re at a greater risk of heart attack or other cardiovascular diseases.

After nearly 30 years, four out of five women in the study had poor heart health.

As you probably guessed, those with the lowest LE8 scores had the highest risk of future heart health problems.

The four most significant factors driving these heart issues were:

  • High blood sugar
  • High blood pressure
  • Nicotine use
  • Poor sleep quality

Of these, which was the most powerful predictor of future heart issues and mortality?

Poor sleep.

Put simply, getting seven to nine hours of quality sleep in midlife leads to better heart health and longer life.

You can’t avoid menopause, but you can do something about how much sleep you’re getting.

To find your ideal bedtime, check when the sun rises and count back seven to nine hours.

Waking up and spending time outside at sunrise is one of the best ways to boost sleep because it helps to set your circadian rhythm and increases melatonin.

For even better heart health, adopt the other seven behaviors in Life’s Essential 8 into your routine:

  1. Be more active.
  2. Manage your weight.
  3. Stop smoking.
  4. Control your lipid levels.
  5. Manage blood sugar.
  6. Manage blood pressure.
  7. Eat a healthy diet.

The connection between sleep and heart health during menopause isn’t just another health statistic—it’s a wake-up call that could save your life. While the hormonal changes of menopause are inevitable, the decline in your heart health doesn’t have to be.

Start tonight. Set a bedtime that allows for seven to nine hours of quality sleep, and wake up with the sun tomorrow morning.

Remember, small changes in your daily routine can lead to profound improvements in your long-term health. By prioritizing sleep and gradually incorporating the other Life’s Essential 8 behaviors, you’re not just managing menopause—you’re taking control of your future.

P.S. This simple three-step plan HALTS age-related muscle loss.

View Sources

Ziyuan Wang, Emma Barinas-Mitchell, Maria M. Brooks, Carol A. Derby, et al., Prospective associations of American Heart Association Life’s Essential 8 with subclinical measures of vascular health, cardiovascular disease events, and all-cause mortality in women traversing menopause: The Study of Women’s Health Across the Nation study, Menopause, 10.1097/GME.0000000000002549, 07.08.25. DOI: 10.1097/GME.0000000000002549


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