Cardio in Menopause: Finding the Right Balance for Heart & Weight

Last Updated 13 October 2024

Menopause marks a significant transition in a woman's life, bringing about various physiological changes that can impact cardiovascular health and body composition. As oestrogen levels decline, women often face an increased risk of heart disease and weight gain, particularly around the abdomen. Cardiovascular exercise, or cardio, emerges as a crucial tool in managing these menopausal challenges.

This article explores the importance of cardio during menopause, discussing how to find the right balance for heart health and weight management. By understanding the unique needs of the menopausal body and implementing targeted cardio strategies, women can navigate this transition with greater ease and maintain their overall health and vitality.

an elder woman doing cardio on the beach

Cardiovascular Impact of Menopause

Menopause brings about significant changes in cardiovascular health, primarily due to the decline in oestrogen levels. Oestrogen plays a protective role in heart health by helping to keep blood vessels flexible and maintaining healthy cholesterol levels. As oestrogen decreases, women may experience:

  • Increased risk of coronary heart disease

  • Higher blood pressure

  • Elevated LDL (bad) cholesterol levels

  • Decreased HDL (good) cholesterol levels

  • Increased risk of metabolic syndrome

Research has shown that the risk of cardiovascular disease in women increases significantly after menopause, with postmenopausal women having a 2-3 times higher risk compared to premenopausal women of the same age. This underscores the importance of implementing effective cardiovascular exercise strategies during this life stage.

Cardio Benefits for Menopausal Women

Regular cardiovascular exercise offers numerous benefits for menopausal women, addressing both heart health and weight management concerns. Key advantages include:

  • Improved heart function and cardiovascular fitness

  • Lower blood pressure and reduced risk of hypertension

  • Better lipid profiles, including increased HDL cholesterol

  • Enhanced insulin sensitivity and glucose metabolism

  • Increased calorie burn and fat oxidation, aiding in weight management

  • Reduced abdominal fat accumulation

  • Improved mood and reduced risk of depression

A study published in the Journal of the American Heart Association found that menopausal women who engaged in regular moderate to vigorous physical activity had a significantly lower risk of cardiovascular disease compared to their sedentary counterparts.

To reap these benefits, the World Health Organization recommends that adults aged 18-64 should do at least 150-300 minutes of moderate-intensity aerobic physical activity or at least 75-150 minutes of vigorous-intensity aerobic physical activity throughout the week.

a woman wearing sports attire doing exercise outside

Optimising Cardio Intensity and Duration

Finding the right balance of intensity and duration in cardio workouts is crucial for menopausal women. Consider the following strategies:

  • Moderate-Intensity Cardio: Aim for 30-60 minutes of moderate-intensity cardio, such as brisk walking or cycling, 5 days a week. This level of activity should raise your heart rate and breathing but still allow you to carry on a conversation.

  • High-Intensity Interval Training (HIIT): Incorporate 1-2 HIIT sessions per week, alternating short bursts of high-intensity exercise with periods of recovery. This can be particularly effective for improving cardiovascular fitness and metabolic health.

  • Low-Impact Options: Choose low-impact activities like swimming or elliptical training to reduce stress on joints while still providing cardiovascular benefits.

  • Gradual Progression: Start with shorter, less intense sessions and gradually increase duration and intensity as fitness improves.

Listen to Your Body: Pay attention to how your body responds to different intensities and adjust accordingly, especially if experiencing menopausal symptoms like hot flashes.

A study in the journal Menopause found that menopausal women who participated in a 12-week moderate-intensity aerobic exercise programme experienced significant improvements in cardiovascular health markers and body composition.

Combining Cardio with Strength Training

While cardiovascular exercise is crucial, combining it with strength training can provide additional benefits for menopausal women. This balanced approach helps:

  • Preserve and build muscle mass, which naturally declines with age and hormonal changes

  • Increase bone density, reducing the risk of osteoporosis

  • Boost metabolism, aiding in weight management

  • Improve insulin sensitivity and glucose metabolism

  • Enhance overall functional fitness and quality of life

  • A recommended approach is to engage in:

  • 150 minutes of moderate-intensity cardio per week

  • 2-3 strength training sessions targeting all major muscle groups

Research published in the Journal of Bone and Mineral Research demonstrated that a combined programme of aerobic and resistance training was more effective in improving bone mineral density in postmenopausal women compared to aerobic exercise alone.

a woman jogging with a water bottle

Overcoming Challenges and Staying Motivated

Maintaining a consistent cardio routine during menopause can be challenging. Here are strategies to overcome common obstacles:

  • Schedule Workouts: Treat exercise as a non-negotiable appointment in your calendar.

  • Find Activities You Enjoy: Experiment with different forms of cardio to find what you like best, whether it's dancing, hiking, or group fitness classes.

  • Set Realistic Goals: Start with achievable targets and gradually increase them as you progress.

  • Track Progress: Use a fitness tracker or journal to monitor improvements in cardiovascular fitness and overall health.

  • Join a Support Group: Connect with other menopausal women for motivation and accountability.

  • Adapt to Symptoms: If experiencing hot flashes, choose cooler environments for workouts or have cooling towels on hand.

  • Prioritise Recovery: Allow for adequate rest between workouts and focus on quality sleep to support overall health and exercise performance.

A study in the Journal of Women's Health found that menopausal women who participated in group exercise classes had higher adherence rates and greater improvements in cardiovascular health compared to those exercising alone.

Conclusion

Cardiovascular exercise emerges as a powerful tool for menopausal women to support heart health and manage weight during this transitional phase. By implementing a balanced approach that combines various intensities of cardio with strength training, women can effectively address the unique challenges posed by menopause and maintain their overall health and vitality.

Sources

Menopause and heart health – 4 tips for a healthy heart while your body is changing facebook Facebook.  

Menopause and your heart.  

Exercise beyond menopause: Dos and Don’ts.

CHRISTINA STORIE-PUGH

One of the three co-founders of Embrace, Christina is an experienced content strategist and passionate about health and wellness. She is mother to Margaux, the life and soul of the party.

Previous
Previous

Mitochondrial Function & Menopause: Boosting Cellular Powerhouses

Next
Next

Recovery Nutrition After 50: Post-Workout Meals for Menopausal Bodies