Heart disease remains the leading cause of death for women in the United States, yet many still don’t recognize the connection between menopause and cardiovascular risk. While menopause itself does not cause heart disease, the hormonal changes that occur during this transition—especially the decline in estrogen—can increase the risk of high blood pressure, high cholesterol, and plaque buildup in the arteries.
For women of color, these risks are even more pronounced due to a combination of genetic, socioeconomic, and environmental factors. Systemic inequities in healthcare access, cultural dietary habits, and chronic stress from racial and economic disparities all contribute to higher rates of cardiovascular disease (CVD) among Black, Latina, Indigenous, and Asian women in the U.S.
Heart Health Risks for Women of Color
Black Women:
- CVD is the leading cause of death among Black women in the U.S.
- Nearly 50% of Black women aged 20+ have some form of heart disease.
- Black women are more likely to develop high blood pressure earlier in life and with greater severity than other groups.
Latina Women:
- Latinas are more likely to develop heart disease 10 years earlier than non-Hispanic women.
- Only 1 in 3 Hispanic women are aware that heart disease is their leading cause of death.
- Diabetes, obesity, and high blood pressure—all risk factors for heart disease—are disproportionately high among Latinas.
Indigenous Women:
- Native American and Alaska Native women experience higher rates of obesity, diabetes, and high blood pressure—major contributors to heart disease.
- Heart disease death rates in some Indigenous communities exceed those of other racial and ethnic groups.
Asian American Women:
- Heart disease risk among Asian American women varies widely by ethnic background.
- South Asian Americans have some of the highest rates of heart disease, often developing it earlier and at lower body weights compared to other groups.
How Menopause Affects Heart Health
The loss of estrogen during menopause reduces vascular flexibility, making arteries more rigid and increasing the likelihood of high blood pressure and cholesterol buildup. This is why prioritizing heart-healthy habits during perimenopause and beyond is essential for long-term well-being.
Protect Your Heart—Starting Now!
- Adopt a heart-healthy diet rich in fiber, whole grains, lean proteins, and healthy fats.
- Stay active with at least 150 minutes of moderate exercise per week.
- Avoid smoking and limit alcohol intake.
- Manage stress through mindfulness, meditation, and deep breathing.
- Schedule regular check-ups with your healthcare provider to monitor cholesterol, blood pressure, and glucose levels.
Be Your Own Valentine
February is American Heart Month, and Cupid’s holiday is a great reminder to love yourself by prioritizing your heart health. You can start by incorporating healthy modifications to your lifestyle and making a plan with your health provider to maintain your heart health during perimenopause and in the years beyond.
Your heart matters—now and always.
FEBRUARY 2025