“The first 10 years post menopause is an important window for intervention and is where preventative measures can be most effective…”.1

Umbrella
What may the Postmenopause and Chronic Disease Prevention Umbrella include?

Depending on the Source (DotS) this Umbrella may include:

  • After/Beyond Menopause, Postmenopause Chronic Conditions/Diseases/Illnesses Prevention
  • After/Beyond Menopause, Postmenopause Healthy Living

Chronic Conditions

Postmenopause, how many women may experience chronic conditions?

On page one in The Mediterranean Diet and Menopausal Health: An EMAS Position Statement – Abstract: Introduction Cano et al. elaborate on:

“Globally, 985 million women are aged 50 and over, leading to increasing concerns about chronic conditions such as cardiovascular disease, osteoporosis, dementia, and cognitive decline, which can adversely affect quality of life and independent living”.2

Prevention

Postmenopause, how may chronic disease be prevented?

On page two in Prevention of Diseases After Menopause: Summary of Prevention Strategies Lobo et al. elaborate on:

“The first 10 years after menopause are an important window for intervention. For all women, lifestyle measures (diet and exercise), control of body weight, mentally stimulating activity and regular screening for cancer should be carried out. As part of this armamentarium, MHT should be considered, particularly in symptomatic women. Beyond this, the identification of specific risks (e.g. osteoporosis) may warrant more specific prevention therapy”.3

On page four in Maintaining Health and Preventing Disease After the Menopause the International Menopause Society (IMS) list their Top 10 Prevention Tips for Chronic Disease In Later Life:

“The first 10 years post menopause is an important window for intervention and is where preventative measures can be most effective:

  1. Smoking cessation
  2. Reduction of alcohol consumptionPostmenopause and Chronic Disease Prevention
  3. Regular aerobic exercise
  4. Healthy diet
  5. Control of body weight
  6. Participation in mentally stimulating activities
  7. Regular screening for cancer
  8. Consideration of MHT in women younger than age 60, not only to help manage hot flushes and other symptoms of the menopause transition but also potentially, to help prevent CHD
  9. Consideration of specific prevention therapies for other diseases if you are at higher risk because of family history or other personal risk factor
  10. Be sure to discuss your options and prevention strategies with your healthcare professional”.4

Hormone Therapy

Postmenopause, is hormone therapy (HT) recommended for the prevention of chronic diseases?

Although HT “hormone therapy is one of the most effective treatments available for bothersome hot flashes and night sweats”5, HT in postmenopausal women is not recommended for the primary prevention of chronic conditions such as heart disease, stroke, diabetes, dementia, cancer and bone fractures.

In December 2017, the (United States) Preventative Services Task Force (USPSTF) updated their 2012 recommendations. In Hormone Therapy In Postmenopausal Women: Primary Prevention of Chronic Conditions their recommendations include:

Postmenopause and Chronic Disease Prevention

“Postmenopausal women
The USPSTF recommends against the use of combined estrogen and progestin for the primary prevention of chronic conditions in postmenopausal women”.6

In Hormone Therapy In Postmenopausal Women: Primary Prevention of Chronic Conditions, the USPSTF’s recommendations also include:

“Postmenopausal women who have had a hysterectomy
The USPSTF recommends against the use of estrogen alone for the primary prevention of chronic conditions in postmenopausal women who have had a hysterectomy”.7

Health Care Provider

What if I would like help with postmenopause chronic disease prevention?

If you would like help with postmenopause chronic disease prevention, it may be in your best interest to choose to talk to your health care provider about this. The IMS remind us:

“The menopause transition should be used as an opportunity to visit your healthcare professional for a check-up, assess potential risks and proactively start to manage later life. Obesity, diabetes, cardiovascular disease, osteoporosis and osteoarthritis, cognitive decline and dementia, depression, and cancer are the key diseases to address”.8

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Sources

Where may I find the Sources quoted?

You may find the Sources quoted at:

Sources

  1. Maintaining Health and Preventing Disease After the Menopause: Top 10 Prevention Tips for Chronic Diseases In Later Life. 2014:4. International Menopause Society https://www.imsociety.org/downloads/world_menopause_day_2014/booklets/ims_wmd_booklet_2014_english.pdf Accessed: 18 July 2020
  2. Cano, A. et al. The Mediterranean Diet and Menopausal Health: An EMAS Position Statement – Abstract: Introduction. 15 July 2020:1. https://www.emas-online.org/wp-content/uploads/2020/07/The-Mediterranean-diet-and-menopausal-health.pdf Accessed: 18 July 2020
  3. Lobo, R. A. et al. Prevention of Diseases After Menopause: Summary of Prevention Strategies. 2014:22 https://www.imsociety.org/downloads/world_menopause_day_2014/white_paper/wmd_white_paper_english.pdf Accessed: 18 July 2020
  4. Maintaining Health and Preventing Disease After the Menopause: Top 10 Prevention Tips for Chronic Diseases In Later Life. 2014:4. International Menopause Society https://www.imsociety.org/downloads/world_menopause_day_2014/booklets/ims_wmd_booklet_2014_english.pdf Accessed: 18 July 2020
  5. Deciding About Hormone Therapy Use. 2017:1. North American Menopause Society https://www.menopause.org/docs/default-source/for-women/menonote-deciding-about-ht-2017.pdf Accessed: 18 July 2020
  6. Hormone Therapy In Postmenopausal Women: Primary Prevention of Chronic Conditions. Current As of: December 2017. U.S. Preventative Services Task Force https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/menopausal-hormone-therapy-preventive-medication Accessed: 18 July 2020
  7. Hormone Therapy In Postmenopausal Women: Primary Prevention of Chronic Conditions. Current As of: December 2017. U.S. Preventative Services Task Force https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/menopausal-hormone-therapy-preventive-medication Accessed: 18 July 2020
Topic Last Updated: 18 July 2020 – Topic Last Reviewed: 18 July 2020
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