Cardiovascular Disease Risk and Menopause

Cardiovascular Disease Risk and Menopause

Author: Corinna Serviente

Publisher:

Published: 2018

Total Pages:

ISBN-13:

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Menopause is associated with adverse changes in cardiovascular disease risk factors. A reduction in estrogens is most commonly associated with changing cardiovascular disease risk; however, recent observations suggest that the increase in follicle stimulating hormone that accompanies menopause may also influence risk, potentially through its influence on lipid levels. The changes in cardiovascular disease risk factors may adversely affect endothelial cell function, a pre-clinical marker for cardiovascular disease. Whether cardiorespiratory fitness is protective of endothelial health in this population, thereby mitigating the changes in risk that accompany menopause, is unclear. This dissertation evaluated differences in endothelial health and endothelial responses to acute exercise in women in various menopausal stages and with different levels of cardiorespiratory fitness. Endothelial health was assessed using flow-mediated dilation and endothelial microparticles (EMPs). The project also evaluated whether follicle stimulating hormone (FSH) levels were related to lipid levels in a large cohort of postmenopausal women. We found that: 1) endothelial function declines with menopause, independent of cardiorespiratory fitness, 2) EMPs are reduced with acute, moderate intensity exercise in midlife women, despite differences in menopausal status and cardiorespiratory fitness, 3) High FSH is related to dyslipidemia in postmenopausal women. Together, these data suggest that menopause and cardiorespiratory fitness differentially impact factors related to cardiovascular disease risk.


The Influence of Neighborhood Environment on Risk Factors for Cardiovascular Disease in African American Women

The Influence of Neighborhood Environment on Risk Factors for Cardiovascular Disease in African American Women

Author: Heather J. Leach

Publisher:

Published: 2013

Total Pages:

ISBN-13:

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Cardiovascular disease (CVD) is the leading cause of death for women in the US. Prevalence of risk factors for CVD such as hypertension, physical inactivity and obesity is high in African American (AA) women. Ecologic models suggest that built environments which support physical activity can reduce risk for CVD. However, questions remain about the influence of the built environment on changes or long term maintenance of physical activity, health outcomes, and overall risk for CVD. This study examined the influence of built environment characteristics on (1) changes in self-reported physical activity, body mass index (BMI), percent body fat (BF%) and blood pressure (BP) five years following an individually focused intervention, (2) cardiorespiratory fitness (CRF), lipid profile and fasting blood glucose, and (3) the likelihood of having four or more CVD risk factors at ideal levels. AA women who took part in the Health Is Power (HIP) project participated in this study (N=30). Participant’s neighborhoods were assessed for characteristics hypothesized to support physical activity. At five-year follow up, BMI (M=33.5kg/m2, SD=8.3) and diastolic BP (M=78.9mmHg, SD=10.6) were not significantly different from post intervention. BF% (M=43.7, SD=5.8) increased, and systolic BP (M=117.9, SD=13.5), walking physical activity (Median=973.0 MET-min/week) and leisure time physical activity (Median=792.2 MET-min/week) decreased from post intervention. Overall, 66.7% of participants had four or more CVD risk factor metrics at ideal levels. Linear regression models showed that built environment characteristics did not predict changes in physical activity or health outcomes from post intervention to five-year follow up. Higher crime score was associated with larger waist circumference [F(1,25)=5.39, p=.029, R2=.183], and participants who were older than 55 and lived in neighborhoods with few, low quality physical activity resources were least likely to have four or more CVD risk factors metrics at ideal levels. To support sustainability of health behaviors and outcomes following an individually focused intervention, researchers and community leaders should consider the importance of other aspects the intervention such as psycho-social factors. Qualitative aspects of the built environment such as crime and quality of physical activity resources may be most important for health and disease risk in older, AA women.


Exercise and Women's Health

Exercise and Women's Health

Author: Laura T. Allerton

Publisher: Nova Publishers

Published: 2008

Total Pages: 284

ISBN-13: 9781604561821

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In the last 50 years significant numbers of men and women take little exercise in the course of their occupation. Computer keyboard, rise of private transport, world by television, household "labour saving" devices, mean that people work and play with a minimal physical effort. The benefits of doing regular exercise include a reduced risk of heart disease, stroke, colon cancer, breast cancer, osteoporosis, and obesity. In addition, many people feel better about themselves during and after exercise. Regular exercise is also thought to help ease stress, anxiety, and mild depression. This book presents the latest research in this field.


Action Plan for Menopause

Action Plan for Menopause

Author: Barbara Ann Bushman

Publisher: Human Kinetics

Published: 2005

Total Pages: 238

ISBN-13: 9780736056182

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Based on the latest research, this exercise-based plan will help you take control of your fitness. You will learn the best and safest exercises for perimenopause, menopause, and postmenopause and how diet, medication, and exercise interact to affect symptoms.--[book cover].


The Role of Cardiorespiratory Fitness and the Effectiveness of Exercise in Altering Visceral Adipose Tissue and Cardio-metabolic Risk Factors in Post-menopausal South Asian Women

The Role of Cardiorespiratory Fitness and the Effectiveness of Exercise in Altering Visceral Adipose Tissue and Cardio-metabolic Risk Factors in Post-menopausal South Asian Women

Author: Iris Aline Lesser

Publisher:

Published: 2015

Total Pages: 97

ISBN-13:

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Background: South Asians have higher rates of type 2 Diabetes and cardiovascular disease (CVD) than Europeans with earlier disease onset. South Asians have been shown to have a unique obesity phenotype of greater visceral adipose tissue (VAT) at a given body size which may explain the higher cardio-metabolic risk factors compared to Europeans. Exercise has been shown to reduce VAT in Europeans but it is unknown if it is also effective in South Asians given their unique obesity phenotype.Objectives: The objectives of this thesis were threefold; 1) to explore the association between cardiorespiratory fitness (CRF) and VAT; 2) to assess the role of standard exercise and Bhangra dance in altering VAT and 3) to assess the association between exercise-induced change in VAT and change in cardio-metabolic risk in post-menopausal South Asian women.Methods: Multi-slice computed tomography was used to assess VAT, aerobic fitness via metabolic testing and cardio-metabolic risk factors through a 12-hour fasting sample. Seventy-five post-menopausal South Asian women were randomized into either three weekly sessions for 12-weeks of standard exercise, Bhangra dance or a non-exercise control group. One-way ANOVA was used to compare VAT across tertiles of CRF. General linear models were used to assess whether VAT was reduced in exercise compared to the referent control group. Bivariate correlations were used to assess the associations between change in VAT with change in cardio-metabolic risk factors. Results: Physically inactive post-menopausal South Asian women with higher levels of CRF were shown to have lower levels of VAT. There was a non-significant reduction in VAT after 12-weeks of aerobic exercise compared to the referent control group while the Bhangra dance group exhibited a significant improvement in CRF. The change in VAT was significantly associated with change in markers of glucose regulation.Discussion: Cardiorespiratory fitness is associated with VAT; however, a 12-week aerobic exercise program did not significantly reduce VAT in South Asian women. Nevertheless, those who reduced VAT saw improvements in cardio-metabolic risk factors. There may be a South Asian VAT "resistant" phenotype; however, Bhangra dance appears to be an effective physical activity option for increasing CRF.


Effectiveness of Diet and Exercise Intervention Programs on Cardiovascular Disease Risk Factors Among Postmenopausal Iranian Women

Effectiveness of Diet and Exercise Intervention Programs on Cardiovascular Disease Risk Factors Among Postmenopausal Iranian Women

Author: Parvin Abedi

Publisher:

Published: 2009

Total Pages: 538

ISBN-13:

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Cardiovascular disease (CVD) is one of the major complications in menopausal women internationally. CVD, including heart diseases and stroke, are the leading causes of death, and is now a leading cause of death and disability in Iran. The aim of this study was to evaluate the effect of diet and exercise educational intervention on improving cardiovascular risk factors among postmenopausal Iranian women. This study started on June 2007 and was completed on May 2008. The study was carried out with participants recruited in a Health clinic in Ahvaz Iran. A total of 136 postmenopausal women were randomly assigned to four groups namely; exercise (38), diet (35), diet+ exercise (34) and control groups (29). The anthropometric, biochemical, health beliefs, physical activity and dietary intake of participants were measured at baseline and after six months. Over the six months intervention period, the three intervention groups received a multi-component educational consisting of one face-to-face education, three lecture discussion sessions and group counseling sessions (every week in the first month). They were also received three booklets about menopause, CVD, healthy diet and exercise with emphasis on components of Health Belief Model (HBM), monthly telephone reminders (each month after the first month) and individual counseling midway at the 3rd month. The control group received booklets only. Baseline and 6th month assessments were conducted by using the same questionnaires (interview-administered format). After six months intervention there was a significant positive change (P


Cardiorespiratory Fitness in Cardiometabolic Diseases

Cardiorespiratory Fitness in Cardiometabolic Diseases

Author: Peter Kokkinos

Publisher:

Published: 2019

Total Pages:

ISBN-13: 9783030048174

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This book examines the links between physical activity (PA), cardiorespiratory fitness (CRF), and cardiovascular and metabolic diseases. It presents an overview of the role of PA and CRF in the prevention and management of risk factors associated with cardiometabolic diseases such as hypertension, peripheral vascular disease, stroke, type 2 diabetes, metabolic syndrome, dyslipidemia, obesity, and atherosclerosis. In addition, it explores how these risks vary with different populations such as the elderly and people of various racial backgrounds. The book also highlights risks associated with exercise and presents a prescription for appropriate and efficacious exercise to minimize risk and maximize health benefits for the heart. Cardiorespiratory Fitness in Prevention and Management of Cardiometabolic Disease is an essential resource for physicians, exercise physiologists, medical students, residents, fellows, nurses, and researchers in cardiology, cardiorespiratory fitness, exercise science, health promotion and disease prevention, public health, and epidemiology.