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Make the Best of the Menopause Years

Times are changing—here’s the good news!

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Make the Best of the Menopause Years

Menopause has been a taboo subject for too long. Even among women, the topic has often been shrouded in silence because many considered it the loss of youthfulness. Times are changing, however, and so, too, is the way we view and handle a biological chapter that makes up one-third to one-half of a woman’s life.

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The menopause journey

Somewhere in our fourth decade of life, our bodies start acting up—hot flashes, night sweats, sleep problems, and irregular periods. Ditto for depression and mood swings, joint pain, bloating, memory issues, low libido, hair changes, and weight gain, particularly in the midsection.

It’s a rollercoaster, and it starts with perimenopause around the age of 40 (or earlier) and it can last between six to eight years.

Menopause is the one-day milestone women reach once they have gone without a period for a year (tracking makes sense!). After that, it’s all post-menopause. Many symptoms subside, but the risk of some chronic diseases can go up.

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Behind the scenes

Estrogen and progesterone work together to orchestrate the menstrual cycle, and they start fluctuating during perimenopause. So does testosterone, which can cause depression and lower libido, and may increase the risk of cardiovascular diseases and insulin resistance during post-menopause.

Estrogen keeps almost everything running smoothly in a woman’s body: menstrual cycles, glucose balance, brain and heart health, temperature control, immunity, bone and muscle health, pelvic floor health, and skin and hair, too. Low estrogen means hot flashes, insomnia, vaginal dryness, and incontinence, among others. Too much of it leads to breast tenderness, bloating, and heavy periods.

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The way our bodies change (and why it matters)

After 30, we lose approximately 3 to 5 percent of our muscle mass each decade, which is due to aging (so is fat tissue accumulation), but menopause can add to it due to dwindling estrogen levels.

We also lose bone tissue (20 percent of bone loss happens during menopause), more so after 50.

Both menopause and the aging process have impacts on metabolism. Postmenopausal women often have higher blood glucose and insulin levels, which can increase the risk of metabolic syndrome and heart disease.

Not exactly hot news, but it’s not all gloom and doom either. Science has answers!

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Eat better for a better journey

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Go Mediterranean

If you had to pick a diet pattern during menopause and beyond, go for Mediterranean, which includes veggies; fruit; lean protein; healthy fats (avocados, nuts, seeds, and olive oil); and plenty of health-promoting polyphenols. This supports your microbiome and helps reduce the risk of age-related chronic diseases.

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Get enough protein

Protein is on many women’s minds. Boost your intake to 1.2 to 1.6 g per kilogram per day to help maintain muscle mass, in conjunction with resistance training. Experiment with a high-protein breakfast to increase satiety. Plant protein comes with the benefit of fibre and phytochemicals, but if you prefer to have both, choose lean animal protein sources, low in saturated fats and salt. (You can eat some saturated fats; just don’t overdo it.)

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Get plenty of fibre

Weight gain during menopause (also aging related) can steer women away from carbohydrates, but whole grains, legumes, vegetables, and fruit supply fibre, which contributes to better gut health and improved digestion. Keep them, and ditch simple sugars instead (occasional treats are okay!).

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Add some probiotics

Adding fermented foods such as sauerkraut and kimchi can also improve gut health and reduce bloating, and a little goes a long way.

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Remember calcium and vitamin D

Dwindling estrogen levels affect bone density, so it’s essential to consume calcium-rich foods: leafy green vegetables, fermented dairy products and fortified plant-based alternatives, cruciferous veggies, calcium-set tofu, beans, sesame and sunflower seeds, and sardines.

Let’s not forget vitamin D, also needed for bone health. Safe sun exposure and regular consumption of fortified foods and fatty fish can help, but talk to your doctor about bone-supportive supplementation of these nutrients, along with vitamin K2 (produced by beneficial gut bacteria and found in broccoli and leafy greens).

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Lifestyle matters, too

The menopausal journey overlaps high stress times for many women: parenting, work demands, caring for aging parents, and/or dramatic life changes.

Along with fluctuating hormones, stress can also affect sleep, sabotage eating habits, and make us crave foods high in added sugars and fat, which leads to visceral fat accumulation, a high risk factor for age-related chronic illness.

Slash stress levels with yoga and meditation and prioritize sleep with good habits: early dinners, choosing books over screens, and swapping out beverages for soothing herbal teas. Alcohol can affect sleep quality and it can increase breast cancer risk.

Two to three sessions of resistance exercise weekly may help prevent muscle loss and bone loss, improve body composition, and boost cognition. Cardiovascular activities (walking counts!) can also boost brain health and reduce the risk of dementia.

So does a good circle of friends. Let’s remember that shared experiences make the journey a lot easier. Scary as they may be at times, rollercoasters can also be exciting, so why not this one?

Foods and supplements to consider

flaxseeds

source of fibre, omega-3s, and lignans (help eliminate excess estrogen)

soy (tofu, tempeh, soybeans, edamame)

source of isoflavones, can reduce hot flashes, improve bone health, and reduce breast cancer risk

probiotics and prebiotics

may help with gut imbalances, including bloating and gas

omega-3 fatty acids

anti-inflammatory, cardioprotective, increase insulin sensitivity

vitamin B12

red blood cell and DNA production, cardio- and neuroprotective

Menopause reality in numbers

  • half the workforce in Canada are women and approximately 5 million of those are over age 40
  • 2 million women aged 45 to 55 experience various menopause symptoms and almost 3/4 of them feel they lack proper support at work
  • 27 percent of women have had proactive conversations with their doctor about menopause
  • 1 in 10 women leaves the workplace due to menopause

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Matthew Kadey, MSc, RDMatthew Kadey, MSc, RD