{"id":"ef5c63a10afb","type":"article","url":"https://hartvaat.nl/2026/09/01/menopauze-en-cardiovasculaire-veroudering-preventiekansen-in-de-middenleeftijd/","title":"Menopauze en cardiovasculaire veroudering: preventiekansen in de middenleeftijd","title_en":"The Menopausal Transition and Cardiovascular Aging: Implications for Prevention in Midlife.","category":"preventie","category_label":"Preventie","professions":["cardioloog","huisarts","internist"],"tags":[],"journal":"Obstetrics and gynecology clinics of North America","doi":"10.1016/j.ogc.2026.04.003","source_url":"https://doi.org/10.1016/j.ogc.2026.04.003","authors":["Ziyuan Wang","Samar R El Khoudary"],"significance":5,"published":"2026-08-05","source_date":"2026-09-01","image":"","kennis":["https://hartvaat.nl/kennis/cardiometabool/gewichtsreductie-leefstijl-hart/","https://hartvaat.nl/kennis/cardiometabool/diabetes-type-1-en-hart/"],"congress":"","summary_en":"The menopausal transition marks a critical window for cardiovascular health, as normal age-related vascular and myocardial changes can accelerate in the presence of cardiometabolic risk factors and unhealthy lifestyles. This narrative review highlights how modifiable targets, particularly lifestyle modification and standardized cardiovascular health scores, offer a practical framework for early risk stratification in midlife women. Implementing proactive preventive strategies during this period can significantly reduce the long-term burden of cardiovascular disease in women.","created":"2026-07-30T00:45:16Z","updated":"2026-08-10T10:37:04Z","licence":"Citeer vrij, met bronvermelding en een link naar hartvaat.nl (de url van het record). Samenvattingen zijn redactioneel werk van HartVaat; de oorspronkelijke publicaties blijven van hun uitgevers (doi). Geen medisch advies.","body_markdown":"Tijdens de menopauze kan de normale cardiovasculaire veroudering versnellen, vooral bij aanwezigheid van risicofactoren zoals hypertensie, dyslipidemie, obesitas en insulineresistentie. Een overzicht van de huidige literatuur benadrukt dat structurele en functionele vaat- en hartveranderingen in deze levensfase sterk samenhangen met leefstijl en inflammatoire processen. Voor de klinische praktijk biedt dit een duidelijk aanknopingspunt: het monitoren van cardiovasculaire gezondheidscores en het intensiveren van leefstijlinterventies in de middenleeftijd kunnen de lange termijn risico’s op hart- en vaatziekten bij vrouwen aanzienlijk verminderen.","abstract_original":"Midlife is a critical period for cardiovascular health, especially for women undergoing the menopause transition. During this time, normal cardiovascular aging may accelerate in the presence of unhealthy lifestyle behaviors and cardiometabolic risk factors such as hypertension, dyslipidemia, insulin resistance, obesity, chronic inflammation, and environmental exposures. The dynamic interaction between vascular and myocardial structural and functional remodeling, alongside cellular hallmarks of cardiovascular aging, underscores the biological complexity of this period. Importantly, lifestyle behaviors and cardiovascular health scores can serve as modifiable targets, highlighting a critical opportunity for early preventive strategies to support healthy aging."}