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Heart health risk factors for women over age 50: 'Don't ignore new symptoms,' experts warn

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Heart health risk factors for women over age 50: 'Don't ignore new symptoms,' experts warn

February is American Heart Month — a good time to know what’s at stake in terms of your cardiovascular health.

For women over age 50, a few factors regarding heart health deserve a little more attention, according to experts.

Cardiovascular disease (CVD) is the leading cause of death in women, according to Northwell Health cardiologist Dr. Stacey Rosen, who is based in New York.

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Nearly 45% of women over 20 years old are actually living with some form of CVD, Rosen told Fox News Digital.

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Gender-specific risk factors include menstrual history and adverse pregnancy outcomes, she said. 

Cardiovascular disease is the leading cause of death in women, according to experts. For American Heart Month in February, there are risk factors women need to know about — and how to handle them.   (iStock)

“Other sex-specific risk factors include anxiety and depression, increased risk due to certain treatments for breast cancer, and rheumatologic conditions,” she said.

Dr. John Whyte, chief medical officer of WebMD and based in Washington, D.C., also told Fox News Digital about some primary risk factors for women age 50 and older — starting with menopause.

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“The decrease in estrogen levels after menopause is linked to an increased risk of cardiovascular disease,” he said. “That’s one of the reasons [we see an] increase in heart attacks around this age.”

High blood pressure and high cholesterol also often increase with age and can become “more challenging to control,” Whyte said.

Gender-specific heart disease risk factors include menopause, menstrual history and adverse pregnancy outcomes, according to experts. (iStock)

“Changes in cholesterol levels, including increases in ‘bad’ LDL cholesterol and decreases in ‘good’ HDL cholesterol, can elevate heart disease risk,” he said.

Diabetes risk also increases with age, which significantly raises the chance of heart disease, Whyte said, as do other health factors such as obesity, smoking and a sedentary lifestyle.

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“Lack of physical activity can increase the risk of heart disease and other co-morbid conditions,” he added.

Symptoms worth noticing

As women often experience different cardiac symptoms than men, the “classic chest pain that radiates down the left arm” may not occur, Whyte said.

Women may instead notice unusual or extreme fatigue, shortness of breath, dizziness, nausea and indigestion.

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Jaw, neck and upper back pain are often overlooked, as they often occur without the chest pain associated with heart attacks, according to experts.

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“The symptoms women experience with heart disease can often be different,” Rosen of New York said. 

“Don’t ignore new symptoms like fatigue, breathlessness or indigestion.”

Symptoms of heart problems in women can appear as unusual or severe fatigue, shortness of breath, dizziness, nausea and indigestion. (iStock)

There are several routine exams to monitor heart health, Whyte noted.

Blood pressure screenings are “crucial,” the doctor said, as “hypertension is a silent killer.”

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An annual cholesterol profile check will monitor levels of HDL (“good” cholesterol), LDL (“bad” cholesterol) and triglyceride (lipid fats).

“The key is not just total cholesterol, but also LDL,” Whyte said.

An annual cholesterol profile check will help monitor HDL (“good” cholesterol), LDL (“bad” cholesterol) and triglyceride levels. (iStock)

Blood glucose tests can also be helpful in monitoring diabetes, which is a “significant risk factor for heart disease,” Whyte said, as well as a coronary calcium score to determine risk.

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People with symptoms or significant risk factors can check for heart rhythm abnormalities through an electrocardiogram (EKG/ECG), experts recommend.

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It’s “important to have a primary care clinician who knows you well and can help determine the need for further evaluation,” Rosen added.

“Develop a trusting, longitudinal relationship with a primary care clinician,” she recommended. “This is the time to be a ‘good’ patient. Ask questions about prevention strategies and cardiovascular testing that is appropriate for you.”

Strategies to keep the heart happy

The majority of CVD is preventable through lifestyle changes, heightened awareness and education, Rosen said — which means that “your heart health is in your hands.”

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“Know your numbers — cholesterol, weight, waist circumference, blood pressure, blood sugar — as all are important risk factors that can be modified,” she said.

Health factors such as obesity, smoking and a sedentary lifestyle increase heart disease risk, experts said. (iStock)

For day-to-day upkeep, Whyte listed several foods that are known to promote a healthy heart.

These include fruits and vegetables that are rich in vitamins, minerals, fiber and antioxidants; whole grains for fiber and nutrients; lean protein like fish and poultry; nuts and seeds for healthy fats; legumes for fiber and protein; and coffee and tea for antioxidants.

Limiting sugary foods and drinks will help prevent obesity and diabetes.

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Among the foods to avoid are saturated and trans fats, which are found in red meat, butter, cheese and processed foods, experts said.

Steering clear of excess salt will also help avoid high blood pressure — while limiting sugary foods and drinks will help prevent obesity and diabetes.

Processed and junk foods are “generally high in unhealthy fats, sugars and salt” and therefore should also be avoided, Whyte added.

Saturated and trans fats found in red meat, butter, cheese and processed foods should be avoided to promote heart health, Whyte said. (iStock)

Women over age 50 should partake in regular physical activity, which involves at least 150 minutes of moderate aerobic activity or 75 minutes of “vigorous activity” each week, he recommended.

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“Start anywhere,” he advised. Do “10 [minutes] a day or 4,000 steps a day … and slowly increase. Don’t get discouraged thinking you can’t do 150 [minutes].”

Maintaining a healthy weight through a balanced diet and exercise will also help ward off heart complications, as well as quitting smoking, limiting alcohol intake and managing stress.

It’s crucial for women over age 50 to prioritize their sleep and stress management, one expert told Fox News Digital.  (iStock)

Whyte suggested women should try stress-reducing techniques such as mindfulness, yoga or deep breathing, and should also get adequate sleep.

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“Aim for seven to nine hours per night, as poor sleep can cause chronic inflammation,” he said.

Rosen agreed that while being mindful of daily lifestyle choices like eating healthy foods and exercising is important, it’s also crucial for women over 50 to prioritize their sleep and stress management.

“Speak to your clinician to learn of the advances that have been made to assist in adhering to a healthy lifestyle,” she said. 

“For example, we can manage issues with sleep disorders better than ever before. Don’t be afraid to ask.”

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Aging process could accelerate due to ‘forever chemicals’ exposure, study finds

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Aging process could accelerate due to ‘forever chemicals’ exposure, study finds

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A new study suggests that middle-aged men may be more vulnerable to faster biological aging, potentially linked to exposure to “forever chemicals.”

The research, published in the journal Frontiers in Aging, examined how perfluoroalkyl and polyfluoroalkyl substances, more commonly known as PFAS, could impact aging at the cellular level.

PFAS are synthetic chemicals commonly used in nonstick cookware, food packaging, water-resistant fabrics and other consumer products, the study noted. 

Their chemical structure makes them highly resistant to breaking down, allowing them to accumulate in water, soil and the human body.

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Chinese researchers analyzed blood samples from 326 adults enrolled in the U.S. National Health and Nutrition Examination Survey between 1999 and 2000.

A new study suggests that middle-aged men could face accelerated biological aging at the cellular level due to exposure to PFAS. (iStock)

The researchers measured levels of 11 PFAS compounds in participants’ blood and used DNA-based “epigenetic clocks” — tools that analyze chemical changes to DNA to estimate biological age — to determine how quickly their bodies were aging at the cellular level, the study stated.

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Two compounds, perfluorononanoic acid (PFNA) and perfluorooctanesulfonamide (PFOSA), were detected in 95% of participants.

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Higher concentrations of those chemicals were associated with faster biological aging in men of certain age groups, but not in women.

“People should not panic.”

The compounds most strongly linked to accelerated aging were not the PFAS chemicals that typically receive the most public attention, the researchers noted.

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“The associations were strongest in adults aged 50 to 64, particularly in men,” Dr. Xiangwei Li, professor at Shanghai Jiao Tong University School of Medicine and the study’s corresponding author, told Fox News Digital. 

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“While this does not establish that PFAS cause aging, it suggests that these widely present ‘forever chemicals’ may be linked to molecular changes related to long-term health and aging.”

The study found that two of the compounds were detected in 95% of participants, and higher levels were linked to faster biological aging in men ages 50–64. (iStock)

Midlife may represent a more sensitive biological period, when the body becomes more vulnerable to age-related stressors, according to the researchers.

Lifestyle factors, such as smoking, may influence biological aging markers, potentially increasing vulnerability to environmental pollutants.

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While Li said “people should not panic,” she does recommend looking for reasonable ways to reduce exposure. 

That might mean checking local drinking water reports, using certified water filters designed to reduce PFAS, and limiting the use of stain- or grease-resistant products when alternatives are available.

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Meaningful reductions in PFAS exposure will likely depend on broader regulatory action and environmental cleanup efforts, Li added.

The researchers noted that midlife could be a particularly sensitive stage, when the body is more susceptible to stressors associated with aging. (iStock)

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Study limitations

The researchers outlined several important limitations of the research, including that the findings show an association, but do not prove that PFAS directly causes accelerated aging.

“The study is cross-sectional, meaning exposure and aging markers were measured at the same time, so we cannot determine causality,” Li told Fox News Digital.

The study was also relatively small, limited to 326 adults age 50 or older, which means the findings may not apply to younger people or broader populations.

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Researchers measured PFAS levels using data collected between 1999 and 2000, and today’s exposure patterns may differ.

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Li added that while PFAS is known to persist in the environment and the body, these results should be validated through larger, more recent studies that follow participants over time.

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Melissa Joan Hart, 49, Opens up About Weight Loss in Perimenopause

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Alzheimer’s prevention breakthrough found in decades-old seizure drug

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Alzheimer’s prevention breakthrough found in decades-old seizure drug

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A drug that has long been used to treat seizures has shown promise as a potential means of Alzheimer’s prevention, a new study suggests.

The anti-seizure medication, levetiracetam, was first approved by the FDA in November 1999 under the brand name Keppra as a therapy for partial-onset seizures in adults. The approval has since expanded to include children and other types of seizures.

Northwestern University researchers recently found that levetiracetam prevented the formation of toxic amyloid beta peptides, which are small protein fragments in the brain that are commonly seen in Alzheimer’s patients.

The medication was found to prevent the formation of amyloid-beta 42 in both animal models and cultured human neurons, according to the study findings, which were published in Science Translational Medicine.

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The effect was also seen in post-mortem human brain tissue obtained from individuals with Down syndrome, who are at high risk for Alzheimer’s disease.

The medication was found to prevent the formation of amyloid-beta 42 in both animal models and cultured human neurons. (iStock)

“While many of the Alzheimer’s drugs currently on the market, such as lecanemab and donanemab, are approved to clear existing amyloid plaques, we’ve identified this mechanism that prevents the production of the amyloid‑beta 42 peptides and amyloid plaques,” said corresponding author Jeffrey Savas, associate professor of behavioral neurology at Northwestern University Feinberg School of Medicine, in a press release. 

“Our new results uncovered new biology while also opening doors for new drug targets.”

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The brain is better able to avoid the pathway that produces toxic amyloid‑beta 42 proteins in younger years, but the aging process gradually weakens that ability, Savas noted. 

“This is not a statement of disease; this is just a part of aging. But in brains developing Alzheimer’s, too many neurons go astray, and that’s when you get amyloid-beta 42 production,” he said. 

The effect was also seen in post-mortem human brain tissue obtained from individuals with Down syndrome, who are at high risk for Alzheimer’s disease. (iStock)

That then leads to tau (“tangles”) — abnormal clumps of protein inside brain neurons — which can kill brain cells, trigger neuroinflammation and lead to dementia.

In order for levetiracetam to function as an Alzheimer’s blocker, high-risk patients would have to start taking it “very, very early,” Savas said — up to 20 years before elevated amyloid-beta 42 levels would be detected.

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“You couldn’t take this when you already have dementia, because the brain has already undergone a number of irreversible changes and a lot of cell death,” the researcher noted.

The researchers also did a deep dive into previous human clinical data to determine whether Alzheimer’s patients who were taking the anti-seizure drug had slower cognitive decline. They reported that the patients in that category had a “significant delay” in the span from cognitive decline to death compared to those not taking the drug.

“This analysis supports the positive effect of levetiracetam to slow the progression of Alzheimer’s pathology,” the researcher said. (iStock)

“Although the magnitude of change was small (on the scale of a few years), this analysis supports the positive effect of levetiracetam to slow the progression of Alzheimer’s pathology,” Savas said.

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Looking ahead, the research team aims to find people who have genetic forms of Alzheimer’s to participate in testing, Savas said.

Limitations and caveats

The study had several limitations, including that it relied on animal models and cultured cells, with no human trials conducted.

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Because the study was observational in nature, it can’t prove that the medication caused the prevention of the toxic brain proteins, the researchers acknowledged.

Savas noted that levetiracetam “is not perfect,” cautioning that it breaks down in the body very quickly.

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The team is currently working to create a “better version” that would last longer in the body and “better target the mechanism that prevents the production of the plaques.”

“You couldn’t take this when you already have dementia, because the brain has already undergone a number of irreversible changes and a lot of cell death.”

The medication’s common documented side effects include drowsiness, weakness, dizziness, irritability, headache, loss of appetite and nasal congestion.

It has also been linked to potential mood and behavior changes, including anxiety, depression, agitation and aggression, according to the prescribing information. In rare cases, it could lead to severe allergic reactions, skin reactions, blood disorders and suicidal ideation.

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Funding for the study was provided by the National Institutes of Health and the Cure Alzheimer’s Fund.

Fox News Digital reached out to the drug manufacturer and the researchers for comment.

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