Health
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.
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.
“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.
“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.
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.”
“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.
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.
“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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Health
Weight-loss experts predict 5 major treatment changes likely to emerge in 2026
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Big moves are continuing in the weight loss landscape in the new year following breakthrough research of GLP-1 medications and other methods.
Weight-loss experts spoke with Fox News Digital about their predictions for the most major changes to come in 2026.
No. 1: Shift to whole-body treatment
Dr. Peter Balazs, a hormone and weight loss specialist in New York and New Jersey, shared that the most important shift is likely to label GLP-1 drugs as “multi-system metabolic modulators” rather than “simple weight loss drugs.”
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“The treatment goal is no longer just BMI reduction, but total cardiometabolic risk mitigation, with effects now documented across the liver, heart, kidneys and vasculature,” he said.
“We are seeing a significant reduction in major adverse cardiovascular events … and progression of renal disease,” he went on.
The focus of GLP-1 drugs will widen beyond weight loss and diabetes, according to experts’ predictions. (iStock)
Philip Rabito, M.D., a specialist in endocrinology, weight loss and wellness in New York City, also shared that “exciting” advancements lie ahead for weight-loss drugs, including GLP-1s and GIPs.
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“These next‑generation agents, along with novel combinations that include glucagon and amylin agonists, are demonstrating even more impressive weight‑loss outcomes than currently available therapies, with the potential for better tolerability and sustained results,” he told Fox News Digital.
“There is also tremendous optimism around new federal agreements with manufacturers that aim to make these medications more widely accessible and affordable for the broad population of patients who need them most.”
No. 2: More convenient dosing
The typical prescription for a GLP-1 medication is a weekly injection, but delivery and dosing may be changing to more convenient methods in 2026, according to Balazs.
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A daily 25 mg pill version of Novo Nordisk’s Wegovy, a semaglutide designed to treat obesity, is now approved and available for chronic weight management, offering a non-injectable option for some patients.
A once-weekly oral GLP-1 is currently in phase 2 trials, as well as an implant that aims for three to six months of drug delivery, Balazs noted.
Incisionless weight-loss procedures will rise as a lower-risk option, according to experts. (iStock)
No. 3: Less invasive surgery
In addition to decreased risk during surgery for GLP-1 users, Balazs also predicted that metabolic surgery without incision will rise as a better option.
“Incisionless endoscopic procedures — like endoscopic sleeve gastroplasty (non-surgical weight-loss procedure that makes the stomach smaller from the inside) and duodenal mucosal resurfacing (non-surgical procedure that resets part of the small intestine to help the body better handle blood sugar) — [may become] more durable and widely available,” he said.
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“These offer significant metabolic benefits with shorter recovery and lower risk than traditional surgery.”
Rabito agreed that “rapid progress” in minimally invasive weight‑loss procedures is “opening powerful new options for patients who are hesitant to pursue traditional bariatric surgery.”
Bariatric surgery remains the most effective weight loss method, one specialist says. (iStock)
This avenue offers “meaningful and durable weight reduction with less risk, shorter recovery times and no external incisions,” the expert added.
Dr. Muhammad Ghanem, bariatric surgeon at the Orlando Health Weight Loss & Bariatric Surgery Institute, reiterated that surgery remains “the most successful modality for the treatment of obesity … with the highest weight loss and most durable outcomes as of yet.”
No. 4: Younger GLP-1 users
As Novo Nordisk’s Wegovy has been indicated for adolescents over 12 years old as an obesity treatment, Balazs commented that pediatric use of weight-loss drugs is “now a clinical reality.”
He predicted that other alternatives are likely to be approved in 2026 for younger users.
No. 5: High-tech, personalized access
Amid the growth of artificial intelligence, Balazs predicted an expansion in the clinical implementation of AI-driven weight-loss methods.
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This could include categorizing obesity into sub-types like “hungry brain,” “emotional hunger” and “slow burn” to personalize how therapy is prescribed while moving away from “trial and error,” he said.
Ghanem agreed that there will likely be a “big focus” on individualized testing for causes of obesity in 2026, as it’s a disease that can have “different causes in different people,” thus requiring different treatments.
AI and other digital opportunities will drive more access for weight-loss patients, experts say. (iStock)
The doctor anticipates that more patients will seek combinations of comprehensive treatments and programs.
“Patients are more aware that now we have a few weapons in our arsenal to combat obesity, and [they] are seeking a multidisciplinary and holistic approach,” Ghanem said.
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Treatment options will also turn digital with the rise of prescription digital therapeutics (PDTs) for weight loss, Balazs predicted.
“These are software applications delivering cognitive behavioral therapy, personalized nutrition and metabolic coaching through algorithms, often integrated with continuous glucose monitors, and reimbursed as medical treatments,” he said.
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Ghanem added that body composition analyzers, like DEXA scans, will likely be more widely used as awareness grows about the limitations of BMI and weight in assessing obesity.
Health
Brain Health Challenge: Doctor Appointments for Your Mind and Body
Congratulations, you’ve reached the final day of the Brain Health Challenge! Today, we’re asking you to do a few things that might feel a bit out of left field — like getting your blood pressure checked.
No, it isn’t as fun as playing Pips, but experts say it’s one of the most important things you can do for your brain. That’s because heart health and brain health are intrinsically linked.
High blood pressure, in particular, can damage brain cells, and it’s a significant risk factor for stroke and dementia. When blood pressure is too high, it places stress on the walls of arteries in the brain. Over time, that added stress can cause the blood vessel walls to thicken, obstructing blood flow. In other cases, the increased pressure causes the artery walls to thin and leak blood into the brain.
These changes to the blood vessels can sometimes cause a large stroke to occur. More commonly, the damage leads to micro-strokes and micro-hemorrhages, which cause fewer immediate problems and often go unnoticed. But if someone has hypertension for years or decades, these injuries can build up, and the person may start to experience cognitive impairment.
High blood pressure “is known as a silent killer for lots of reasons,” said Dr. Shyam Prabhakaran, the chair of neurology at the University of Chicago. “It doesn’t cause you any symptoms until it does.”
Because the damage accumulates over many years, experts say that managing blood pressure in midlife matters most for brain health. Hypertension can be addressed with medication or lifestyle changes, as directed by your doctor. But the first thing you need to do is know your numbers. If your blood pressure comes back higher than 120/80, it’s important to take it seriously, Dr. Prabhakaran said.
While you’re at it, there are a few other aspects of your physical health that you should check on.
Your eyes and ears are two of them. Hearing and vision loss have both been shown to increase the risk of dementia. Experts think that with less sensory information coming in to stimulate the brain, the regions that process hearing and vision can start to atrophy. What’s more, people with sensory loss often withdraw or are left out of social interactions, further depriving them of cognitive stimulation.
Oral health can also affect your brain health. Research has found a connection between regular flossing and reduced odds of having a stroke. That may be because good oral health can help to reduce inflammation in the body. The bacteria that cause gum disease have also been tied to an increased risk of Alzheimer’s.
And have you gotten your shingles vaccine? There is mounting evidence that it’s a powerful weapon for protecting against dementia. One study found that it lowered people’s odds of developing the condition by as much as 20 percent.
To wrap up this challenge, we want you to schedule a few medical appointments that benefit your brain, as well as your body.
After five days of feeding, exercising and challenging your brain, you are well on your way to better cognitive health. Thanks for joining me this week, and keep up the good habits!
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