Overdoing a number of our favorite foods at this point in your life can not only aggravate some
menopausal symptoms, but increase your risk of post-menopausal disease. And because of the complex
way foods interact, certain substances can undo some of the benefits of any healthy additions you make
to your diet.
Sodium
Sodium plays an essential role in our bodies. It regulates blood pressure and transmits nerve impulses. But
most of us get more than enough from dietary sources, so using a lot of salt is unnecessary and can be harmful.
There is an as yet unconfirmed belief that excessive salt contributes to high blood pressure?which is a health
risk as you age. And there is definitely a link between salt and osteoporosis. In fact, excess sodium leeches
calcium from your digestive tract before it can be used by your bones, literally pulling it into the kidneys,
where it's eliminated from the body.
Unless you prepare meals carefully, using only fresh ingredients, you probably get plenty of sodium from a
variety of sources. These include baking soda, baking powder, canned and cured foods, prepackaged and
convenience foods, potato chips, condiments, and flavor enhancers such as MSG. The easiest way to avoid eating
too much salt is to remove the salt shaker from the kitchen table and stop cooking with salt. In addition, cut
back on salt-cured and smoked foods, such as sausages, smoked fish, ham, bacon, bologna, and hot dogs.
Americans are conditioned to use salt. Your family might protest for a week or so, but they'll be surprised
how quickly they adjust to the real taste of food.
Caffeine
If you're a heavy coffee drinker?and most American women are?now's the time to cut back on caffeinated coffee
or eliminate it from your diet altogether.
A stimulant also found in soft drinks, chocolate, and tea, caffeine is used by most people to overcome fatigue
and work harder or faster?thus, the traditional "coffee break" mentality in American business. At menopause,
however, coffee and other caffeinated beverages can increase the number or intensity of hot flashes. Caffeine
also has been implicated in breast changes such as fibrocystic disease, in osteoporosis, and in a rise in
serum cholesterol associated with heart disease. Despite our affection for coffee, it's difficult to make
a case for caffeine use at menopause.
Warning: If you're used to drinking five or six cups of coffee or caffeinated soft drinks daily, eliminating
caffeine too quickly can trigger withdrawal symptoms. These range from headaches and nervousness to drowsiness,
nausea, and constipation. To avoid caffeine withdrawal, switch gradually to decaffeinated drinks over a period
of several weeks.
Sugar
Fluctuating hormones affect blood sugar levels and can cause cravings for sugar. Refined sugars?those found
in your sugar bowl and in candy, cakes, pastries, cold cereals, syrups, and a nearly endless variety of
processed and prepackaged foods?are packed with calories and little else. They make it easy to gain weight,
but contribute nothing of value to your nutritional status. Sugar also suppresses the body's use of calcium
and phosphorus. And too much sugar can cause a vaginal discharge that can contribute to recurring vaginal and
urinary-tract infections.
In general, you can suppress a craving for sweets by keeping your protein levels steady. Also, be sure to
stock your pantry with healthy alternatives. Fresh and dried fruits contain the natural sugar fructose along
with fiber. A small serving can quench a sugar craving and serve as a natural laxative to aid your digestive
system. Scientists believe that fruit may also help protect against stomach and colon cancers. Today's grocery
stores carry nearly every variety of fruit year-round?from the mundane to the sublime. Indulge your taste buds
while treating your body to good nutrition.
Fats and cholesterol
Prior to menopause, estrogen helps suppress the buildup of fat along arterial walls that often results from
intake of too much saturated (animal) fat and cholesterol. But as menopause drives down your estrogen levels,
this extra protection vanishes, leaving you prey to the arterial buildup that often ends in cardiac disease,
heart attack and stroke.
Some experts have suggested that high rates of breast cancer may also be due to the excessive amounts of
dietary fat, though some evidence casts doubt on this assertion.
Although a modest amount of fat is a recommended part of our diet, it is easily obtained from meager amounts
of lean meats, nuts, fish, and poultry. Fats can be used sparingly to add taste to a menu?for example, a dab
of avocado to garnish a salad or a spoonful of peanut butter on whole-grain toast. But otherwise, spare your
heart by reducing or eliminating your intake of butter, rich sauces and gravies, fatty meats, and whole milk
and ice cream. Bake, steam, or broil your food instead of frying it in fat. And serve eggs and organ meats
sparingly. Though they add iron and protein to your diet, they have extremely high concentrations of
cholesterol. For more information, see "What to Do About Fat."
Alcohol and smoking
Numerous studies have confirmed the negative effects of alcohol and smoking on a woman's health at midlife.
It may be confusing to hear that moderate amounts of alcohol can reduce the risk of coronary disease in women
by raising "good" HDL cholesterol levels and improving other lipid levels. At some point, however, too much
alcohol can increase the risk of high blood pressure, while limiting its use can bring blood pressure down.
Heavy drinking is a risk factor for osteoporosis, and may aggravate hot flashes. Due to its high sugar content,
alcohol even promotes weight gain. Most experts agree that minimizing or eliminating your alcohol consumption,
including beer and wine, boosts your overall health at midlife and beyond.
As for tobacco, lung cancer now causes more deaths in American women than breast cancer. Heavy smokers also
tend to have an earlier menopause, which has been linked to higher rates of heart disease and osteoporosis.
Several new studies have confirmed that cutting out smoking even in midlife or old age?cuts your chances of
developing heart disease and cancer of the lung, mouth, esophagus, kidney, stomach, and colon. It also helps
the heart, lung, and circulatory systems and reduces the impact of emphysema or chronic lung disease. By giving
up cigarettes, you'll unquestionably improve the health of your heart and lungs and decrease your risk of
developing osteoporosis. (For more, see "What Smokers Need to Know About Diet.")
Remember that variety and moderation are the keys to good nutrition during this exciting, though occasionally
turbulent, period. At midlife?as in your younger years?you are what you eat. Embrace a healthy diet for its
boost to a robust heart, strong bones, and radiant skin. Maximizing your intake of nutritious foods and
minimizing your reliance on empty calories will prepare you to appreciate the joys of menopause without
suffering its sorrows.