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abdominal obesity, cardiovascular health in women, cardiovascular risk, metabolic syndrome, perimenopause, prevention, risk, risk assessment, risk reduction behavior, vascular risk



  1. Coviello, Jessica Shank DNP, APRN, ANP-BC
  2. Knobf, M. Tish PhD, RN, FAAN, AOCN
  3. Laclergue, Sarah BS


Background: The components of metabolic syndrome (MetS), a major cardiovascular risk in women that includes diabetes, hypertension, and dyslipidemia, can evolve during the perimenopause transition. Lifestyle interventions have been shown to ameliorate or prevent individual components of MetS.


Purpose: This article will describe the hormonal and vascular changes occurring during perimenopause and discuss how they set the stage for MetS in women. The available screening tools (Framingham Assessment for Coronary Heart Disease vs Framingham General Cardiovascular Risk Profile vs Reynolds Risk Assessment) will be compared and contrasted within the context of the 2011 Updated Guidelines for the Prevention of Cardiovascular Disease in Women via case study.


Conclusions and Clinical Implications: Target goals and interventions to reduce or ameliorate the components of MetS will be presented, with a focus on achieving ideal cardiovascular health.