ESC Congress 2026 Abstract

Physical activity is linked to lower death risk after menopause

Higher moderate-to-vigorous activity was linked to about 15% lower all-cause mortality, against about 15% higher mortality for sedentary time, in postmenopausal women.

Paper by Q Fu, J Lai, Y Wu · Fuwai Hospital Chinese Academy of Medical Sciences
Cohort study of postmenopausal womenPopulations

Limit: Two of the three studies relied on self-reported questionnaires rather than activity monitors

Edited by Boris Djordjevic · AgingResearch.News

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Researchers analyzed prospective cohort data from 34,364 postmenopausal women in the UK, 4,992 in the US, and 1,329 in China. UK participants wore wrist monitors for seven days, while US and Chinese participants completed questionnaires.

Each standard-deviation increase in moderate-to-vigorous physical activity was linked to about 15% lower all-cause mortality, and light activity showed comparable benefit. Each standard-deviation increase in sedentary time was linked to about 15% higher mortality. Replacing one daily hour of sitting with moderate-to-vigorous activity was linked to about 18% lower mortality, and with light activity to about 16% lower mortality. In high-risk women with central obesity, prolonged sitting, and low activity, replacing sitting with light activity was linked to about 17% lower all-cause mortality and about 21% lower cardiovascular mortality.

Why it matters

The menopausal transition involves declining estrogen levels that increase the risks of central obesity and cardiovascular disease. The findings suggest that substituting sitting time with manageable light activity offers a practical strategy for lifestyle interventions to lower cardiovascular risk in postmenopausal women.

Caveats

Because the cohorts were observational, the findings show associations rather than cause and effect, and two of the three studies relied on self-reported questionnaires rather than activity monitors. The results are also specific to postmenopausal women, so they may not apply to men or premenopausal women.