Women visiting their doctor are less likely to be advised regarding heart health and more likely to be told to lose weight, according to a recent study that will be presented at the upcoming American College of Cardiology’s 65th Annual Scientific Session.
Although heart disease tends to strike women 7-10 years later than men, it is still a leading cause of death.
The risk of heart disease is often underestimated because of a misconception that women are somehow “protected” from heart disease.
In fact, over the last 20 years, the number of myocardial infarctions in 35-54-year-olds has increased in women but decreased in men.
Among women aged 35-44, the rates of coronary heart disease rose 1.3% each year between 1997-2002.
A new study carried out by the Barbra Streisand Women’s Heart Center at Cedars-Sinai Heart Institute in California delves into some of the issues underlying this worrying trend.
Study lead Dr. C. Noel Bairey Merz says:
“Women’s heart awareness has stalled, despite almost three decades of campaigning by numerous women’s heart health advocacy groups. We wanted to understand what the roadblocks were and why women and their physicians were not taking action to monitor their heart health.”
Anyone who displays risk factors for heart disease, according to medical guidelines, should receive frequent cholesterol and blood pressure checks. They should also be given advice on stopping smoking and information regarding healthy lifestyle changes.
Women’s cardiac health awareness
The team carried out questionnaire research to uncover whether this help and counseling was indeed being provided to women in the same way that it is for men.
GfK KnowledgePanel, a group who organize national polls, set up an Internet survey. The questionnaire was answered by more than 1,000 women across a full range of socioeconomic strata, races and geographical regions. The researchers designed a set of questions asking about any care or advice they had received regarding heart disease while visiting the doctors.
The survey found that 74% of the respondents displayed at least one risk factor for heart disease, including irregular menstruation, a family history of heart disease, diabetes and high blood cholesterol.
Just 16% of respondents had been told by their doctor that heart disease could be a risk, but 34% had been told to lose weight.
The women found to be least aware of the dangers of heart disease and its key symptoms were those from lower socioeconomic groups, younger women and non-whites.
Dr. Bairey Merz is concerned about the findings:
“Women feel stigmatized. They are most often told to lose weight rather than have their blood pressure and blood cholesterol checked.
If women don’t think they’re going to get heart disease, and they’re being told by society and their doctors that everything would be fine if they just lost weight, that explains the paradox of why women aren’t going in for the recommended heart checks. Who wants to be told to lose weight?”
The findings suggest that, although obesity is a risk factor for heart disease, by solely concentrating on this one facet of women’s health, their chances of receiving the appropriate monitoring and counseling is reduced.
75% of women do not discuss heart disease
Although this study focused purely on women, other research has shown that men in similar circumstances are more likely to get heart health advice and are less commonly advised to lose weight.
The findings fit neatly alongside research carried out in 2015 by the same team. The previous work asked cardiologists and primary care physicians about how they advise female patients with risk factors for heart disease.
Dr. Bairey Merz says that the earlier findings confirmed that physicians “seem to prioritize weight loss over pretty much everything else.” The recent study also found that more than 75% of women do not discuss heart disease, perhaps partly due to the stigma surrounding weight.
The team believes that evidence-based communication to help dispel the stigma surrounding weight and improve knowledge about heart disease risk factors will be key to altering these concerning patterns.