Eating for a healthy heart after 40
Key points
- ODPHP (US) says eating healthy can help lower your risk of heart disease.
- ODPHP (US) says a heart-healthy diet is low in saturated fat, added sugars, and sodium (salt).
- MedlinePlus (US) says dietary fat plays a major role in cholesterol levels, and that not all fats are the same.
- MedlinePlus (US) says heart disease risk goes up after your periods stop, usually by age 55.
- ODPHP (US) and the CDC (US) say cholesterol should be tested at least once every 4 to 6 years.
What a heart-healthy way of eating includes
ODPHP (US) says that eating healthy can help lower your risk of heart disease. In its words, a heart-healthy diet has little saturated fat, added sugars, or sodium, which is another word for salt. [1]
The CDC (US) adds that people should eat plenty of fresh fruits and vegetables and fewer processed foods. It also says that limiting salt in your diet can lower your blood pressure. Our articles on salt and added sugar, and on fruit, vegetables and fiber, cover these points in more detail. [4]
Fats: which to limit and which to choose
MedlinePlus (US) says that the fat in your food plays a major role in your cholesterol levels. It also says that not all fats are the same. The CDC (US) says that a diet with many foods high in saturated fat and trans fat may add to heart disease. [2] [4]
MedlinePlus (US) lists fats to try to avoid. They include saturated fat, found in butter, solid shortening, and lard, and trans fat. It says trans fats are found in vegetable shortenings, some margarines, crackers, cookies, and snack foods. It suggests trying to replace these fats with oils such as canola, olive, safflower, sesame, or sunflower. [2]
ODPHP (US) lists avocados, nuts, and fish such as salmon and sardines as foods with healthy unsaturated fats. [1]
Heart health around menopause
MedlinePlus (US) says women can develop heart disease at any age, but the risk increases after your periods stop, usually by age 55. It adds that women whose periods stop before age 40 have a higher risk than other women their age. [3]
MedlinePlus (US) explains that before menopause, the body makes more estrogen, a female hormone that helps guard the heart. During and after menopause, estrogen drops, and the risk of heart disease rises. [3]
When to see a doctor
ODPHP (US) calls it important to have your cholesterol checked, and says to do so at least every 4 to 6 years. The CDC (US) says your health care team should test your blood cholesterol at least once in that same span. [1] [4]
ODPHP (US) says that high blood pressure has no symptoms, so a blood pressure check is the way to find out if it is healthy. The CDC (US) says to have it checked on a regular basis. [1] [4]
MedlinePlus (US) says that if you have one or more risks for heart disease, you can ask your health care provider for help understanding your risk level. [3]
Sources
- ODPHP (US): Keep Your Heart Healthy (opens in a new tab). Last updated August 19, 2026.
- MedlinePlus (US): Dietary Fats (opens in a new tab). Last updated July 17, 2024.
- MedlinePlus (US): Heart Disease in Women (opens in a new tab). Last updated March 27, 2024.
- CDC (US): Preventing Heart Disease (opens in a new tab). Published January 28, 2026.
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