Publication:
Dietary Interventions and Nutritional Strategies for Menopausal Health — Frontiers in Nutrition, 2025 (NIH/PMC)
Author:
Frontiers
Date:
15 Dec 2025
Article Summary
Okay, let's talk about something your body is doing quietly in the background during menopause: inflammation. As oestrogen drops, your body goes into a kind of low-grade inflammatory state — think of it as your immune system having a bit of a strop. This can drive everything from joint pain and hot flushes to brain fog, weight gain, and higher cardiovascular risk. Not ideal.
The good news? A review of 42 high-quality studies — the kind that actually went through proper peer review — has confirmed that what you eat can genuinely dial this down.
The Mediterranean diet comes out on top, again. We're talking vegetables, fruits, whole grains, legumes, nuts, olive oil, fish, and a bit of dairy. Women who eat this way consistently show lower blood pressure, better triglyceride levels, less severe hot flushes, and stronger bones. It's not a fad — the evidence behind it is solid.
Plant-heavy eating patterns also show real promise, particularly for mood and vasomotor symptoms (the technical term for hot flushes and night sweats).
Meanwhile, the research is equally clear on what makes things worse: too little fibre, too much saturated fat, and not enough calcium and vitamin D.
Speaking of which — postmenopausal women are particularly prone to deficiencies in calcium, vitamin D, magnesium, and omega-3s. These aren't optional extras; they're doing heavy lifting for your bones, heart, sleep, and stress levels. Getting them from food is better than supplements where possible, but supplementation is worth discussing with your GP if your diet isn't covering the bases.
The bottom line? You cannot out-supplement a poor diet, but you can genuinely eat in a way that makes menopause more manageable. That's not nothing. That's actually quite a lot.
A friendly reminder: I'm sharing what I've learned, not prescribing what you should do. Always chat with your GP about what's right for your unique situation!
Your Anti-Inflammation Eating Plan
GO MEDITERRANEAN
- Build meals around vegetables, legumes, whole grains, fish, and olive oil
- Aim for variety and colour — this isn't about eating less, it's about eating differently
- Treat red meat and processed food as occasional guests, not daily fixtures
BONE UP ON CALCIUM & VITAMIN D
- Target 1,200mg of calcium daily — dairy, fortified plant milks, leafy greens, and tinned sardines (bones included) are your friends
- Vitamin D: aim for 800–2,000 IU daily; fatty fish, eggs, and sunshine help
- These two work best together — like a good double act
GET YOUR OMEGA-3s
- Eat oily fish (salmon, mackerel, sardines) at least twice a week
- They lower triglycerides and reduce systemic inflammation — two things menopause is actively working against
- Not a fish fan? Talk to your GP about a quality supplement
BUMP UP YOUR PROTEIN
- Aim for 1.1–1.5g of protein per kg of body weight daily
- Lean meats, eggs, beans, lentils, nuts, and dairy all count
- This isn't about bulking up — it's about keeping your muscle mass as metabolism slows
DON'T NEGLECT MAGNESIUM
- Found in nuts, seeds, whole grains, and dark chocolate (yes, really)
- Helps with sleep quality, muscle cramps, anxiety, and inflammation
- The trifecta of menopause misery — and magnesium quietly works on all three
CUT THE INFLAMMATION TRIGGERS
- Reduce saturated fat (processed foods, pastries, fatty meats) — it actively worsens inflammation
- Low fibre is linked to worse vasomotor symptoms, so keep wholegrains, veg, and legumes in regular rotation
- Alcohol and excess sugar are also worth pulling back on
IMMEDIATE WINS
- Swap white bread or pasta for a wholegrain version this week
- Add a portion of oily fish to your meals twice this week
- Throw a handful of nuts or seeds onto your breakfast
- Check your vitamin D — it's worth a blood test if you haven't had one recently


