Peter Chedraui, et al. - Conclusion: In this postmenopausal Ecuadorian population, impairment of QOL was found to be associated to age and related conditions such as abdominal obesity, hypertension and hyperglycemia. As abdominal obesity was found to play a central role in terms of risk, in our population changes in lifestyle and dietary habits should be encouraged as an important and cost-effective measure, which in turn will improve QOL and decrease further cardiovascular risk