Abstract: Vascular aging is a major risk factor for cardiovascular disease in middle-aged and elderly people. In women, the vascular function appears to be decreased rapidly and the risk of cardiovascular disease is increased significantly after menopause. Exercise is an effective way to improve vascular function and reduce cardiovascular risk. It is of great significance to deeply investigate the impact of exercise on the vascular health of postmenopausal women for the prevention and control of cardiovascular diseases in the population. The study expounds features of vascular aging in postmenopausal women from two aspects of endothelial dysfunction and arterial stiffness, summarizes and analyzes the effect of exercise on vascular health of postmenopausal women and the related mechanisms, and influencing factors, systematically explores the characteristics of changes in vascular health among postmenopausal women and the regulation of exercise.