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Primordial Prevention of Cardiometabolic Risk in Childhood
Meryem A Tanrikulu1, Mehmet Agirbasli2, Gerald Berenson3
1İstanbul Maltepe State Hospital, Zumrutevler Mah. Mevlana Halid Caddesi No: 21, Nishadalar Sitesi, 12. Blok Daire: 41, Maltepe, 34852, Istanbul, Turkey. matanrikulu@yahoo.com.
Insights
Primordial prevention strategies are crucial for reducing cardiometabolic risk in children, addressing conditions like atherosclerosis and hypertension early. Implementing comprehensive health education from kindergarten can mitigate future cardiovascular disease and its socioeconomic burden.
Area of Science:
- Cardiovascular health
- Pediatric medicine
- Public health
Background:
- Fetal life and childhood are critical periods for the development of cardiometabolic risk factors.
- Early-life cardiometabolic risk can lead to atherosclerosis, hypertension, and diabetes mellitus in adulthood.
- Longitudinal studies highlight the need for early intervention to prevent future cardiovascular disease.
Purpose of the Study:
- To emphasize the importance of primordial prevention strategies for cardiometabolic risk in children.
- To advocate for early-life interventions to reduce future cardiovascular morbidity and mortality.
- To explore the role of comprehensive health education in preventing childhood cardiometabolic risk.
Main Methods:
- Review of pioneering longitudinal studies (e.g., Bogalusa Heart Study, Finnish Youth Study).
- Analysis of risk factors identified in childhood as precursors to adult cardiovascular risk.
- Examination of public health and educational approaches for primordial prevention.
Main Results:
- Childhood cardiometabolic risk factors are precursors to adult cardiovascular disease.
- Early prevention strategies are essential given the epidemic of obesity and hypertension.
- Comprehensive health education programs can effectively initiate primordial prevention.
Conclusions:
- Primordial prevention of cardiometabolic risk must begin in early childhood.
- Public education and health services play a vital role in implementing prevention strategies.
- Integrating health education into early schooling is a valuable approach to reduce long-term cardiovascular risk.
Abstract:
Fetal life and childhood are important in the development of cardiometabolic risk and later clinical disease of atherosclerosis, hypertension and diabetes mellitus. Molecular and environmental conditions leading to cardiometabolic risk in early life bring us a challenge to develop effective prevention and intervention strategies to reduce cardiovascular (CV) risk in children and later disease. It is important that prevention strategies begin at an early age to reduce future CV morbidity and mortality. Pioneering work from longitudinal studies such as Bogalusa Heart Study (BHS), the Finnish Youth Study and other programs provide an awareness of the need for public and health services to begin primordial prevention. The impending CV risk beginning in childhood has a significant socioeconomic burden. Directions to achieve primordial prevention of cardiometabolic risk in children have been developed by prior longitudinal studies. Based on those studies that show risk factors in childhood as precursors of adult CV risk, implementation of primordial prevention will have effects at broad levels. Considering the epidemic of obesity, the high prevalence of hypertension and cardiometabolic risk, prevention early in life is valuable. Comprehensive health education, such as 'Health Ahead/Heart Smart', for all elementary school age children is one approach to begin primordial prevention and can be included in public education beginning in kindergarten along with the traditional education subject matter.
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