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Correlates of ideal cardiovascular health in European adolescents: The HELENA study
P Henriksson1, H Henriksson2, I Labayen3
1PROFITH "PROmoting FITness and Health through physical activity" Research Group, Department of Physical Education and Sports, Faculty of Sport Sciences, University of Granada, Spain; Department of Biosciences and Nutrition, Karolinska Institutet, Huddinge, Sweden.
Insights
Younger European adolescents with higher maternal education and less screen time had better ideal cardiovascular health (iCVH). Early interventions promoting healthy lifestyles are crucial for adolescent cardiovascular health.
Area of Science:
- Cardiology
- Public Health
- Pediatrics
Background:
- Ideal cardiovascular health (iCVH) comprises 4 health behaviors and 3 health factors.
- Greater iCVH in adolescence correlates with better long-term cardiovascular health.
- Correlates of iCVH in European adolescents remain under-investigated.
Purpose of the Study:
- To examine the correlates of ideal cardiovascular health (iCVH) in European adolescents.
- To identify factors associated with achieving more iCVH components in this age group.
Main Methods:
- Utilized data from 637 European adolescents in the HELENA study.
- Investigated correlates including age, sex, socioeconomic status, and lifestyle factors.
- Employed a cross-sectional, multicenter design across 9 European countries.
Main Results:
- Younger adolescents exhibited more iCVH components than older adolescents.
- Higher maternal education was associated with greater iCVH.
- Less daily television viewing (<2 hours) correlated with more iCVH components.
Conclusions:
- Early promotion of cardiovascular health behaviors in adolescence is important.
- Limiting television viewing may enhance iCVH in adolescents.
- Public health initiatives should consider socioeconomic status and tailor interventions for families with lower educational attainment.
Background And Aims:
The ideal cardiovascular health (iCVH) construct consists of 4 health behaviors (smoking status, body mass index, physical activity and diet) and 3 health factors (total cholesterol, blood pressure and fasting glucose). A greater number of iCVH components in adolescence are related to better cardiovascular health, but little is known about the correlates of iCVH in adolescents. Thus, the aim of the study was to examine correlates of iCVH in European adolescents.
Methods And Results:
The study comprised 637 European adolescents with complete iCVH data. Participants were part of the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) study, a cross-sectional, multicenter study conducted in 9 different European countries. Correlates investigated were sex and age, family affluence scale, maternal education, geographic location, sleep time, television viewing, duration of pregnancy, birth weight and breastfeeding. Younger adolescents, those whose mothers had medium/high education or those who watched television less than 2 h per day had a greater number of iCVH components compared to those who were older, had a mother with low education or watched television 2 h or more daily (P ≤ 0.01).
Conclusion:
Since in our study older adolescents had worse iCVH than younger adolescents, early promotion of cardiovascular health may be important. Future studies may also investigate the usefulness of limiting television viewing to promote iCVH. Finally, since adolescents of mothers with low education had poorer iCVH, it may be of special interest to tailor public health promotion to adolescents from families with low socioeconomic status.
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