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Updated: Feb 15, 2026

In Silico Clinical Trials for Cardiovascular Disease
Published on: May 27, 2022
Pediatric Markers of Adult Cardiovascular Disease
Micah Olson1,2, Melissa Chambers1, Gabe Shaibi1,2
1Division of Endocrinology and Diabetes, Phoenix Children's Hospital, Phoenix, AZ, United States.
Insights
Atherosclerosis, a key factor in cardiovascular disease, begins in childhood. Addressing modifiable childhood risk factors like body mass index can prevent adult heart disease.
Area of Science:
- Pediatric Cardiology
- Preventive Medicine
- Public Health
Background:
- Cardiovascular diseases represent a significant global health burden, being the primary cause of mortality worldwide.
- The pathological processes underlying atherosclerotic cardiovascular disease originate in early childhood, despite clinical manifestations typically appearing in adulthood.
Purpose of the Study:
- To review the evidence indicating that atherosclerosis development commences in childhood.
- To identify childhood risk factors associated with atherosclerotic cardiovascular disease in both childhood and future adult cardiovascular events.
Main Methods:
- This study is a review of existing scientific literature.
- The review synthesizes evidence on the early onset of atherosclerosis and associated pediatric risk factors.
Main Results:
- There is substantial evidence linking modifiable risk factors present in childhood to the prediction of future cardiovascular disease.
- Childhood risk factors, including elevated body mass index, are associated with the progression of atherosclerosis.
Conclusions:
- Targeting modifiable risk factors in childhood, such as obesity, offers a promising strategy to mitigate the impact of adult cardiovascular disease.
- Further research is needed to understand the mechanisms of childhood atherosclerosis and to identify effective interventions for limiting its progression.
Background:
Cardiovascular diseases are the leading cause of death worldwide. While cardiovascular disease typically does not occur until adulthood, the pathogenesis of atherosclerotic cardiovascular disease starts in early childhood.
Objective:
The purpose of this review is to describe the evidence that the process of atherosclerosis begins in childhood, as well as identify the risk factors present in childhood that are associated with the presence of atherosclerotic cardiovascular disease in childhood as well as future cardiovascular events in adulthood.
Results And Conclusion:
There is much accumulating evidence linking modifiable risk factors that are already present in childhood and that strongly predict future cardiovascular disease. The selective targeting of modifiable risk factors in childhood, including body mass index, holds promise in reducing the burden of adult cardiovascular disease. Future research studies should focus on elucidating the mechanisms which drive the pathogenesis of atherosclerosis in childhood and young adulthood, as well as identifying which interventions are most effective at limiting the progression of atherosclerosis and thus reducing future cardiovascular disease.
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