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Parental precocious influences on offspring cardiovascular risk markers: an exploratory study in the STANISLAS Cohort
Ndeye Coumba Ndiaye1, Éliane Albuisson1,2, Isabelle Colombet3,4
1Université Henri Poincaré Nancy I - Faculté de Pharmacie, Équipe 'Génétique Cardiovasculaire' - 30 rue Lionnois, F-54000, Nancy, France. sophie.visvikis-siest@nancy.inserm.fr.
Insights
Children with parents at high risk for cardiovascular disease have elevated silent risk factors. Early screening based on parental risk can guide familial prevention strategies for children.
Area of Science:
- Cardiology
- Genetics
- Public Health
Background:
- Familial history of cardiovascular disease (CVD) is a known risk indicator for offspring.
- Early identification of cardiovascular risk factors in children is crucial for timely intervention.
Purpose of the Study:
- To determine if parental cardiovascular risk factors predict the development of risk factors in their children.
- To assess the utility of parental risk status for screening children's silent cardio-metabolic risk factors.
Main Methods:
- Analysis of the STANISLAS Cohort, a French population study.
- Follow-up of Caucasian biparental families with at least two siblings for 5 years.
- Comparison of silent risk factors (blood pressure, lipids, BMI, waist circumference, glycemia) in children based on parental risk status in 693 families.
Main Results:
- Children of parents with high cardiovascular risk exhibited significantly higher blood pressure, lipid traits, BMI, and waist circumference compared to children of low-risk parents.
- These differences in cardio-metabolic risk factors were consistent at both the initial and 5-year follow-up examinations.
- Glucose levels did not show a significant difference between the groups.
Conclusions:
- Parental cardiovascular risk status is a valuable indicator for screening silent cardio-metabolic risk factors in children.
- Implementing familial prevention strategies and targeted follow-up for young individuals is essential.
- Early detection and intervention based on familial risk can mitigate future cardiovascular disease burden.
Abstract:
Familial history of cardiovascular disease is acknowledged as a risk indicator in offspring. The aim of this study was to assess whether the cardiovascular risk factors in parents predicted the risk of their children developing cardiovascular disease in a French population: the STANISLAS Cohort, in which Caucasian biparental families with at least two siblings were followed for 5 years. Silent risk factors (blood pressure, lipid traits, glycemia, BMI and waist circumference) of children were compared according to their parents' risk status in a subsample of 693 families. All of these traits, with the exception of glucose, were significantly higher in children who had parents at a high risk than in children with parents at a low risk at the first health examination, and these results were confirmed again 5 years later at the second health examination. Thus, silent cardio-metabolic risk factors can be screened in children according to the risk status of their parents for early prevention. The influence of parents' variants on their offspring underlined the need to initiate familial prevention strategies, with a particular follow-up of young individuals between childhood and adolescence.
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