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Preserving Optimal Cardiovascular Health in Children
Insights
Cardiovascular disease begins in childhood. This review proposes a simple plan for monitoring pediatric cardiovascular health risk factors like obesity and hypertension, promoting early intervention.
Area of Science:
- Pediatric cardiology
- Preventive medicine
- Public health
Background:
- Cardiovascular disease (CVD) origins are in early life.
- National guidelines advocate for assessing pediatric CVD risk factors (e.g., obesity, hypertension) in routine care.
- Early detection and intervention are crucial for long-term cardiovascular health.
Purpose of the Study:
- To propose a simple, consistent plan for monitoring cardiovascular health in children.
- To provide a framework for age-appropriate assessment of key cardiovascular health components.
- To guide pediatric clinicians in evidence-based interventions for preserving/restoring pediatric cardiovascular health.
Main Methods:
- Review of existing literature and guidelines.
- Development of a framework based on the American Heart Association's "cardiovascular health" construct.
- Proposal of age-appropriate scoring for diet, physical activity, screen time, sleep, smoking exposure, BMI, blood pressure, cholesterol, and glucose.
Main Results:
- A structured approach for monitoring pediatric cardiovascular health is presented.
- The framework allows for consistent messaging and risk assessment throughout childhood.
- Guidance is offered for efficient, evidence-based interventions by pediatricians.
Conclusions:
- Implementing a standardized monitoring plan can improve early detection and management of pediatric cardiovascular risk factors.
- Proactive pediatric cardiovascular health promotion is essential for preventing adult CVD.
- Anticipated advances will further enhance pediatric cardiovascular health strategies.
Abstract:
The origins of cardiovascular disease are at the beginning of life, and national guidelines recommend evaluation for cardiovascular risk factors such as obesity and hypertension as part of general pediatric care. In this review, a simple plan is proposed for clear and consistent monitoring and messaging throughout childhood, based on the American Heart Association's "cardiovascular health" construct. A framework is provided for age-appropriate scoring of the cardiovascular health components, including diet, physical activity and screen time, sleep, smoking exposure, body mass index, blood pressure, cholesterol, and glucose. Guidance is provided for evidence-based, efficient intervention by pediatric clinicians to preserve or restore cardiovascular health. Finally, anticipated near-term advances in pediatric cardiovascular health promotion are previewed. [Pediatr Ann. 2018;47(12):e479-e486.].
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