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Pediatric Preventive Care in Middle-High Resource Countries-The Padova Chart for Health in Children
Alfonso Galderisi1, Giorgio Perilongo1, Sonia Caprio2
1Department of Woman and Child's Health, University Hospital of Padova, Padova, Italy.
Insights
The Padova Chart for Health in Children (PCHC) provides guidance for promoting healthy lifestyles in youth. Early interventions are crucial for preventing adult non-communicable diseases (NCDs).
Area of Science:
- Public Health
- Pediatrics
- Preventive Medicine
Background:
- Childhood and adolescence represent critical periods for establishing healthy habits.
- A significant percentage of young adults exhibit unhealthy lifestyles, increasing long-term health risks.
- Childhood metabolic and brain plasticity offer a unique window for effective preventive strategies.
Purpose of the Study:
- To consolidate evidence on healthcare promotion and protection for children and adolescents (<18 years).
- To guide families, healthcare providers, and social actors in making healthy choices.
- To address the pandemic of non-communicable diseases (NCDs) originating in early life.
Main Methods:
- The Padova Chart for Health in Children (PCHC) is structured into four key areas: nutrition, cardiovascular health, respiratory health, and mental/social health.
- Each section utilizes the ALICE approach: Assessment, Lobbying, Intervention, Call-for-Action, and Evaluation.
- Interventions involve families, schools, and peers, with a focus on population-based evaluation measures.
Main Results:
- The PCHC framework facilitates a comprehensive approach to child and adolescent health.
- It identifies key stakeholders and actionable steps for health promotion.
- The ALICE approach ensures a systematic process from assessment to evaluation.
Conclusions:
- Joint action from institutional, local, and family representatives is essential for childhood health promotion.
- Lifestyle interventions in childhood can significantly alter the lifetime risk trajectory for NCDs.
- The PCHC serves as a vital tool for implementing evidence-based health strategies in pediatric populations.
Importance:
The Padova Chart for Health in Children (PCHC) aims to gather the evidence of healthcare promotion and protection for chidren and adolescents (i.e., aged <18 y) into a single document in order to guide families, healthcare providers and social actors on healthy choices. No more than 2% of Europeans and North Americans aged <30 y have a healthy lifestyle. This, together with metabolic and brain plasticity during childhood, creates the ideal opportunity to implement preventive strategies. Guided interventions promoting healthy lifestyle in children and families therefore have a key role in abating the unprecedented pandemic of non-communicable diseases (NCDs) in adulthood.
Observations:
The PCHC is divided into four sections: nutrition, cardiovascular health, respiratory health, and mental and social health. Each section is structured in an ALICE approach (assessment, lobbying, intervention, call-for-action, evaluation): assessment of necessity, describing relevance to healthcare; lobbying to identify those who can effect the proposed interventions; interventions involving family, school and peers; a call-for-action to define priorities among the proposed interventions; and objective evaluation measures that can be applied on a population basis.
Conclusions And Relevance:
Interventions promoting health in childhood require joint action from multiple institutional, local and family representatives, with the shared goal of promoting health across the entire age group. These lifestyle interventions have the potential to change the lifetime risk trajectory for NCDs.
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