Sociodemographic Correlates of High Cardiovascular Health Across Childhood and Adolescence: A Prospective Study Among 2 Cohorts in the ECHO Consortium
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View abstract on PubMed
Summary
This summary is machine-generated.Cardiovascular health (CVH) remains high in childhood but declines by late adolescence. Sociodemographic disparities in CVH are linked to behavioral factors, highlighting key prevention targets for youth.
Area Of Science
- Pediatric Health
- Cardiovascular Health
- Public Health
Background
- Cardiovascular health (CVH) in youth is crucial for long-term well-being.
- Understanding CVH trajectories and correlates from childhood to adolescence is essential for early intervention.
- Sociodemographic factors may influence CVH, necessitating investigation into their impact and underlying mechanisms.
Purpose Of The Study
- To characterize the evolution of cardiovascular health (CVH) from early childhood through late adolescence.
- To identify sociodemographic factors associated with high CVH during developmental stages.
- To uncover potential levers for optimizing CVH in early life.
Main Methods
- Utilized data from 1530 youth (ages 3-20) within the ECHO consortium.
- Derived CVH scores using the Life's Essential 8 construct (behavioral and health factors).
- Employed generalized regression to analyze sociodemographic correlates of high CVH.
Main Results
- Overall CVH scores remained stable and high through early adolescence (average scores 81.2-83.3/100).
- A significant decline in CVH was observed by late adolescence (average score 75.5/100), with only 39.4% achieving high CVH.
- High CVH was associated with non-Hispanic White race/ethnicity, higher maternal education, and higher household income, driven by behavioral factors.
Conclusions
- Most youth maintain high CVH in childhood, but a decline by late adolescence underscores the need for early cardiovascular disease prevention.
- Behavioral factors mediate the relationship between sociodemographic characteristics and CVH disparities.
- Targeting behavioral factors offers a promising strategy for improving CVH and reducing disparities in youth.
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