Achieving Cardiovascular Health in Young Adulthood-Which Adolescent Factors Matter?
Achieving Cardiovascular Health in Young Adulthood-Which Adolescent Factors Matter?
复制标题
DOI：
10.1016/j.jadohealth.2015.09.011
复制
发表时间：
2016-01-01
影响因子：
7.6
通讯作者：
Gillman, Matthew W.
中科院分区：
文献类型：
--
作者：
Gooding, Holly C.;Milliren, Carly;Gillman, Matthew W.
目的：研究青少年体重指数(BMI)、吸烟和体力活动与成年后最佳生理性心血管健康(CVH)的关系。方法：数据来自全国青少年健康纵向研究I波(1995-1996)和IV波(2007-2008)的12,139名参与者。我们将最佳CVH定义为没有糖尿病或心血管疾病的正常血压、血糖和胆固醇。我们根据体重指数类别、吸烟状况和11-19岁的体力活动(第一波)，用Logistic回归估计24-32岁(第四波)发生最佳CVH的几率。结果：很少有年轻人(16%)有最佳CVH。体重指数正常的青少年患最佳青壮年CVH的可能性是肥胖者的两倍多(调整后的优势比为2.77；95%可信区间为1.97-3.89)。青少年吸烟和体力活动不能预测青壮年CVH。结论：青春期BMI降低与青壮年CVH有关。(C)2016年青少年健康与医学学会。版权所有。
Purpose: To examine associations of adolescent body mass index (BMI), tobacco use, and physical activity with optimal physiologic cardiovascular health (CVH) in adulthood.Methods: Data were from 12,139 participants in Waves I (1995-1996) and IV (2007-2008) of the National Longitudinal Study of Adolescent Health. We defined optimal CVH as normal blood pressure, glucose, and cholesterol without diabetes or cardiovascular disease. We used logistic regression to estimate odds of having optimal CVH at ages 24-32 years (Wave IV) according to BMI category, smoking status, and physical activity at ages 11-19 years (Wave I).Results: Few young adults (16%) had optimal CVH. Adolescents with normal BMI were more than twice as likely to have optimal young adult CVH compared to those who were obese (adjusted odds ratio, 2.77; 95% confidence interval, 1.97-3.89). Adolescent smoking and physical activity did not predict young adult CVH.Conclusions: Lower adolescent BMI is associated with young adult CVH. (C) 2016 Society for Adolescent Health and Medicine. All rights reserved.