Feasibility of Ideal Cardiovascular Health Evaluation in a Pediatric Clinic Setting
Feasibility of Ideal Cardiovascular Health Evaluation in a Pediatric Clinic Setting
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儿科诊所理想心血管健康评估的可行性
DOI：
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发表时间：
2018
影响因子：
--
通讯作者：
A. Knehans
中科院分区：
文献类型：
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作者：
P. Blackett;Kerry Farrell;M. Truong;Minu George;P. Turner;Joane E. Less;Jonathan D Baldwin;A. Knehans
在儿科专科诊所环境中探讨了“即时护理”筛查理想心血管健康的可行性。儿科内分泌诊所招募了经过治疗且疾病稳定的 9-18 岁儿童和青少年 (n=91)。使用桌面设备来检测指尖样本中的非 HDL 胆固醇（非 HDL-C），并根据非 HDL-C 阈值将参与者分为两组，以便比较组间的其余指标。大量儿童的得分较低，得分频率分布与大型回顾性研究相似，很少有参与者没有达到或全部达到健康指标。健康饮食是最不常达到的指标。非 HDL-C 高于理想阈值 3.1 mmol/L (120 mg/dl) 的人具有较高的 BMI 百分位 (p<0.01) 和舒张压百分位 (p<0.05)。我们的结论是，儿科危险因素筛查和评分可以在专科诊所进行，为患者和提供者提供有意义的心血管健康评分。异常的“护理点”非 HDL-C 水平与 BMI 和血压升高之间的关联支持了危险因素聚类和在儿科诊所环境中使用理想健康结构的证据。
The feasibility of “point-of-care” screening for ideal cardiovascular health was explored in a pediatric specialty clinic setting. Children and adolescents aged 9–18 years (n=91) with treated and stabilized diseases were recruited at a pediatric endocrinology clinic. A table-top device was used to assay fingerstick samples for non-HDL cholesterol (non-HDL-C), which was used to divide participants into two groups based on the non-HDL-C threshold for comparison of the remaining metrics between groups. A significant number of children had low scores, and score frequency distribution was similar to larger retrospective studies, with few participants achieving none or all of the health metrics. Healthy diet was the metric least often achieved. Those with a non-HDL-C above the ideal threshold of 3.1 mmol/L (120 mg/dl) had a higher BMI percentile (p<0.01) and diastolic blood pressure percentile (p<0.05). We conclude that pediatric risk factor screening and scoring can be performed in a specialty clinic with meaningful cardiovascular health scores for patients and providers. Association of abnormal “point-of care” non-HDL-C levels with elevated BMI and blood pressure supports evidence for risk factor clustering and use of the ideal health construct in pediatric clinic settings.
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影响因子：
5.3
作者：
KwiterovichJr,PO
通讯作者：
KwiterovichJr,PO
影响因子：
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作者：
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影响因子：
8.7
作者：
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通讯作者：
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影响因子：
158.5
作者：
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通讯作者：
Wattigney, WA