Cardiovascular Health Promotion in Children: Challenges and Opportunities for 2020 and Beyond: A Scientific Statement From the American Heart Association.
Cardiovascular Health Promotion in Children: Challenges and Opportunities for 2020 and Beyond: A Scientific Statement From the American Heart Association.
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DOI：
10.1161/cir.0000000000000441
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发表时间：
2016-09-20
期刊：
影响因子：
37.8
通讯作者：
American Heart Association Atherosclerosis, Hypertension, and Obesity in the Young Committee of the Council on Cardiovascular Disease in the Young; Council on Cardiovascular and Stroke Nursing; Council on Epidemiology and Prevention; Council on Functional Genomics and Translational Biology; and Stroke Council
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文献类型：
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作者：
Steinberger J;Daniels SR;Hagberg N;Isasi CR;Kelly AS;Lloyd-Jones D;Pate RR;Pratt C;Shay CM;Towbin JA;Urbina E;Van Horn LV;Zachariah JP;American Heart Association Atherosclerosis, Hypertension, and Obesity in the Young Committee of the Council on Cardiovascular Disease in the Young; Council on Cardiovascular and Stroke Nursing; Council on Epidemiology and Prevention; Council on Functional Genomics and Translational Biology; and Stroke Council
本文件为美国心脏协会 (AHA) 2020 年及以后的战略影响目标提供了以儿科为重点的配套文件，重点关注成人和儿童的心血管 (CV) 健康促进和减少疾病。文件中详述的原则反映了美国心脏协会在整个生命周期中促进心血管健康的新的动态和主动目标。主要关注点是成人心血管健康和疾病预防，但实现这一目标的关键是从出生到童年到成年早期及以后维持理想的心血管健康。重点放在在临床或研究环境中定义儿童心血管健康的基本原则和指标，并对儿童和青少年心血管健康结构的优缺点进行平衡和批判性的评估。具体来说，它讨论了两个重要因素：1）促进所有儿童的理想心血管健康，2）改善目前被归类为“较差”或“中等”心血管健康的儿童的心血管健康指标分数。其他主题包括美国儿童心血管健康的现状、完善健康指标的机会、改善健康指标分数以及促进理想心血管健康的可能性。重要的是，我们注意到了对使用单一阈值来识别整个童年时期心血管风险升高的适用性以及我们当前知识的局限性的担忧，同时为未来的方向和研究提供了建议。
This document provides a pediatric-focused companion to the American Heart Association (AHA) Strategic Impact Goal Through 2020 and Beyond, focused on cardiovascular (CV) health promotion and disease reduction in adults and children. The principles detailed in the document reflect the AHA’s new dynamic and proactive goal to promote CV health throughout the lifecourse. The primary focus is on adult CV health and disease prevention, but critical to achievement of this goal is maintenance of ideal CV health from birth through childhood to young adulthood and beyond. Emphasis is placed on the fundamental principles and metrics that define CV health in children for the clinical or research setting and a balanced and critical appraisal of the strengths and weaknesses of the CV health construct in children and adolescents are provided. Specifically, it discusses two important factors: 1) the promotion of ideal CV health in all children, and 2) the improvement of CV health metric scores in children currently classified as having “poor” or “intermediate” CV health. Other topics include the current status of CV health in U.S. children, opportunities for the refinement of health metrics, improvement of health metric scores, and possibilities for promoting ideal CV health. Importantly, concerns about the suitability of using single thresholds to identify elevated CV risk throughout the childhood years and the limits of our current knowledge are noted, while providing suggestions for future directions and research.