Ideal Cardiovascular Health in Childhood and Cardiometabolic Outcomes in Adulthood The Cardiovascular Risk in Young Finns Study

Ideal Cardiovascular Health in Childhood and Cardiometabolic Outcomes in Adulthood The Cardiovascular Risk in Young Finns Study
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DOI:
10.1161/circulationaha.111.073585
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发表时间:
2012-04-24
期刊:
影响因子:
37.8
通讯作者:
Juonala, Markus
Juonala, Markus
中科院分区:
医学1区
文献类型:
--
作者:
Laitinen, Tomi T.;Pahkala, Katja;Juonala, Markus

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背景 - 作为 2020 年影响目标定义的一部分,美国心脏协会 (AHA) 定义了一个新概念:心血管健康,并确定了随时间推移监测心血管健康所需的指标。理想的心血管健康是由理想的健康行为和理想的健康因素共同定义的。这一概念对儿童队列的适用性及其与成年后心脏代谢结果的关系尚未有报道。 方法和结果——样本由来自年轻芬兰人心血管风险研究队列的 856 名 12 至 18 岁(平均年龄 15.0 岁)参与者组成。自基线(1986 年)以来,参与者接受了 21 年的随访,并获得了有关儿童期健康因素和行为以及成年期心脏代谢结果(2007 年)的可用数据。儿童期理想心血管健康指标的数量与高血压风险降低相关(比值比 [95% 置信区间] 0.66 [0.52-0.85],P
Background-The American Heart Association (AHA) defined a new concept, cardiovascular health, and determined metrics needed to monitor it over time as part of its 2020 Impact Goal definition. Ideal cardiovascular health is defined by the presence of both ideal health behaviors and ideal health factors. The applicability of this concept to a cohort of children and its relationship with cardiometabolic outcomes in adulthood has not been reported.Methods and Results-The sample comprised 856 participants aged 12 to 18 years (mean age 15.0 years) from the Cardiovascular Risk in Young Finns Study cohort. Participants were followed up for 21 years since baseline (1986) and had data available concerning health factors and behaviors in childhood and cardiometabolic outcomes in adulthood (2007). The number of ideal cardiovascular health metrics present in childhood was associated with reduced risk of hypertension (odds ratio [95% confidence interval] 0.66 [0.52-0.85], P