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Combined Impact of Negative Lifestyle Factors on Cardiovascular Risk in Children : A Randomized Prospective Study

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2014

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Meyer, Ursina
Schindler, Christian
Bloesch, Tamara
Zahner, Lukas
Puder, Jardena J.
Kriemler, Susi

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https://doi.org/10.1016/j.jadohealth.2014.07.007
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Journal of Adolescent Health. 2014, 55(6), pp. 790-795. ISSN 1054-139X. eISSN 1879-1972. Available under: doi: 10.1016/j.jadohealth.2014.07.007

Zusammenfassung

Purpose

Negative lifestyle factors are known to be associated with increased cardiovascular risk (CVR) in children, but research on their combined impact on a general population of children is sparse. Therefore, we aimed to quantify the combined impact of easily assessable negative lifestyle factors on the CVR scores of randomly selected children after 4 years.

Methods

Of the 540 randomly selected 6- to 13-year-old children, 502 children participated in a baseline health assessment, and 64% were assessed again after 4 years. Measures included anthropometry, fasting blood samples, and a health assessment questionnaire. Participants scored one point for each negative lifestyle factor at baseline: overweight; physical inactivity; high media consumption; little outdoor time; skipping breakfast; and having a parent who has ever smoked, is inactive, or overweight. A CVR score at follow-up was constructed by averaging sex- and age-related z-scores of waist circumference, blood pressure, glucose, inverted high-density lipoprotein, and triglycerides.

Results

The age-, sex-, pubertal stage-, and social class–adjusted probabilities (95% confidence interval) for being in the highest CVR score tertile at follow-up for children who had at most one (n = 48), two (n = 64), three (n = 56), four (n = 41), or five or more (n = 14) risky lifestyle factors were 15.4% (8.9–25.3), 24.3% (17.4–32.8), 36.0% (28.6–44.2), 49.8% (38.6–61.0), and 63.5% (47.2–77.2), respectively.

Conclusions

Even in childhood, an accumulation of negative lifestyle factors is associated with higher CVR scores after 4 years. These negative lifestyle factors are easy to assess in clinical practice and allow early detection and prevention of CVR in childhood.

Zusammenfassung in einer weiteren Sprache

Fachgebiet (DDC)
796 Sport

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Behavior, Longitudinal, Metabolic syndrome, Physical activity, Overweight, Media consumption, Breakfast, Parents

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ISO 690MEYER, Ursina, Christian SCHINDLER, Tamara BLOESCH, Eliane PETERHANS, Lukas ZAHNER, Jardena J. PUDER, Susi KRIEMLER, 2014. Combined Impact of Negative Lifestyle Factors on Cardiovascular Risk in Children : A Randomized Prospective Study. In: Journal of Adolescent Health. 2014, 55(6), pp. 790-795. ISSN 1054-139X. eISSN 1879-1972. Available under: doi: 10.1016/j.jadohealth.2014.07.007
BibTex
@article{Meyer2014Combi-30281,
  year={2014},
  doi={10.1016/j.jadohealth.2014.07.007},
  title={Combined Impact of Negative Lifestyle Factors on Cardiovascular Risk in Children : A Randomized Prospective Study},
  number={6},
  volume={55},
  issn={1054-139X},
  journal={Journal of Adolescent Health},
  pages={790--795},
  author={Meyer, Ursina and Schindler, Christian and Bloesch, Tamara and Peterhans, Eliane and Zahner, Lukas and Puder, Jardena J. and Kriemler, Susi}
}
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    <dcterms:abstract xml:lang="eng">Purpose&lt;br /&gt;&lt;br /&gt;Negative lifestyle factors are known to be associated with increased cardiovascular risk (CVR) in children, but research on their combined impact on a general population of children is sparse. Therefore, we aimed to quantify the combined impact of easily assessable negative lifestyle factors on the CVR scores of randomly selected children after 4 years.&lt;br /&gt;&lt;br /&gt;Methods&lt;br /&gt;&lt;br /&gt;Of the 540 randomly selected 6- to 13-year-old children, 502 children participated in a baseline health assessment, and 64% were assessed again after 4 years. Measures included anthropometry, fasting blood samples, and a health assessment questionnaire. Participants scored one point for each negative lifestyle factor at baseline: overweight; physical inactivity; high media consumption; little outdoor time; skipping breakfast; and having a parent who has ever smoked, is inactive, or overweight. A CVR score at follow-up was constructed by averaging sex- and age-related z-scores of waist circumference, blood pressure, glucose, inverted high-density lipoprotein, and triglycerides.&lt;br /&gt;&lt;br /&gt;Results&lt;br /&gt;&lt;br /&gt;The age-, sex-, pubertal stage-, and social class–adjusted probabilities (95% confidence interval) for being in the highest CVR score tertile at follow-up for children who had at most one (n = 48), two (n = 64), three (n = 56), four (n = 41), or five or more (n = 14) risky lifestyle factors were 15.4% (8.9–25.3), 24.3% (17.4–32.8), 36.0% (28.6–44.2), 49.8% (38.6–61.0), and 63.5% (47.2–77.2), respectively.&lt;br /&gt;&lt;br /&gt;Conclusions&lt;br /&gt;&lt;br /&gt;Even in childhood, an accumulation of negative lifestyle factors is associated with higher CVR scores after 4 years. These negative lifestyle factors are easy to assess in clinical practice and allow early detection and prevention of CVR in childhood.</dcterms:abstract>
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