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

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

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MEYER, Ursina, Christian SCHINDLER, Tamara BLOESCH, Eliane SCHMOCKER, 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. 55(6), pp. 790-795. ISSN 1054-139X. eISSN 1879-1972

@article{Meyer2014Combi-30281, title={Combined Impact of Negative Lifestyle Factors on Cardiovascular Risk in Children : A Randomized Prospective Study}, year={2014}, doi={10.1016/j.jadohealth.2014.07.007}, 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 Schmocker, Eliane and Zahner, Lukas and Puder, Jardena J. and Kriemler, Susi} }

Puder, Jardena J. 2015-03-16T09:28:44Z Zahner, Lukas Puder, Jardena J. 2015-03-16T09:28:44Z eng Schindler, Christian Kriemler, Susi 2014 Zahner, Lukas Schindler, Christian Meyer, Ursina Purpose<br /><br />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.<br /><br />Methods<br /><br />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.<br /><br />Results<br /><br />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.<br /><br />Conclusions<br /><br />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. Kriemler, Susi Bloesch, Tamara Schmocker, Eliane Combined Impact of Negative Lifestyle Factors on Cardiovascular Risk in Children : A Randomized Prospective Study Meyer, Ursina Schmocker, Eliane Bloesch, Tamara

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