Type of Publication: | Journal article |
Author: | Meyer, Ursina; Schindler, Christian; Bloesch, Tamara; Schmocker, Eliane; Zahner, Lukas; Puder, Jardena J.; Kriemler, Susi |
Year of publication: | 2014 |
Published in: | Journal of Adolescent Health ; 55 (2014), 6. - pp. 790-795. - ISSN 1054-139X. - eISSN 1879-1972 |
DOI (citable link): | https://dx.doi.org/10.1016/j.jadohealth.2014.07.007 |
Summary: |
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. |
Subject (DDC): | 796 Sport |
Keywords: | Behavior, Longitudinal, Metabolic syndrome, Physical activity, Overweight, Media consumption, Breakfast, Parents |
Bibliography of Konstanz: | Yes |
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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. Available under: doi: 10.1016/j.jadohealth.2014.07.007
@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} }