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Healthy hearts: a cross-sectional study of clinical cardiovascular disease risk factors in Northern Colorado school children (1992–2013)

机译:健康的心脏:北科罗拉多州学龄儿童(1992-2013年)临床心血管疾病危险因素的横断面研究

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BackgroundDespite significant declines in cardiovascular disease (CVD), it remains the number one cause of death in the United States. Determining factors that may be associated with CVD risk at a young age may allow us to better prevent CVD deaths in the future. The purpose of this paper is to determine the prevalence of CVD risk factors among 4th grade children who participated in a community-wide CVD education program; as well as the association of these risk factors with weight status and the prevalence of CVD risk factors among family members. MethodsThe Poudre Valley Health Systems, Healthy Hearts Club has provided a cardiovascular screening program (1992–2013) to identify risk factors among students in six Northern Colorado school districts. There were 9,694 children (mean age, 10.3?years, 50?% female) included. Data were collected cross-sectionally with objective measures of total and high-density lipoprotein cholesterol (HDL-C), blood pressure and body mass index (BMI). Surveys were filled out by the parent and/or legal guardian and included questions about risk factors among family members. Means and frequencies were compared using SPSS software version 22 (IBM, Inc.). ResultsThere were a significant number of children with elevated risk factors, including 35?% with total cholesterol?≥?170?mg/dl, 22 % with HDL-C? ConclusionsOverall, the prevalence of CVD risk factors in these children is similar to national levels and these factors are meaningfully associated with overweight and obesity, both within the child as well as within the family. This data suggests CVD risk factor reduction and prevention must focus on overweight and obesity and not be done in isolation of the family.
机译:背景技术尽管心血管疾病(CVD)显着下降,但它仍然是美国第一大死亡原因。确定可能与年轻时CVD风险相关的因素可以使我们将来更好地预防CVD死亡。本文旨在确定参加社区CVD教育计划的4级儿童中CVD危险因素的患病率;以及这些危险因素与体重状况的关联以及家庭成员中CVD危险因素的普遍性。方法Poudre山谷健康系统健康心脏俱乐部提供了一项心血管筛查计划(1992-2013年),以识别北科罗拉多州六个学区学生的危险因素。其中包括9,694名儿童(平均年龄10.3岁,女性50%)。横断面收集数据,并客观测量总和高密度脂蛋白胆固醇(HDL-C),血压和体重指数(BMI)。父母和/或法定监护人填写调查表,其中包括有关家庭成员中危险因素的问题。使用SPSS软件版本22(IBM,Inc.)比较了平均值和频率。结果有相当一部分患儿的危险因素升高,其中总胆固醇≥170?mg / dl的儿童占35%,HDL-C≥22%。结论总体而言,这些儿童的CVD危险因素的患病率与国家水平相似,并且这些因素与儿童以及家庭内部的超重和肥胖有显着关联。这些数据表明,减少和预防CVD危险因素必须着重于超重和肥胖,而不是孤立地家庭。

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