Pre- and Perinatal Correlates of Ideal Cardiovascular Health during Early Childhood: A Prospective Analysis in the Healthy Start Study
| Autor: | Dana Dabelea, Wei Perng, Caylor Schuldt, Katherine A. Sauder, Gregory Barbosa, Ellen C. Francis |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Percentile Pediatrics medicine.medical_specialty Offspring Health Status Cardiovascular health Health Behavior Article Childhood obesity 03 medical and health sciences 0302 clinical medicine Pregnancy Risk Factors 030225 pediatrics medicine Humans Prospective Studies 030212 general & internal medicine Early childhood Child Exercise business.industry Child Health Protective Factors medicine.disease Health Surveys Logistic Models Blood pressure Cardiovascular Diseases Heart Disease Risk Factors Child Preschool Prenatal Exposure Delayed Effects Pediatrics Perinatology and Child Health Female Tobacco Smoke Pollution Diet Healthy business Body mass index |
| Zdroj: | J Pediatr |
| ISSN: | 0022-3476 |
| DOI: | 10.1016/j.jpeds.2021.03.014 |
| Popis: | OBJECTIVES: To characterize prevalence of ideal cardiovascular health (ICVH) during early childhood (4–7 years), and to identify pre- and perinatal biological, sociodemographic, metabolic, and behavioral correlates of ICVH. STUDY DESIGN: Among 350 mother-child pairs in the Healthy Start Study, we defined ICVH as no exposure to second hand smoke (SHS), ≥1 h/day of moderate-to-vigorous physical activity, BMI≤85(th) percentile; systolic and diastolic blood pressure85%) children met criteria for SHS, BMI, blood pressure, cholesterol, and glucose, and only 1/3 met criteria for physical activity (31.4%) and diet (35.1%). In multivariable analyses, key correlates of ICVH were maternal weight status (OR(overweight/obese vs. non-overweight/obese)=0.41 [0.23, 0.73]) and offspring sex (OR(male vs. female)=2.14 [1.22, 3.65]). CONCLUSIONS: At age 4–7 years, ICVH prevalence is already low, with diet and adequate physical activity being the limiting factors. Healthy maternal weight prior to pregnancy and male sex are potential determinants of childhood ICVH. Additional work is required to explore associations of early-life ICVH with future health outcomes. |
| Databáze: | OpenAIRE |
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