Screening for cardiovascular disease risk factors beginning in childhood

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State: Public
Version: Final published version
Serval ID
serval:BIB_E52D4CB29C98
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Screening for cardiovascular disease risk factors beginning in childhood
Journal
Public Health Reviews
Author(s)
Bloetzer C., Bovet P., Suris J.-C., Simeoni U., Paradis G., Chiolero A.
ISSN
2107-6952
Publication state
Published
Issued date
2015
Volume
36
Number
9
Pages
1-9
Language
english
Abstract
Cardiovascular diseases (CVD) are the leading cause of death worldwide. Individual detection and intervention on CVD risk factors and behaviors throughout childhood and adolescence has been advocated as a strategy to reduce CVD risk in adulthood. The U.S. National Heart, Lung, and Blood Institute (NHLBI) has recently recommended universal screening of several risk factors in children and adolescents, at odds with several recommendations of the U.S. Services Task Force and of the U.K. National Screening committee. In the current review, we discuss the goals of screening for CVD risk factors (elevated blood pressure, abnormal blood lipids, diabetes) and behaviors (smoking) in children and appraise critically various screening recommendations. Our review suggests that there is no compelling evidence to recommend universal screening for elevated blood pressure, abnormal blood lipids, abnormal blood glucose, or smoking in children and adolescents. Targeted screening of these risk factors could be useful but specific screening strategies have to be evaluated. Research is needed to identify target populations, screening frequency, intervention, and follow-up. Meanwhile, efforts should rather focus on the primordial prevention of CVD risk factors and at maintaining a lifelong ideal cardiovascular health through environmental, policy, and educational approaches.
Keywords
Adolescents, Cardiovascular disease, Children, Screening
Pubmed
Open Access
Yes
Create date
17/11/2015 14:55
Last modification date
20/08/2019 16:08
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