Screening for cardiovascular disease risk factors beginning in childhood
Détails
Etat: Public
Version: Final published version
ID Serval
serval:BIB_E52D4CB29C98
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Screening for cardiovascular disease risk factors beginning in childhood
Périodique
Public Health Reviews
ISSN
2107-6952
Statut éditorial
Publié
Date de publication
2015
Volume
36
Numéro
9
Pages
1-9
Langue
anglais
Résumé
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.
Mots-clé
Adolescents, Cardiovascular disease, Children, Screening
Pubmed
Site de l'éditeur
Open Access
Oui
Création de la notice
17/11/2015 15:55
Dernière modification de la notice
20/08/2019 17:08