College of Nursing and Health Sciences, University of Massachusetts, Boston, MA 02125-3393, USA.
J Cardiovasc Nurs. 2011 Jul-Aug;26(4 Suppl):S22-34. doi: 10.1097/JCN.0b013e318213ef7f.
During the past 2 decades, life-course social-ecological frameworks have emerged across health, developmental, social, behavioral, and public health disciplines as useful models for explaining how health trajectories develop over an individual's lifetime and how this knowledge can guide and inform new approaches to clinical and public health practice, multilevel policies, and research. Viewed from this perspective, and with emphasis on global cardiovascular health promotion and prevention of cardiovascular disease (CVD), this article summarizes evidence on the early origins and progression of CVD processes across the life course of individuals and diverse populations. Current evidence-based guidelines for CVD prevention are summarized, and recommendations for future research are suggested.
在过去的 20 年中，生命历程社会生态学框架已经在健康、发展、社会、行为和公共卫生等学科中出现，成为解释个体一生中健康轨迹如何发展以及这些知识如何指导和为临床和公共卫生实践、多层次政策和研究提供新方法的有用模型。从这个角度来看，并强调全球心血管健康促进和预防心血管疾病 (CVD)，本文总结了个体和不同人群生命历程中 CVD 过程的早期起源和进展的证据。总结了当前基于证据的 CVD 预防指南，并提出了未来研究的建议。
