Perak Amanda M, Benuck Irwin
Pediatr Ann. 2018 Dec 1;47(12):e479-e486. doi: 10.3928/19382359-20181115-01.
The origins of cardiovascular disease are at the beginning of life, and national guidelines recommend evaluation for cardiovascular risk factors such as obesity and hypertension as part of general pediatric care. In this review, a simple plan is proposed for clear and consistent monitoring and messaging throughout childhood, based on the American Heart Association's "cardiovascular health" construct. A framework is provided for age-appropriate scoring of the cardiovascular health components, including diet, physical activity and screen time, sleep, smoking exposure, body mass index, blood pressure, cholesterol, and glucose. Guidance is provided for evidence-based, efficient intervention by pediatric clinicians to preserve or restore cardiovascular health. Finally, anticipated near-term advances in pediatric cardiovascular health promotion are previewed. [Pediatr Ann. 2018;47(12):e479-e486.].
心血管疾病的起源始于生命初期，国家指南建议将肥胖和高血压等心血管危险因素的评估作为儿童常规保健的一部分。在本综述中，基于美国心脏协会的“心血管健康”概念，提出了一个简单的计划，以便在整个儿童期进行清晰一致的监测和信息传递。提供了一个框架，用于对心血管健康组成部分进行适龄评分，包括饮食、身体活动和屏幕使用时间、睡眠、吸烟暴露、体重指数、血压、胆固醇和血糖。为儿科临床医生提供基于证据的有效干预指导，以维护或恢复心血管健康。最后，对儿科心血管健康促进近期预期的进展进行了展望。[《儿科年鉴》2018年；47(12):e479 - e486。]
