a Beijing Children's Hospital, Capital Medical University, National Center for Children's Health , Beijing , China.
b Department of Epidemiology , Capital Institute of Pediatrics , Beijing , China.
Ann Med. 2019 Feb;51(1):88-96. doi: 10.1080/07853890.2019.1580383. Epub 2019 Mar 12.
Cardiovascular diseases remain the leading cause of death and disease burden in China and worldwide. We aimed to evaluate the status of cardiovascular health among urban Chinese children and adolescents.
We conducted a cross-sectional study comprising 12,618 children and adolescents aged 6-18 years, who were recruited from Chinese urban areas during 2013-2015. The poor, intermediate, and ideal levels of 7 cardiovascular health metrics, including smoking, body mass index, dietary intake, physical activity, blood pressure, blood glucose, and total cholesterol were defined according to revised American Heart Association criteria.
Ideal smoking status was the most prevalent health component (overall, 90.7%; males, 86.3% and females, 95.4%), whereas ideal health diet score (overall, 8.7%; males, 9.1% and females, 8.3%) was the least prevalent among urban Chinese children and adolescents. The majority (overall, 84.9%; males, 82.6% and females, 87.4%) of participants had 3-5 ideal metrics. The overall prevalence of ideal cardiovascular health (i.e. meeting all 7 ideal components) was extremely low (overall, 0.5%; males, 0.5% and females, 0.4%).
The prevalence of ideal cardiovascular health in urban Chinese children and adolescents is extremely low, particularly for physical activity and healthy dietary intake. Effective public health interventions are required to improve cardiovascular health in children and adolescents to reduce future cardiovascular risk. Key messages Ideal health diet score was the least prevalent health component among urban Chinese children and adolescents The prevalence of ideal cardiovascular health in urban Chinese children and adolescents was extremely low Effective public health interventions are required to improve cardiovascular health in children and adolescents to reduce future cardiovascular risk.
心血管疾病仍然是中国乃至全球死亡和疾病负担的主要原因。我们旨在评估中国城市儿童和青少年心血管健康状况。
我们进行了一项横断面研究，纳入了 2013 年至 2015 年期间来自中国城市地区的 12618 名 6-18 岁的儿童和青少年。根据修订后的美国心脏协会标准，将 7 项心血管健康指标（包括吸烟、体重指数、饮食摄入、体力活动、血压、血糖和总胆固醇）的不良、中等和理想水平定义为。
理想的吸烟状况是最常见的健康因素（总体为 90.7%；男性为 86.3%，女性为 95.4%），而理想的健康饮食评分（总体为 8.7%；男性为 9.1%，女性为 8.3%）在城市中国儿童和青少年中是最不常见的。大多数（总体为 84.9%；男性为 82.6%，女性为 87.4%）参与者有 3-5 个理想指标。理想心血管健康（即满足所有 7 个理想指标）的总体流行率极低（总体为 0.5%；男性为 0.5%，女性为 0.4%）。
城市中国儿童和青少年的理想心血管健康流行率极低，尤其是在体力活动和健康饮食方面。需要采取有效的公共卫生干预措施来改善儿童和青少年的心血管健康，以降低未来的心血管风险。主要发现理想健康饮食评分是城市中国儿童和青少年中最不常见的健康因素城市中国儿童和青少年的理想心血管健康流行率极低需要采取有效的公共卫生干预措施来改善儿童和青少年的心血管健康，以降低未来的心血管风险。
