NYU Grossman School of Medicine, 550 First Avenue, New York, NY 10016, USA.
Division of General Pediatrics, Department of Pediatrics, NYU Grossman School of Medicine, New York, NY, USA.
Curr Probl Pediatr Adolesc Health Care. 2023 May;53(5):101434. doi: 10.1016/j.cppeds.2023.101434. Epub 2023 Oct 9.
Optimal cardiovascular health is an essential component of human health and well-being across the life course. Heart healthy practices around diet, physical activity, and sleep early in childhood have the potential to greatly improve lifespan and quality (Mehta et al., 2020). Early childhood routines, defined as functional practices that are predictable and repeatable, predict positive growth and development across the lifecourse (Fiese et al., 2002; Ferretti and Bub, 2017; Spagnola and Fiese, 2007). The American Heart Association has identified key heart healthy routines, such as daily regular activities including diet, physical activity, and sleep that promote cardiovascular health (Lloyd-Jones et al., 2022). Integrating the strength-based relational aspects of routines with the acquisition of cardiovascular health development capabilities allows children to establish their own optimal cardiovascular health trajectory early on. A systematic life course approach to supporting heart healthy routines in early childhood would inform clinical, research, and policy strategies to promote long-term cardiovascular health, and contribute to reducing inequalities in cardiovascular outcomes.
最佳心血管健康是整个人生历程中人类健康和福祉的重要组成部分。儿童早期的心脏健康饮食、身体活动和睡眠习惯有可能极大地延长寿命和提高生活质量(Mehta 等人,2020 年)。幼儿常规,即可预测和可重复的功能性习惯,可预测整个生命周期的积极成长和发展(Fiese 等人,2002 年;Ferretti 和 Bub,2017 年;Spagnola 和 Fiese,2007 年)。美国心脏协会已经确定了一些关键的心脏健康常规,如包括饮食、身体活动和睡眠在内的日常规律活动,这些活动可以促进心血管健康(Lloyd-Jones 等人,2022 年)。将常规的基于优势的关系方面与心血管健康发展能力的获得相结合,使儿童能够尽早建立自己的最佳心血管健康轨迹。从系统的生命历程角度出发,支持儿童早期的心脏健康常规,将为促进长期心血管健康的临床、研究和政策策略提供信息,并有助于减少心血管结果的不平等。