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Ideal Cardiovascular Health in Childhood and Cardiometabolic Outcomes in Adulthood: The Cardiovascular Risk in Young Finns Study
Open accessAbstract
Background—: The American Heart Association (AHA) defined a new concept, cardiovascular health, and determined metrics needed to monitor it over time as part of its 2020 Impact Goal definition. Ideal cardiovascular health is defined by the presence of both ideal health behaviors and ideal health factors. The applicability of this concept to a cohort of children and its relationship with cardiometabolic outcomes in adulthood has not been reported. Methods and Results—: The sample comprised 856 participants aged 12 to 18 years (mean age 15.0 years) from the Cardiovascular Risk in Young Finns Study cohort. Participants were followed up for 21 years since baseline (1986) and had data available concerning health factors and behaviors in childhood and cardiometabolic outcomes in adulthood (2007). The number of ideal cardiovascular health metrics present in childhood was associated with reduced risk of hypertension (odds ratio [95% confidence interval] 0.66 [0.52–0.85], P <0.001), metabolic syndrome (0.66 [0.52–0.77], P <0.001), high low-density lipoprotein cholesterol (0.66 [0.52–0.85], P =0.001), and high-risk carotid artery intima-media thickness (0.75 [0.60–0.94], P =0.01) in adulthood. All analyses were age and sex adjusted, and the results were not altered after additional adjustment with socioeconomic status. Conclusions—: The number of ideal cardiovascular health metrics present in childhood predicts subsequent cardiometabolic health in adulthood. Our findings suggest that pursuit of ideal cardiovascular health in childhood is important to prevent cardiometabolic outcomes in adulthood.
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Feinstein, M. J., Kim, J., Bibangambah, P., Sentongo, R. N., Martin, J. N., Tsai, A. C., Bangsberg, D. R., Hemphill, L., Triant, V. A., Boum, Y., et al. (2016) · AIDS Research and Human Retroviruses · doi:10.1089/aid.2016.0104 · Cited by 45
Guidelines for Lipid Screening in Children and Adolescents: Bringing Evidence to the Debate
McCrindle, B. W., Kwiterovich, P. O., McBride, P. E., Daniels, S. R., & Kavey, R.-E. W. (2012) · PEDIATRICS · doi:10.1542/peds.2012-1137 · Cited by 43
Birth size, growth trajectory and later cardio-metabolic risk
Cauzzo, C., Chiavaroli, V., Valerio, S. D., & Chiarelli, F. (2023) · Frontiers in Endocrinology · doi:10.3389/fendo.2023.1187261 · Cited by 46
Heterogeneity in Blood Pressure Transitions Over the Life Course
Hardy, S. T., Holliday, K. M., Chakladar, S., Engeda, J. C., Allen, N. B., HEISS, G. M., Lloyd‐Jones, D. M., Schreiner, P. J., Shay, C. M., Lin, D. Y., et al. (2017) · JAMA Cardiology · doi:10.1001/jamacardio.2017.0652 · Cited by 42
Lessons Learned From 10 Years of Preschool Intervention for Health Promotion
Santos-Beneit, G., Fernández‐Jiménez, R., de Cos-Gandoy, A., Rodríguez, C., Carral, V., Bodega, P., de Miguel, M., Orrit, X., Haro, D., Peñalvo, J. L., et al. (2022) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2021.10.046 · Cited by 42
Screening blood pressure measurement in children: are we saving lives?
for the American Society of Pediatric Nephrology, Brady, T. M., Redwine, K. M., & Flynn, J. T. (2013) · Pediatric Nephrology · doi:10.1007/s00467-013-2715-1 · Cited by 42
Abnormalities of vascular structure and function in pediatric hypertension
Urbina, E. M. (2015) · Pediatric Nephrology · doi:10.1007/s00467-015-3188-1 · Cited by 40
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Cardiovascular Disease Prevention in Adolescents: eHealth, Co-Creation, and Advocacy
Raeside, R., Partridge, S. R., Singleton, A. C., & Redfern, J. (2019) · Medical Sciences · doi:10.3390/medsci7020034 · Cited by 39
Association between cumulative exposure to ideal cardiovascular health and arterial stiffness
Zheng, X., Zhang, R., Liu, X., Zhao, H., Liu, H., Gao, J., Wu, Y., & Wu, S. (2017) · Atherosclerosis · doi:10.1016/j.atherosclerosis.2017.03.018 · Cited by 38
Adherence with lipid screening guidelines in standard- and high-risk children and adolescents
Berger, J. H., Chen, F., Faerber, J., O'Byrne, M. L., & Brothers, J. A. (2020) · American Heart Journal · doi:10.1016/j.ahj.2020.10.058 · Cited by 40
Achieving Cardiovascular Health in Young Adulthood—Which Adolescent Factors Matter?
Gooding, H. C., Milliren, C. E., Shay, C. M., Richmond, T. K., Field, A. E., & Gillman, M. W. (2015) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2015.09.011 · Cited by 37
Laitinen, T. T., Ruohonen, S., Juonala, M., Magnussen, C. G., Mikkilä, V., Mikola, H., Hutri‐Kähönen, N., Laitinen, T. P., Tossavainen, P. H., Jokinen, E. V., et al. (2016) · International Journal of Cardiology · doi:10.1016/j.ijcard.2016.12.117 · Cited by 36
Self-citationIdeal cardiovascular health and inflammation in European adolescents: The HELENA study
González‐Gil, E. M., Santabárbara, J., Ruiz, J. R., Bel‐Serrat, S., Huybrechts, I., Pedrero‐Chamizo, R., de la O, A., Gottrand, F., Kafatos, A., Widhalm, K., et al. (2016) · Nutrition Metabolism and Cardiovascular Diseases · doi:10.1016/j.numecd.2016.12.003 · Cited by 36
Capítulo 3 - Avaliação Clínica e Complementar
Malachias, M. V. B., Souza, W., Plavnik, F. L., Rodrigues, C., Brandão, A., Neves, M. F., Bortolotto, L. A., Franco, R., Figueiredo, C., Jardim, P., et al. (2016) · Arquivos Brasileiros de Cardiologia · doi:10.5935/abc.20160153 · Cited by 38
Cacau, L. T., Hanley‐Cook, G., Vandevijvere, S., Leclercq, C., Henauw, S. D., Santaliestra-Pasías, A. M., Μanios, Y., Mourouti, N., Díaz, L. E., González‐Gross, M., et al. (2023) · European Journal of Clinical Nutrition · doi:10.1038/s41430-023-01379-4 · Cited by 35
Lane‐Cordova, A. D., Kershaw, K. N., Liu, K., Herrington, D. M., & Lloyd‐Jones, D. M. (2017) · American Journal of Hypertension · doi:10.1093/ajh/hpx060 · Cited by 35
Inman, M., Daneman, D., Curtis, J., Sochett, E. B., Clarke, A. B. M., Dunger, D. B., Deanfield, J. E., & Mahmud, F. H. (2016) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2016.06.049 · Cited by 34
Wang, L., Li, M., Zhao, Z., Xu, M., Lu, J., Wang, T., Chen, Y., Wang, S., Dai, M., Hou, Y., et al. (2018) · The American Journal of Medicine · doi:10.1016/j.amjmed.2018.07.011 · Cited by 34
Will Teens Go Red? Low Cardiovascular Disease Awareness Among Young Women
Gooding, H. C., Brown, C. A., Liu, J., Revette, A. C., Stamoulis, C., & de Ferranti, S. D. (2019) · Journal of the American Heart Association · doi:10.1161/jaha.118.011195 · Cited by 34
Hernandez, R., González, H. M., Tarraf, W., Moskowitz, J. T., Carnethon, M. R., Gallo, L. C., Penedo, F. J., Isasi, C. R., Ruiz, J. M., Arguelles, W., et al. (2018) · BMJ Open · doi:10.1136/bmjopen-2017-019434 · Cited by 34
Janković, S., Stojisavljević, D., Janković, J., Erić, M., & Marinković, J. (2014) · International Journal of Public Health · doi:10.1007/s00038-014-0579-1 · Cited by 33
Kua, J. A., & Pang, J. (2020) · PLoS ONE · doi:10.1371/journal.pone.0236711 · Cited by 33
Risé, P., Tragni, E., Ghezzi, S., Agostoni, C. V., Marangoni, F., Poli, A., Catapano, A. L., Siani, A., Iacoviello, L., & Galli, C. L. (2013) · Prostaglandins Leukotrienes and Essential Fatty Acids · doi:10.1016/j.plefa.2013.06.009 · Cited by 32
Peng, H. Y., Méte, M., Desale, S. Y., Fretts, A. M., Cole, S. A., Best, L. G., Lin, J., Blackburn, E. H., Lee, E. T., Howard, B. V., et al. (2016) · European Journal of Epidemiology · doi:10.1007/s10654-016-0199-6 · Cited by 32
Dong, H., Yan, Y., Liu, J., Zhao, X., Cheng, H., Hou, D., Huang, G., Li, S., Wang, Y., & Mi, J. (2016) · International Journal of Cardiology · doi:10.1016/j.ijcard.2016.12.027 · Cited by 32
Distribution of ideal cardiovascular health in a community-based cohort of Middle East population
Moghaddam, M. M., Mohebi, R., Hosseini‐Esfahani, F., Lotfaliany, M., Azizi, F., Saadat, N., & Hadaegh, F. (2014) · Annals of Saudi Medicine · doi:10.5144/0256-4947.2014.134 · Cited by 31
Cardiovascular health in urban Chinese children and adolescents
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Staying Young at Heart: Cardiovascular Disease Prevention in Adolescents and Young Adults
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Islam, M. R., Rahman, S. M., Rahman, M., Pervin, J., Rahman, A. M., & Ekström, E. (2022) · PLoS ONE · doi:10.1371/journal.pone.0272275 · Cited by 35
Capítulo 14 – Crise Hipertensiva
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Correlates of ideal cardiovascular health in European adolescents: The HELENA study
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Childhood Exposure to Parental Smoking and Midlife Cognitive Function
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Self-citationEffectiveness and Safety of Statin Therapy in Children: A Real-World Clinical Practice Experience
Kavey, R.-E. W., Manlhiot, C., Runeckles, K., Collins, T. H., Gidding, S. S., Demczko, M. M., Clauss, S. B., Harahsheh, A. S., Mietus-Syder, M., Khoury, M., et al. (2020) · CJC Open · doi:10.1016/j.cjco.2020.06.002 · Cited by 29
Magnussen, C. G., Smith, K. J., & Juonala, M. (2014) · Current Cardiovascular Risk Reports · doi:10.1007/s12170-014-0373-x · Cited by 28
Self-citationAgbaje, A. O., Haapala, E. A., Lintu, N., Viitasalo, A., BARKER, A. R., Takken, T., Tompuri, T., Lindi, V., & Lakka, T. A. (2018) · Scandinavian Journal of Medicine and Science in Sports · doi:10.1111/sms.13307 · Cited by 28
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Trends and Clustering of Cardiovascular Health Metrics Among U.S. Adolescents 1988–2010
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Metadata
- Authors
- Laitinen, T. T., Pahkala, K., Magnussen, C. G., Viikari, J. S. A., Oikonen, M., Taittonen, L., Mikkilä, V., Jokinen, E., Hutri-Kähönen, N., Laitinen, T., Kähönen, M., Lehtimäki, T., Raitakari, O. T., & Juonala, M.
- Affiliations
- University of Tasmania (AU)
- From the Research Center of Applied & Preventive Cardiovascular Medicine (T.T.L., K.P., C.G.M., M.O., O.T.R., M.J.), Paavo Nurmi Center, Sports & Exercise Medicine Unit (K.P.), and Departments of Clinical Physiology (O.T.R.) and Medicine (J.S.A.V., M.J.), University of Turku, Turku, Finland; Menzies Research Institute, University of Tasmania, Hobart, Australia (C.G.M.); Department of Pediatrics, Vaasa Central Hospital, Vaasa, Finland (L.T.) and Department of Pediatrics, University of Oulu,...
- ORCID
- Venue
- Circulation
- Published
- 2012-04-24
- Volume
- 125
- Issue
- 16
- Pages
- 1971-1978
- ISSN
- 0009-7322 (ISSN-L)
- 1524-4539
- OpenAlex
- W2036298368
- Cited by
- 299
- References
- 37
- Citations by year
- 2026: 8 · 2025: 16 · 2024: 21 · 2023: 20 · 2022: 19 · 2021: 18 · 2020: 26 · 2019: 18 · 2018: 21 · 2017: 23 · 2016: 33 · 2015: 25 · 2014: 26 · 2013: 17 · 2012: 7
- FWCI
- 15.44
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Circulation (publishedVersion)
- PubMed (publishedVersion)
- eCite Digital Repository (University of Tasmania) (submittedVersion)
- Figshare (submittedVersion)
- Funders
- Kela
- Suomen Kulttuurirahasto
- Juho Vainion Säätiö
- Orionin Tutkimussäätiö
- Paavo Nurmen Säätiö
- Turun Yliopistosäätiö
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Disease Prevention
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Keywords
- ideal cardiovascular health, cardiometabolic outcomes, hypertension, metabolic syndrome, LDL cholesterol, carotid intima-media thickness, Cardiovascular Risk in Young Finns Study, long-term follow-up
- MeSH terms
- Adolescent, Adult, Cardiovascular Diseases, Carotid Arteries, Child, Female, Finland, Humans, Hypertension, Cholesterol, HDL, Cholesterol, LDL, Longitudinal Studies, Male, Risk, Metabolic Syndrome, Young Adult, Carotid Intima-Media Thickness
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