Evidence map›Paper›PMID 31342115›Full record

ReviewPediatric cardiology2019

Lifestyles and Cardiovascular Prevention in Childhood and Adolescence.

Maurizio Giuseppe Abrignani, Fabiana Lucà, Silvia Favilli, Manuela Benvenuto, Carmelo Massimiliano Rao, Stefania Angela Di Fusco, Domenico Gabrielli, Michele Massimo Gulizia, Cardiovascular Prevention Area, Young Cardiologists Area, and Paediatric Cardiology Task Force of the Associazione Nazionale Medici Cardiologi Ospedalieri (ANMCO), and Heart Care Foundation

Abstract readReview
PubMed Publisher
In one paragraph

Review in Pediatric cardiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
9.8field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 83 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 1 country.

Maurizio Giuseppe AbrignaniO.U. of Cardiology, P.O. S. Antonio Abate Di Trapani, ASP Trapani, Via F. Crispi 6, 91025, Marsala, Italy. maur.abri@alice.it.ORCID http://orcid.org/0000-0002-0237-7157
Fabiana LucàO.U. of Cardiology, Grande Ospedale Metropolitano, Azienda Ospedaliera Bianchi Melacrino Morelli, Reggio Calabria, Italy.
Silvia FavilliO.U. of Cardiology, A.O.U. Meyer, Florence, Italy.
Manuela BenvenutoO.U. of Cardiology, Ospedale Civile Giuseppe Mazzini, Teramo, Italy.
Carmelo Massimiliano RaoO.U. of Cardiology, Grande Ospedale Metropolitano, Azienda Ospedaliera Bianchi Melacrino Morelli, Reggio Calabria, Italy.
Stefania Angela Di FuscoO.U. of Cardiology, P.O. S. Filippo Neri, Rome, Italy.
Domenico GabrielliO.U. of Cardiology, Ospedale Civile A. Murri, Fermo, Italy.
Michele Massimo GuliziaO.U. of Cardiology, P.O. Garibaldi Nesima, Catania, Italy.
Cardiovascular Prevention Area, Young Cardiologists Area, and Paediatric Cardiology Task Force of the Associazione Nazionale Medici Cardiologi Ospedalieri (ANMCO), and Heart Care Foundation
Azienda ospedaliera "Bianchi-Melacrino-Morelli" · ITMeyer Children's Hospital · ITOspedale Garibaldi · ITOspedale San Filippo Neri · ITOspedale San Giuseppe · ITOspedale Sant Antonio · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pathology studies demonstrated that coronary fatty streaks develop early in life and that even more advanced fibrous plaques are present in a proportion of adolescents. The presence and extent of atherosclerosis in children and adolescents can be correlated with the same risk factors present in adults; as well as, childhood levels of these risk factors predict adult cardiovascular diseases. Children are born with ideal cardiovascular health but, unfortunately, most of them develop over time modifiable behavioral risk factors. Achieving sustained lifestyle changes initiated too late in adults is difficult, and pharmacologic risk factor control cannot fully restore a low-risk state. Therefore, it seems eminently reasonable to initiate healthful lifestyle training as early in life, decreasing the prevalence of cardiovascular risk factors to retard atherogenic processes and reduce the future burden of cardiovascular diseases. Many guideline recommendations encourage universal adoption of healthier lifestyles, identification of children with cardiovascular risk factors, and their treatment using targeted lifestyle modification and, rarely, pharmacotherapy. Major gains will likely accrue from public health strategies targeting incorrect diet, physical activity, and cigarette smoking. Individualized strategies, however, will initially focus on the highest risk children such as those with familial hyperlipidaemia, diabetes, hypertension, and obesity. The primary purpose of this article is to provide a broad overview on the long-term cardiovascular effects of risk factors in children and youth and to outline various lines of evidence for the efficacy of primordial and primary prevention in young people, as well as recommendations for population- and individual-level strategies and evidence-based interventions.

Indexed as

ExerciseHealthy LifestyleAdolescentAdultAtherosclerosisCardiovascular DiseasesChildDiabetes MellitusDisease ProgressionHumansHypertensionObesityPractice Guidelines as TopicPrevalencePrimary PreventionRisk FactorsAdolescentsCardiovascular preventionChildrenPrimordial prevention

Identifiers

PMID31342115
OpenAlexW2964266628

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.