Abstract P288: Parent-child Associations In Cardiovascular Health

Circulation ◽  
2020 ◽  
Vol 141 (Suppl_1) ◽  
Author(s):  
Norrina B Allen ◽  
Megan McCabe ◽  
Amy Krefman ◽  
Donald M Lloyd-jones ◽  
Bradley S Marino ◽  
...  
Keyword(s):  
Physical Activity ◽  
Intergenerational Transmission ◽  
Cardiovascular Health ◽  
Clinical Factors ◽  
Parental Employment ◽  
Children And Parents ◽  
Family Based ◽  
Cv Disease ◽  
Score Range ◽  
Hispanic White

Introduction: Shared genetics may explain some of the strong heritability of cardiovascular (CV) disease, however, excess risk is largely due to intergenerational transmission of poor lifestyles leading to the increased presence of cardiovascular risk factors. We examined the association between parental and child CV health (CVH), including behavioral and clinical factors. Methods: Participants of the Multidimensional Assessment of Preschoolers Study (MAPS) and a parent (predominantly mothers) were recruited for a CVH exam when the child was 9-11 yrs (in 2018-19). Five CVH metrics were collected in children and parents: BMI and blood pressure via standardized measurements, and diet, physical activity and smoking via questionnaire. CVH was defined as the sum of ideal (2 points), intermediate (1 point) and poor (0 points) levels of the 5 metrics, as defined by the AHA. The overall CVH score (range: 0-10) was stratified into high (9-10), moderate (5-8) and low (0-4). Logistic regression was used to examine relationships between ideal CVH in children and various predictors, including parental employment, income, and ideal CVH. Results: Among 185 participants (53% female, 12% Non-Hispanic White, 52% non-Hispanic Black and 30% Hispanic; mean age 11) 5% had low, 75% moderate and 20% had high CVH. Looking at the metrics individually, poor diet was the most common (43%), followed by BMI (22%), physical activity (18%), smoking (2%), and BP (1%). Among the parents, 19% were in low, 71% moderate and 10% high CVH. After adjusting for race, age, and sex, the strongest predictor of a child’s CVH score was parental CVH score (p=0.007). If a parent had high CVH, the child was 5 times more likely to have high CVH (OR: 5.03, 95% CI: 1.55-16.33). Conclusions: In this MAPS cohort, there was an association between ideal CVH in parents and ideal pre-adolescence CVH in children. These results suggest that interventions to preserve and restore CVH must be family-based.

scholarly journals Racial, Ethnic, and Geographic Disparities in Cardiovascular Health Among Women of Childbearing Age in the United States

2021 ◽  
Author(s):  
Yi Zheng ◽  
Xiaoxiao Wen ◽  
Jiang Bian ◽  
Jinying Zhao ◽  
Heather S. Lipkind ◽  
...  
Keyword(s):  
Physical Activity ◽  
United States ◽  
Blood Pressure ◽  
Cardiovascular Health ◽  
The United States ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Geographic Disparities ◽  
Racial Ethnic ◽  
Hispanic White

Background In the United States, large disparities in cardiovascular health (CVH) exist in the general population, but little is known about the CVH status and its disparities among women of childbearing age (ie, 18–49 years). Methods and Results In this cross‐sectional study, we examined racial, ethnic, and geographic disparities in CVH among all women of childbearing age in the United States, using the 2011 to 2019 Behavioral Risk Factor Surveillance System. Life's Simple 7 (ie, blood pressure, glucose, total cholesterol, smoking, body mass index, physical activity, and diet) was used to examine CVH. Women with 7 ideal CVH metrics were determined to have ideal CVH. Among the 269 564 women of childbearing age, 13 800 (4.84%) had ideal CVH. After adjusting for potential confounders, non‐Hispanic Black women were less likely to have ideal CVH (odds ratio, 0.54; 95% CI, 0.46–0.63) compared with non‐Hispanic White women, and with significantly lower odds of having ideal metrics of blood pressure, blood glucose, body mass index, and physical activity. No significant difference in CVH was found between non‐Hispanic White and Hispanic women. Large geographic disparities with temporal variations were observed, with the age‐ and race‐adjusted ideal CVH prevalence ranging from 4.05% in the District of Columbia (2011) to 5.55% in Maine and Montana (2019). States with low ideal CVH prevalence and average CVH score were mostly clustered in the southern United States. Conclusions Large racial, ethnic, and geographic disparities in CVH exist among women of childbearing age. More efforts are warranted to understand and address these disparities.

Abstract 14231: Balancing Exercise Risk With Cardiovascular Health in Pediatric Hypertrophic Cardiomyopathy

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Frances Sobierajski ◽  
Melissa Bird ◽  
Samantha Anthony ◽  
Sarah Pol ◽  
Kate Storey ◽  
...  
Keyword(s):  
Physical Activity ◽  
Hypertrophic Cardiomyopathy ◽  
Cardiovascular Health ◽  
Healthy Lifestyle ◽  
Qualitative Interviews ◽  
Self Awareness ◽  
Patient Centered ◽  
Physically Active ◽  
Children And Parents ◽  
The Right

Introduction: Physical activity is vital to long-term cardiovascular health. However, patients with hypertrophic cardiomyopathy (HCM) are often advised to avoid strenuous physical activity due to the risk of sudden cardiac death. Objective: Given activity restrictions and recommendations for patients with HCM, our objective was to explore children and parents’ perceptions of a heart healthy lifestyle. Methods: Children with HCM and their parents were purposefully recruited at two Canadian sites for participation in a photovoice project. Participants (children and parents) were given a camera and asked to take pictures of everyday heart healthy or unhealthy choices. Photos were discussed during one-on-one qualitative interviews with children and parents separately to understand the photos meaning and significance. Inductive descriptive thematic analysis was used. Results: Thirteen child/parent pairs participated. Children (median 15.9 yrs old (range: 13.6-17.7), median BMI 28.5kg/m 2 (range: 17.8-36.7)) were mostly male (62%). Parents were all female. Most children were activity restricted (n=12). Participants took photos to represent being physically active, the majority being non-competitive activities. Specifically, they emphasized the importance of regular activity to support physical, emotional and heart health. While physical activity was identified as a healthy choice, participants learned from the cardiologist that certain activities were too risky to participate in. Despite these restrictions, children engaged in other types of activity and were supported by their parents and cardiologist. Two categories (self-limiting and finding the right sport) explained strategies children used to engage in physical activity in heart healthy ways. One child stated, “I think it got easier [over the years] because now I know my limits, and I know what I can and can’t do”. Conclusions: Children with HCM and their parents want to be physically active and sought guidance from the cardiologist. These data demonstrated how children with HCM used self-awareness to make heart healthy decisions about physical activity. This study supports the need for patient-centered, individualized physical activity counselling for patients with HCM.

scholarly journals Exercise referral to promote cardiovascular health in stroke and TIA patients: a pilot feasibility study

2020 ◽  
Vol 6 (1) ◽  
pp. e000929
Author(s):  
Sheharyar Baig ◽  
Bethany Moyle ◽  
Jessica Redgrave ◽  
Arshad Majid ◽  
Ali Ali
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Perceived Exertion ◽  
Cardiovascular Health ◽  
Rating Of Perceived Exertion ◽  
Moderate Physical Activity ◽  
Post Intervention ◽  
Related Quality ◽  
Exercise Programmes

ObjectivesExercise programmes studied after stroke often involve specialist supervision. Determine the feasibility and safety for people with stroke (PwS) or transient ischaemic attack (TIA) participating in readily accessible, non-stroke specialised, community-based exercise programmes.MethodsParticipants were recruited into a structured, group-based, 12-week programme of aerobic and resistance exercise delivered two times per week at one of five local leisure centres. Completion rates, successful attainment of intended exercise intensity (Borg Rating of Perceived Exertion (RPE)) and safety outcomes were recorded. Measures of physical activity (International Physical Activity Questionnaire), health-related quality of life (EQ-5D) and blood pressure (BP) were recorded at baseline and day 1 post intervention.Results79% of participants completed >75% of the intended sessions, with >90% attainment of intended RPE. Exercise was safe with no serious and very few minor adverse events related to exercise. Exercise led to significant increases in EQ-5D (Best of Health p<0.001), levels of weekly moderate physical activity (p<0.001) and decreases in systolic BP (mean change [95% CI]=−5.4 mmHg [−2.84 to −7.96]; p<0.001).ConclusionGeneralised exercise programmes delivered through existing local services, appears feasible, safe and may improve quality of life, physical activity and systolic BP, for PwS and TIA.

scholarly journals Effects of Three Different Family-Based Interventions in Overweight and Obese Children: The “4 Your Family” Randomized Controlled Trial

Nutrients ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 341
Author(s):  
Panagiotis Varagiannis ◽  
Emmanuella Magriplis ◽  
Grigoris Risvas ◽  
Katerina Vamvouka ◽  
Adamantia Nisianaki ◽  
...  
Keyword(s):  
Physical Activity ◽  
Body Weight ◽  
Screen Time ◽  
Overweight And Obesity ◽  
Z Score ◽  
Obese Children ◽  
Group 3 ◽  
Group 2 ◽  
Family Based ◽  
Family Based Interventions

Childhood overweight and obesity prevalence has risen dramatically in the past decades, and family-based interventions may be an effective method to improve children’s eating behaviors. This study aimed to evaluate the effectiveness of three different family-based interventions: group-based, individual-based, or by website approach. Parents and school aged overweight or obese children, 8–12 years of age, were eligible for the study. A total of 115 children were randomly allocated in one of the three interventions, and 91 completed the study (79% compliance); Group 1 (n = 36) received group-based interventions by various experts; Group 2 (n = 30) had interpersonal family meetings with a dietitian; and Group 3 (n = 25) received training through a specifically developed website. Anthropometric, dietary, physical activity, and screen time outcomes were measured at baseline and at the end of the study. Within-group comparisons indicated significant improvement in body weight, body mass index (BMI)-z-score, physical activity, and screen time from baseline in all three study groups (p < 0.05). Furthermore, total body fat percentage (%TBF) was also decreased in Groups 2 and 3. Between-group differences varied with body weight and %TBF change, being larger in Group 3 compared to Groups 1 and 2, in contrast to BMI-z-score, screen time, and health behaviors, which were significantly larger in Group 2 than the other two groups. In conclusion, personalized family-based interventions are recommended to successfully improve children’s lifestyle and body weight status.

scholarly journals Physical activity, sleep and cardiovascular health data for 50,000 individuals from the MyHeart Counts Study

2019 ◽  
Vol 6 (1) ◽  
Author(s):  
Steven G. Hershman ◽  
Brian M. Bot ◽  
Anna Shcherbina ◽  
Megan Doerr ◽  
Yasbanoo Moayedi ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cardiovascular Health ◽  
Health Data
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