Sociodemographic Correlates of High Cardiovascular Health Across Childhood and Adolescence: A Prospective Study Among 2 Cohorts in the ECHO Consortium
Background This study seeks to characterize cardiovascular health (CVH) from early childhood to late adolescence and identify sociodemographic correlates of high CVH that serve as levers for optimizing CVH across early life. Methods and Results Among 1530 youth aged 3 to 20 years from 2 cohorts in t...
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| Language: | English |
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Wiley
2024-08-01
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| Series: | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
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| Online Access: | https://www.ahajournals.org/doi/10.1161/JAHA.124.036279 |
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| author | Wei Perng Noya Galai Qi Zhao Augusto Litonjua Sarah Geiger Katherine A. Sauder T. Michael O'Shea Marie‐France Hivert Emily Oken Dana Dabelea Izzuddin M. Aris |
| author_facet | Wei Perng Noya Galai Qi Zhao Augusto Litonjua Sarah Geiger Katherine A. Sauder T. Michael O'Shea Marie‐France Hivert Emily Oken Dana Dabelea Izzuddin M. Aris |
| author_sort | Wei Perng |
| collection | DOAJ |
| description | Background This study seeks to characterize cardiovascular health (CVH) from early childhood to late adolescence and identify sociodemographic correlates of high CVH that serve as levers for optimizing CVH across early life. Methods and Results Among 1530 youth aged 3 to 20 years from 2 cohorts in the ECHO (Environmental Influences on Child Health Outcomes) consortium, we first derived CVH scores on the basis of the Life's Essential 8 construct comprising 4 behavioral (nicotine use/exposure, physical activity, sleep, and diet) and 4 health factors (body mass index, blood pressure, non–high‐density lipoprotein cholesterol, and fasting glucose) during early childhood (mean age, 3.5 years), middle childhood (8.0 years), early adolescence (13.3 years), and late adolescence (17.8 years). Next, we used generalized regression to estimate the probability of high (versus not high) CVH with respect to sociodemographic characteristics. Overall CVH score was stable across life stages: 81.2±7.6, 83.3±8.0, and 81.7±8.9 of 100 possible points in early childhood, middle childhood, and early adolescence, respectively. Accordingly, during these life stages, most children (63.3%–71.5%) had high CVH (80 to <100). However, CVH declined by late adolescence, with an average score of 75.5±10.2 and 39.4% high CVH. No children had optimal CVH (score=100) at any time. Correlates of high CVH include non‐Hispanic White race and ethnicity, maternal college education, and annual household income >$70 000. These associations were driven by behavioral factors. Conclusions Although most youth maintained high CVH across childhood, the decline by late adolescence indicates that cardiovascular disease prevention should occur before the early teen years. Disparities in high CVH over time with respect to sociodemographic characteristics were explained by behavioral factors, pointing toward prevention targets. |
| format | Article |
| id | doaj-art-962d88209f744caeb1a46a38791c03fb |
| institution | OA Journals |
| issn | 2047-9980 |
| language | English |
| publishDate | 2024-08-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
| spelling | doaj-art-962d88209f744caeb1a46a38791c03fb2025-08-20T02:12:49ZengWileyJournal of the American Heart Association: Cardiovascular and Cerebrovascular Disease2047-99802024-08-01131510.1161/JAHA.124.036279Sociodemographic Correlates of High Cardiovascular Health Across Childhood and Adolescence: A Prospective Study Among 2 Cohorts in the ECHO ConsortiumWei Perng0Noya Galai1Qi Zhao2Augusto Litonjua3Sarah Geiger4Katherine A. Sauder5T. Michael O'Shea6Marie‐France Hivert7Emily Oken8Dana Dabelea9Izzuddin M. Aris10Lifecourse Epidemiology of Adiposity and Diabetes (LEAD) Center University of Colorado Anschutz Medical Campus Aurora CODepartment of Epidemiology Johns Hopkins Bloomberg School of Public Health Baltimore MDDepartment of Preventive Medicine College of Medicine University of Tennessee Health Science Center Memphis TNDepartment of Pediatrics University of Rochester Medical Center Rochester NYDepartment of Kinesiology and Community Health College of Applied Health Sciences University of Illinois at Urbana‐Champaign Champaign ILDepartment of Implementation Science Wake Forest University School of Medicine Winston‐Salem NCDepartment of Pediatrics University of North Carolina School of Medicine Chapel Hill NCDivision of Chronic Disease Research Across the Lifecourse Department of Population Medicine Harvard Medical School and Harvard Pilgrim Health Care Institute Boston MADivision of Chronic Disease Research Across the Lifecourse Department of Population Medicine Harvard Medical School and Harvard Pilgrim Health Care Institute Boston MALifecourse Epidemiology of Adiposity and Diabetes (LEAD) Center University of Colorado Anschutz Medical Campus Aurora CODivision of Chronic Disease Research Across the Lifecourse Department of Population Medicine Harvard Medical School and Harvard Pilgrim Health Care Institute Boston MABackground This study seeks to characterize cardiovascular health (CVH) from early childhood to late adolescence and identify sociodemographic correlates of high CVH that serve as levers for optimizing CVH across early life. Methods and Results Among 1530 youth aged 3 to 20 years from 2 cohorts in the ECHO (Environmental Influences on Child Health Outcomes) consortium, we first derived CVH scores on the basis of the Life's Essential 8 construct comprising 4 behavioral (nicotine use/exposure, physical activity, sleep, and diet) and 4 health factors (body mass index, blood pressure, non–high‐density lipoprotein cholesterol, and fasting glucose) during early childhood (mean age, 3.5 years), middle childhood (8.0 years), early adolescence (13.3 years), and late adolescence (17.8 years). Next, we used generalized regression to estimate the probability of high (versus not high) CVH with respect to sociodemographic characteristics. Overall CVH score was stable across life stages: 81.2±7.6, 83.3±8.0, and 81.7±8.9 of 100 possible points in early childhood, middle childhood, and early adolescence, respectively. Accordingly, during these life stages, most children (63.3%–71.5%) had high CVH (80 to <100). However, CVH declined by late adolescence, with an average score of 75.5±10.2 and 39.4% high CVH. No children had optimal CVH (score=100) at any time. Correlates of high CVH include non‐Hispanic White race and ethnicity, maternal college education, and annual household income >$70 000. These associations were driven by behavioral factors. Conclusions Although most youth maintained high CVH across childhood, the decline by late adolescence indicates that cardiovascular disease prevention should occur before the early teen years. Disparities in high CVH over time with respect to sociodemographic characteristics were explained by behavioral factors, pointing toward prevention targets.https://www.ahajournals.org/doi/10.1161/JAHA.124.036279cardiovascular diseasecardiovascular healthepidemiologyLife's Essential 8primordial prevention |
| spellingShingle | Wei Perng Noya Galai Qi Zhao Augusto Litonjua Sarah Geiger Katherine A. Sauder T. Michael O'Shea Marie‐France Hivert Emily Oken Dana Dabelea Izzuddin M. Aris Sociodemographic Correlates of High Cardiovascular Health Across Childhood and Adolescence: A Prospective Study Among 2 Cohorts in the ECHO Consortium Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease cardiovascular disease cardiovascular health epidemiology Life's Essential 8 primordial prevention |
| title | Sociodemographic Correlates of High Cardiovascular Health Across Childhood and Adolescence: A Prospective Study Among 2 Cohorts in the ECHO Consortium |
| title_full | Sociodemographic Correlates of High Cardiovascular Health Across Childhood and Adolescence: A Prospective Study Among 2 Cohorts in the ECHO Consortium |
| title_fullStr | Sociodemographic Correlates of High Cardiovascular Health Across Childhood and Adolescence: A Prospective Study Among 2 Cohorts in the ECHO Consortium |
| title_full_unstemmed | Sociodemographic Correlates of High Cardiovascular Health Across Childhood and Adolescence: A Prospective Study Among 2 Cohorts in the ECHO Consortium |
| title_short | Sociodemographic Correlates of High Cardiovascular Health Across Childhood and Adolescence: A Prospective Study Among 2 Cohorts in the ECHO Consortium |
| title_sort | sociodemographic correlates of high cardiovascular health across childhood and adolescence a prospective study among 2 cohorts in the echo consortium |
| topic | cardiovascular disease cardiovascular health epidemiology Life's Essential 8 primordial prevention |
| url | https://www.ahajournals.org/doi/10.1161/JAHA.124.036279 |
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