Pre and Perinatal Correlates of Ideal Cardiovascular Health
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A Study was conducted to characterize prevalence of ideal cardiovascular health (ICVH) during early childhood (4-7 years), and to identify pre- and perinatal biological, sociodemographic, metabolic, and behavioral correlates of ICVH.

Researchers identified ICVH among 350 mother-child pairs in the Healthy Start Study as no exposure to second hand smoke (SHS), more than 1 hour a day of moderate-to-vigorous physical activity, BMI less than the 85th percentile, systolic and diastolic blood pressure less than the 90th percentile, cholesterol less than 170 mg/dL, fasting glucose less than 100 mg/dL, and a healthy diet, according to the American Heart Association.

Pre- and perinatal characteristics were obtained from questionnaires, medical records, and in-person visits. Due to low prevalence of ICVH, prevalence of meeting more than 6 metrics in the analysis was focused. Researchers examined bivariate associations of each characteristic with % meeting more than 6 metrics and included those that were significant in a multivariable logistic regression model.

--ICVH prevalence at mean±SD age 4.7±0.6 years was 6.9%; boys had twice the prevalence as girls.

--Most children met criteria for SHS, BMI, blood pressure, cholesterol, and glucose, and only 1/3 met criteria for physical activity (31.4%) and diet (35.1%).

--In multivariable analysis, key correlates of ICVH were maternal weight status (OR overweight/obese vs. non-overweight/obese=0.41) and offspring sex (OR male vs.female=2.14).

In conclusion, ICVH prevalence is already poor at the age of 4-7 years, with diet and sufficient physical activity being the limiting factors. Male sex and a safe maternal weight prior to pregnancy are both possible risk factors for childhood ICVH.