Your browser doesn't support javascript.
loading
Childhood antecedents to adult cardiovascular disease.
Halfon, Neal; Verhoef, Philip A; Kuo, Alice A.
Afiliação
  • Halfon N; University of California Los Angeles Center for Healthier Children, Families, and Communities, Los Angeles, CA, USA.
Pediatr Rev ; 33(2): 51-60; quiz 61, 2012 Feb.
Article em En | MEDLINE | ID: mdl-22301031
Through research in the prevention and treatment of adult diseases, it has become clear that many adult diseases have their origins in childhood. As illustrated in this review, these antecedents are largely a function of the nutrition, physical activity, and habits of developing children. There is also increasing evidence that chronic and toxic levels of stress can play a significant role not only in the development of mental and behavioral conditions but in the developmental pathways that lead to a number of chronic physical health conditions. Internists, family medicine physicians, and medicine-pediatrics physicians generally are comfortable managing patients with a number of cardiovascular risk factors or conditions. Although pediatric clinical guidelines have recommended universal screening for hypertension since 1977 and targeted screening for dyslipidemia since 1992 and type 2 DM since 2000, this screening is not yet common practice in general pediatrics. As the population of children and youth with risk factors for metabolic syndrome--hypertension, dyslipidemia, and type 2 DM--increases as a result of the obesity epidemic, pediatricians will have to screen routinely, and diagnose and treat these conditions in the primary care setting. Pediatric residency programs and continuing medical education programs will have to provide knowledge and clinical training in the management of these conditions before primary care pediatricians are comfortable treating children and youth with multiple cardiovascular conditions.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Doenças Cardiovasculares / Nível de Saúde Tipo de estudo: Etiology_studies / Guideline / Risk_factors_studies Limite: Adult / Humans Idioma: En Revista: Pediatr Rev Ano de publicação: 2012 Tipo de documento: Article País de afiliação: Estados Unidos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Doenças Cardiovasculares / Nível de Saúde Tipo de estudo: Etiology_studies / Guideline / Risk_factors_studies Limite: Adult / Humans Idioma: En Revista: Pediatr Rev Ano de publicação: 2012 Tipo de documento: Article País de afiliação: Estados Unidos