Children First Study: how an educational program in cardiovascular prevention at school can improve parents’ cardiovascular risk

Fornari, Lucimara Fabiana; Giuliano, Isabela de Carlos Back; Azevedo, Fernanda Reis de; Pastana, Adriana F.; Vieira, Carolina L.Z.; Caramelli, Bruno

doi:10.1177/2047487312437617

Cited by 38 publications

(55 citation statements)

References 20 publications

(30 reference statements)

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“…Recently the Familia study demonstrated that a four-month educational program with a multicomponent intervention promoting a healthy diet, increasing physical activity, understanding the human body, and managing emotions is an effective strategy to change behavior in children [25]. In Brazil, the Children First Study demonstrated that an educational program in cardiovascular prevention aimed at children aged 6 to 10 years can reduce the Framigham cardiovascular risk of their parents [26].…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Combined Lipid Abnormalities in Brazilian Adolescents and Its Association with Nutritional Status: Data from the Erica Study

et al. 2020

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Background: Cardiovascular diseases are the leading cause of death in Brazil and worldwide. The growing incidence of obesity in children and adolescents and its association with lipid abnormalities may worsen this scenario, mainly in developing countries where obesity has reached epidemic levels. Dyslipidemias have several patterns, and the combination of some lipid abnormalities may have higher atherogenic potential. Objectives: To evaluate the prevalence of single or multiple combined lipid abnormalities in adolescents and its association with nutritional status assessed by body mass index. Methods: Data were obtained from the Study of Cardiovascular Risks in Adolescents (ERICA), a school-based, national representative study with Brazilian adolescents between 12 and 17 years of age. Adolescents whose lipid profiles were available were included, and lipid abnormalities were defined as LDL-C ≥ 100 mg/dL, HDL-C < 45 mg/dL, and tryglicerides (TG) ≥ 100 mg/dL. We assessed the prevalence of single or combined lipid abnormalities and correlated this nutritional status with body mass index of low weight, normal, overweight, and obesity. Results: A total of 38,069 adolescents were included, with more than 24,000 of them presenting at least one lipid abnormality (64.7%), and 3.7% showing alterations in all of them. The most prevalent combination was high TG with low HDL-C levels. The higher the BMI, the more lipid abnormalities were found. Conclusions: In this large and representative sample of Brazilian adolescents, the majority had at least one lipid abnormality. Higher BMI was associated with a higher prevalence of combined lipid abnormalities. Highlights:-There is a high prevalence of Brazilian adolescents with dyslipidemias.-BMI was associated with a higher prevalence of combined lipid abnormalities.-BMI can be considered as an indicator of the diagnosis of dyslipidemia in adolescents.

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Section: Discussionmentioning

confidence: 99%

Prevalence of Combined Lipid Abnormalities in Brazilian Adolescents and Its Association with Nutritional Status: Data from the Erica Study

et al. 2020

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“…However, it has been reported that the “child‐to‐family” approach is effective in promoting healthy lifestyles of the family members. School‐based randomized trials reported the effect of educational programs for students on the reduction of salt intake and blood pressure among adults of their families, on the decrease in body weight of their mothers, and on the improvement of Framingham cardiovascular risk of their parents . Because all students whose families consented for organ donation discussed organ donation with their families, our educational program might indirectly encourage their families to consent for organ donation through family discussion.…”

Section: Discussionmentioning

confidence: 99%

Effects of structured education program on organ donor designation of nursing students and their families: A randomized controlled trial

Murakami

Fukuma

Ikezoe

et al. 2016

Clinical Transplantation

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Introduction: Little is known about the effect of education programs on changing attitudes and behaviors of participants and their families toward deceased organ donation. Methods:The subjects of this randomized trial were Japanese nursing students who were not previously designated organ donors. They were randomly assigned to either the education program or information booklet group. The program comprised a lecture followed by group discussion and information booklet. The primary outcome was self-reported organ donor designation. Outcomes were assessed by questionnaire.Results: Data of 203 (99.0%) students were analyzed. At study end, seven of 102 students (6.9%) of the program group and one of 101 students (1.0%) of the booklet group consented to donate organs (proportion ratio 6.93 [95% CI 0.87-55.32]). There were significant between-group differences in willingness to consent for donation (54.9% vs 39.6%; proportion ratio 1.39 [95% CI 1.03-1.87]), family discussion (31.4% vs 15.9%; 1.98 [1.16-3.38]), and organ donor designation of family members (11.8% vs 2. 0%; 5.94 [1.36-25.88]). No group differences were found in willingness for organ donation by students and family members. Conclusion:Although there were no significant between-group differences in organ donor designation, the program seems to indirectly promote consent to organ donation by their families. K E Y W O R D Seducation program, group discussion, organ donation, organ donor designation, transplant recipient 1

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“…No Brasil, um programa educacional para prevenção cardiovascular dirigida às crianças em idade escolar mostrou eficácia em reduzir risco a saúde de seus pais, especialmente nas categorias intermediário e alto risco, capacitando e utilizando as crianças como agentes de proteção familiar 69 .…”

Section: Educação Proteção E Cuidadounclassified

A vulnerabilidade da infância frente ao excesso de peso: considerações éticas sobre responsabilidades

Rosaneli

Cunha

2016

TEMPUS

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A obesidade e sobrepeso na infância e suas consequências clínicas em outras fases da vida estão bem documentas, porém este problema emergente de saúde pública envolve questões éticas cujas dimensões necessitam de melhor compreensão. O objetivo deste artigo é analisar o impacto do excesso de peso na infância a partir de uma problematização bioética acerca da responsabilidade das diversas esferas da sociedade - especialmente da família, da mídia e do estado - na proteção deste grupo que é sensivelmente mais vulnerável aos padrões de consumo alimentares não saudáveis. A argumentação desenvolve-se no sentido de que tais medidas de proteção devem ser tomadas a partir de uma responsabilização mútua sustentada no dever do respeito à dignidade das crianças e no compromisso ético com o futuro saudáveis das próximas gerações.

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Children First Study: how an educational program in cardiovascular prevention at school can improve parents’ cardiovascular risk

Abstract: An educational program in cardiovascular prevention directed at school-age children can reduce the FCR risk of their parents, especially in the intermediate/high risk categories.

Cited by 38 publications

References 20 publications

Prevalence of Combined Lipid Abnormalities in Brazilian Adolescents and Its Association with Nutritional Status: Data from the Erica Study

Prevalence of Combined Lipid Abnormalities in Brazilian Adolescents and Its Association with Nutritional Status: Data from the Erica Study

Effects of structured education program on organ donor designation of nursing students and their families: A randomized controlled trial

A vulnerabilidade da infância frente ao excesso de peso: considerações éticas sobre responsabilidades

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