Correlates of ideal cardiovascular health in European adolescents: The HELENA study

Henriksson, Pontus; Henriksson, Hanna; Labayen, Idoia; Huybrechts, Inge; Gracia‐Marco, Luis; Moreno, Luís A.; Gottrand, Frédéric; Henauw, Stefaan De; González‐Gross, Marcela; Gilbert, Chantal; Kafatos, Antony; Libersa, Christian; Sánchez, Jorge Valdenebro; Kersting, Mathilde; Sjöstróm, Michael; Dallongeville, Jean; Hall, Gunnar; Maes, Lea; Scalfi, Luca; Meléndez, P.; Fleta, Jesús; Casajús, José Antonio; Rodrı́guez, Gerardo; Tomás, Concepción; Mesana, M.I.; Vicente-Rodríguez, Germán; Villarroya, A.; Gil, Carlos Martínez; Ara, Ignacio; Revenga, Juan; Lachen, Carmen; Alvira, J.F.; Bueno, Gloria; Lázaro, A.; Bueno, O.; León, J.F.; Garagorri, J. M.; Bueno, Manuel; López, Juan Pablo Rey; Iglesia, Iris; Velasco, Paula; Bel, Silvia; Marcos, Ascensión; Wärnberǵ, Julia; Nova, Esther; Gómez‐Martínez, Sonia; Díaz, L. E.; Romeo, Javier; Veses, Ana M.; Puertollano, M.a A.; Zapatera, Belén; Pozo, T.; Béghin, Laurent; Iliescu, C.; Berlepsch, J. Von; Sichert-Hellert, Wolfgang; Koeppen, E.; Molnár, Denés; Erhardt, Éva; Csernus, Katalin; Török, Katalin; Bokor, Szilvia; Angster,; Nagy, Enikő; Kovács, Orsolya; Répásy, Judit; Codrington, C.; Plada, María; Papadaki, Angeliki; Sarri, Katerina; Viskadourou, A.; Hatzis, Christos; Kiriakakis, Michael; Tsibinos, George; Vardavas, Constantine; Sbokos, Manolis; Protoyeraki, E.; Fasoulaki, Maria; Stehle, Peter; Pietrzik, Klaus; Breidenassel, Christina; Spinneker, André; Al-Tahan, Jasmin; Segoviano, Miriam; Berchtold, A.; Bierschbach, C.; Blatzheim, E.; Schuch, A.; Pickert, P.; Castillo, Manuel J.; Gutiérrez, Ángel; Ortega, Francisco B.; Ruiz, Jonatan R.; Artero, Enrique G.; España-Romero, Vanesa; Jiménez-Pavón, David; Chillón, Palma; Arcella, Davide; Azzini, Elena; Barrison, E.; Bevilacqua, Noemi; Buonocore, Pasquale; Catasta, Giovina; Censi, Laura; Ciarapica, Donatella; D'Acapito, P.; Ferrari, Marco; Galfo, Myriam; Donne, Cinzia Le; Leclercq, C.; Maiani, G.; Mauro, Béatrice; Mistura, Lorenza; Pasquali, A.; Piccinelli, Raffaela; Polito, Angela; Spada, Raffaella; Sette, Stefania; Zaccaria, Maria; Vitaglione, Paola; Montagnese, Concetta; Bourdeaudhuij, I. De; Vriendt, Tineke De; Matthys, Christophe; Vereecken, Carine; Maeyer, Mieke De; Ottevaere, Charlene; Widhalm, Kurt; Phillipp, K.; Dietrich, Sabine; Kubelka, B.; Boriss-Riedl, Marion; Μanios, Yannis; Grammatikaki, Evangelia; Bouloubasi, Z.; Cook, Tina Louisa; Eleutheriou, S.; Consta, O.; Moschonis, George; Katsaroli, Ioanna; Kraniou, G.; Παπούτσου, Στάλω; Keke, D.; Petraki, Ioanna; Bellou, Elena; Tanagra, Sofia; Kallianoti, K.; Argyropoulou, Dionysia; Kondaki, Katerina; Tsikrika, Stamatoula; Karaiskos, Christos; Meirhaeghe, Aline; Bergman, Patrick; Hagströmer, María; Hällström, Lena; Hallberg, Marianne Lilja; Poortvliet, Eric; Rizzo, Nico; Beckman, Linda J.; Wennlöf, Anita Hurtig; Patterson, Emma; Kwak, Lydia; Cernerud, Lars; Tillgren, Per; Sorensen, Serena L; Sánchez-Molero, J.; Picó, E.; Navarro, María Á.; Viadel, Blanca; Carreres, J.; Merino, G.; Sanjuán, R.; Lorente, M.; Sánchez, María José; Castello, S; Thomas, Sarah A.; Allchurch, E.; Burguess, Peter; Åström, Annika; Sverkén, A.; Broberg, A.; Masson, A.; Lehoux, Claire; Brabant, Pascal; Pate, P.; Fontaine, L.; Sebok, A.; Kuti, Tünde; Hegyi, Adrienn; Maldonado, Cristina A.; Llorente, Ana María Pinto; García, Emilio García; Fircks, H. von; Messerer, Maria; Larsson, Mats; Fredriksson, Helena; Adamsson, Viola; Börjesson, I.; Fernández, Laura Fernández; Smillie, Laura; Wills, Josephine; Valtueña, Jara; Albers, Ulrike; Pedrero, R. A. Sañudo; Meléndez, Agustín; Benito, Pedro J.; Calderón, Javier; Lorente, J.J. Gómez; Cañada, D.; Urzanqui, A.; Ortiz, J. Carlos; Fuentes, F.; Torres, Rosa María; Navarro, Paloma

doi:10.1016/j.numecd.2017.10.018

Cited by 19 publications

(7 citation statements)

References 48 publications

(67 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the present study, when including passive smoking in the definition of CVH, mothers not living alone and absence of smoking during pregnancy were related to higher ideal CVH in children at age 5 years. This suggests that a favorable family environment is related to ideal CVH in early childhood, in agreement with results of the Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) study which showed that higher maternal education was related to higher CVH in adolescents ( 30 ). Furthermore, childbirth data were not related to CVH at age 5 years, possibly due to the inclusion of relatively healthy babies.…”

Section: Discussionsupporting

confidence: 89%

Cardiovascular Health at Age 5 Years: Distribution, Determinants, and Association With Neurodevelopment

et al. 2022

View full text Add to dashboard Cite

BackgroundEarly childhood may represent an opportune time to commence primordial prevention of cardiovascular disease (CVD, i.e., prevention of risk factors onset), but epidemiological evidence is scarce. We aimed to examine the distribution and parental and early life determinants of ideal cardiovascular health (CVH) in children up to 5 years and to compare the level of cognitive development between children with and without ideal CVH at age 5 years.MethodsUsing data from the Etude sur les déterminants pré et post natals précoces du Développement psychomoteur et de la santé de l'Enfant (EDEN) study, a French population-based mother–child cohort study, CVH was examined in children at 5 years of age based on the American Heart Association CVH metrics (ideal body mass index, physical activity, diet, blood pressure, cholesterol and glucose levels, and passive smoking, considered in sensitivity analysis only). Children were categorized as having ideal (five to six ideal metrics) or non-ideal CVH (<5 ideal metrics). Intelligence quotient (IQ) at age 5 years was assessed using the French version of the Wechsler Preschool and Primary Scale of Intelligence.ResultsAmong the 566 children (55% boys), only 34% had ideal CVH. In fully adjusted logistic regression, boys compared to girls (OR = 1.77, 95% CI 1.13–2.78), children with intermediate (1.77, 1.05–2.98) or ideal (2.58, 1.38–4.82) behavioral CVH at age 3 years and children who spent < 30 min/day watching television (1.91, 1.09–3.34) at age 3 years were more likely to have ideal CVH at age 5 years. At age 5 years, there was a significant 2.98-point difference (95% CI 0.64–5.32) in IQ between children with and without ideal biological CVH after adjusting for confounders.ConclusionThis study highlights that only a third of children aged 5 years had ideal CVH and identified modifiable determinants of ideal CVH and is suggestive of an association between CVH and neurodevelopment at a young age.

show abstract

Section: Discussionsupporting

confidence: 89%

Cardiovascular Health at Age 5 Years: Distribution, Determinants, and Association With Neurodevelopment

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Even though our study spans a fairly short age range, older adolescents showed worse dietary patterns and a higher prevalence of smoking. These previously reported findings were contributed to the loss of parental control in adolescents [9,30]. Furthermore, in longitudinal trajectories of dietary changes leaving home was the strongest predictor for negative trends in healthy diet intake in the transition from adolescence to adulthood [31].…”

Section: Associations Of Age and Cvh Behaviorsmentioning

confidence: 58%

Cardiovascular health behaviors and associations of sex, age, and education in adolescents - Results from the EVA Tyrol study

Gande

Pechlaner

Bernar

et al. 2021

Nutrition, Metabolism and Cardiovascular Diseases

View full text Add to dashboard Cite

Background and aims: Ideal cardiovascular health (CVH) behaviors in adolescents are defined by body mass index (BMI), diet, physical activity and smoking, and are directly associated with better health in later life. To further improve health prevention programs we investigated the prevalence of these behaviors in a cohort of healthy adolescents and focused on the associations with sex, age, and education. Methods and results: The Early Vascular Aging Tyrol study is a cross-sectional study assessing 14to 19-year-old pupils and apprentices in Western Austria and South Tyrol. Between May 2015 and July 2018 2047 adolescents (43.6% males, mean age 16.4 years) with complete data for all 4 health behaviors were included. The prevalence of ideal body mass index (BMI) was 78.3%, of ideal physical activity 42.5%, of non-smoking 70.4% and of ideal diet 8.1%. Females showed a higher smoking prevalence and a lower physical activity, but better dietary habits than males. Older adolescents of both sexes had lower prevalence of ideal smoking and diet. Apprentices and pupils of vocational schools had a higher BMI and a less favorable diet compared to secondary academic school students. Smoking prevalence was highest in apprentices. Non-ideal BMI was independently associated with smoking. Conclusion: In our cohort, only a minority showed ideal CVH behaviors which were best in adolescents younger than 16 years. We observed significant differences between males and females and a clear impact of school education with apprentices being at risk for non-ideal CVH behaviors. Clinical trial registration number: NCT03929692, clinicaltrials.gov.

show abstract

“…This is an important result, since it is grafted onto the widespread concept that lifestyle habits improvement is mainly based on healthy and physical activity promotion. However, WBI index gains subjective information about health status of the adolescents and, therefore, gives additional information to the more objective evidences based on the beneficial effects of healthy diet and performance of physical activity (33,34).…”

Section: Discussionmentioning

confidence: 99%

Adolescent Health: A Framework for Developing an Innovative Personalized Well-Being Index

et al. 2020

View full text Add to dashboard Cite

Adolescence is not only typically considered a time of good health but also characterized by an emergence of risk factors that may have long-term consequences for wellbeing that represents strong predictors of adverse health outcomes. The aim of the study is to assess adolescence well-being through the development of an integrated Well-Being Index (WBI) including variables of lifestyle habits, social context, emotional status, and mental skills. One thousand two hundred forty-eight healthy adolescents (Female 48%; Male 52%; mean age 13 years) were recruited from five Italian junior high schools, by KIDSCREEN-52 and cognitive processing using the Stroop Test. School performance was estimated by questions concerning the scholastic achievement. Social context was the most important predictor of perceived well-being (β = 0.972, SE = 0.014, p < 0.0001), with parent relation (p < 0.0001) as the most observed variable. Subsequently, WBI was strongly represented by lifestyle habits (β = 0.954, SE = 0.017, p < 0.000) with autonomy (p < 0.0001), and emotional status (β = 0.949, SE = 0.017, p < 0.000) with psychological well-being perception (p < 0.0001). Finally, mental skills (β = −0.1417, SE = 0.031, p < 0.0.00) was the least important predictor for the WBI index (p < 0.0001). Personalised (P) WBI was obtained by the sum of each centered and scaled WBI variable, weighted by the corresponding ratio between factor loading and residual variance. Social context was the more important predictor of WBI, followed by lifestyle, emotional factors, and lastly mental skills. PWBI provides an integrated and personalized perspective of adolescents' well-being, on the basis of a cooperation between school, family, and community with the common intent to promote and protect adolescent health.

show abstract

Correlates of ideal cardiovascular health in European adolescents: The HELENA study

Cited by 19 publications

References 48 publications

Cardiovascular Health at Age 5 Years: Distribution, Determinants, and Association With Neurodevelopment

Cardiovascular Health at Age 5 Years: Distribution, Determinants, and Association With Neurodevelopment

Cardiovascular health behaviors and associations of sex, age, and education in adolescents - Results from the EVA Tyrol study

Adolescent Health: A Framework for Developing an Innovative Personalized Well-Being Index

Contact Info

Product

Resources

About