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. 1993 Feb;68(2):182–186. doi: 10.1136/adc.68.2.182

Coronary risk factors in schoolchildren.

C Boreham 1, J M Savage 1, D Primrose 1, G Cran 1, J Strain 1
PMCID: PMC1029230  PMID: 8481039

Abstract

Death rates from coronary heart disease (CHD) in Northern Ireland are among the highest in the world. However, no data have been available to test the hypothesis that the high prevalence of CHD is reflected by the risk status of the childhood population. A randomly selected 2% population sample of 1015 children aged 12 and 15 years was studied to obtain baseline information on blood pressure, lipid profile, cigarette smoking, family history, physical activity, cardiorespiratory fitness, and dietary fat intake. Using available criteria thresholds, 15-23% displayed increased blood pressure, 12-25% had unfavourable lipid profiles, and 18-34% were overfat. In 15 year old children, 16-21% admitted being regular smokers, 26-34% displayed poor cardiorespiratory fitness, and 24-29% reported little physical activity in the previous week. Dietary analysis revealed relatively low polyunsaturated to saturated fatty acid ratios and high mean fat intakes, accounting for approximately 40% total daily energy. Despite the exclusion of family history from the analysis, 16% of the older children exhibited three or more risk factors. These results justify major concern about the level of potential coronary risk in Northern Ireland schoolchildren. Broadly based primary prevention strategies aimed at children are essential if future adult CHD mortality is to be reduced.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Aitken P. P., Eadie D. R., Hastings G. B., Haywood A. J. Predisposing effects of cigarette advertising on children's intentions to smoke when older. Br J Addict. 1991 Apr;86(4):383–390. doi: 10.1111/j.1360-0443.1991.tb03415.x. [DOI] [PubMed] [Google Scholar]
  2. Aitken P. P., Leathar D. S., O'Hagan F. J., Squair S. I. Children's awareness of cigarette advertisements and brand imagery. Br J Addict. 1987 Jun;82(6):615–622. doi: 10.1111/j.1360-0443.1987.tb01523.x. [DOI] [PubMed] [Google Scholar]
  3. Armstrong N., Balding J., Gentle P., Kirby B. Patterns of physical activity among 11 to 16 year old British children. BMJ. 1990 Jul 28;301(6745):203–205. doi: 10.1136/bmj.301.6745.203. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Boreham C. A., Paliczka V. J., Nichols A. K. A comparison of the PWC170 and 20-MST tests of aerobic fitness in adolescent schoolchildren. J Sports Med Phys Fitness. 1990 Mar;30(1):19–23. [PubMed] [Google Scholar]
  5. Chapman S., Fitzgerald B. Brand preference and advertising recall in adolescent smokers: some implications for health promotion. Am J Public Health. 1982 May;72(5):491–494. doi: 10.2105/ajph.72.5.491. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Garrow J. Importance of obesity. BMJ. 1991 Sep 21;303(6804):704–706. doi: 10.1136/bmj.303.6804.704. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Goldstein A. O., Fischer P. M., Richards J. W., Jr, Creten D. Relationship between high school student smoking and recognition of cigarette advertisements. J Pediatr. 1987 Mar;110(3):488–491. doi: 10.1016/s0022-3476(87)80523-1. [DOI] [PubMed] [Google Scholar]
  8. Hansen H. S., Froberg K., Hyldebrandt N., Nielsen J. R. A controlled study of eight months of physical training and reduction of blood pressure in children: the Odense schoolchild study. BMJ. 1991 Sep 21;303(6804):682–685. doi: 10.1136/bmj.303.6804.682. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Kemper H. C., Snel J., Verschuur R., Storm-van Essen L. Tracking of health and risk indicators of cardiovascular diseases from teenager to adult: Amsterdam Growth and Health Study. Prev Med. 1990 Nov;19(6):642–655. doi: 10.1016/0091-7435(90)90061-n. [DOI] [PubMed] [Google Scholar]
  10. Lopes-Virella M. F., Stone P., Ellis S., Colwell J. A. Cholesterol determination in high-density lipoproteins separated by three different methods. Clin Chem. 1977 May;23(5):882–884. [PubMed] [Google Scholar]
  11. Newman W. P., 3rd, Freedman D. S., Voors A. W., Gard P. D., Srinivasan S. R., Cresanta J. L., Williamson G. D., Webber L. S., Berenson G. S. Relation of serum lipoprotein levels and systolic blood pressure to early atherosclerosis. The Bogalusa Heart Study. N Engl J Med. 1986 Jan 16;314(3):138–144. doi: 10.1056/NEJM198601163140302. [DOI] [PubMed] [Google Scholar]
  12. Nora J. J. Identifying the child at risk for coronary disease as an adult: A strategy for prevention. J Pediatr. 1980 Nov;97(5):706–714. doi: 10.1016/s0022-3476(80)80251-4. [DOI] [PubMed] [Google Scholar]
  13. Peters R. K., Cady L. D., Jr, Bischoff D. P., Bernstein L., Pike M. C. Physical fitness and subsequent myocardial infarction in healthy workers. JAMA. 1983 Jun 10;249(22):3052–3056. [PubMed] [Google Scholar]
  14. Powell K. E., Thompson P. D., Caspersen C. J., Kendrick J. S. Physical activity and the incidence of coronary heart disease. Annu Rev Public Health. 1987;8:253–287. doi: 10.1146/annurev.pu.08.050187.001345. [DOI] [PubMed] [Google Scholar]
  15. Sallis J. F., Patterson T. L., Buono M. J., Nader P. R. Relation of cardiovascular fitness and physical activity to cardiovascular disease risk factors in children and adults. Am J Epidemiol. 1988 May;127(5):933–941. doi: 10.1093/oxfordjournals.aje.a114896. [DOI] [PubMed] [Google Scholar]
  16. Tell G. S., Vellar O. D. Physical fitness, physical activity, and cardiovascular disease risk factors in adolescents: the Oslo Youth Study. Prev Med. 1988 Jan;17(1):12–24. doi: 10.1016/0091-7435(88)90068-0. [DOI] [PubMed] [Google Scholar]
  17. Uemura K., Pisa Z. Trends in cardiovascular disease mortality in industrialized countries since 1950. World Health Stat Q. 1988;41(3-4):155–178. [PubMed] [Google Scholar]
  18. Wynder E. L., Williams C. L., Laakso K., Levenstein M. Screening for risk factors for chronic disease in children from fifteen countries. Prev Med. 1981 Mar;10(2):121–132. doi: 10.1016/0091-7435(81)90068-2. [DOI] [PubMed] [Google Scholar]
  19. van Staveren W. A., de Boer J. O., Burema J. Validity and reproducibility of a dietary history method estimating the usual food intake during one month. Am J Clin Nutr. 1985 Sep;42(3):554–559. doi: 10.1093/ajcn/42.3.554. [DOI] [PubMed] [Google Scholar]

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