Author + information
- Received September 7, 2018
- Revision received October 5, 2018
- Accepted October 15, 2018
- Published online December 17, 2018.
- Rodrigo Fernandez-Jimenez, MD, PhDa,b,c,∗,
- Mohamed Al-Kazaz, MDa,∗,
- Risa Jaslow, MS, RDNa,
- Isabel Carvajal, MSd and
- Valentin Fuster, MD, PhDa,b,∗ (, )@IcahnMountSinai@CNIC_CARDIO
- aThe Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, New York, New York
- bCentro Nacional de Investigaciones Cardiovasculares Carlos III (CNIC), Madrid, Spain
- cCIBER de Enfermedades Cardiovasculares (CIBERCV), Madrid, Spain
- dFoundation for Science, Health and Education (Fundación SHE), Barcelona, Spain
- ↵∗Address for correspondence:
Dr. Valentin Fuster, The Zena and Michael A. Wiener Cardiovascular Institute, Icahn School of Medicine at Mount Sinai, 1 Gustave L. Levy Place, New York, New York 10029.
Cardiovascular disease is the leading cause of death and disability in the world, largely because of risk factors modifiable by changes in behavior. There is evolving evidence that our behavior as adults has its roots in the environment that we live in from early childhood. Early sustained multicomponent educational programs focused on health promotion in children may represent a window of opportunity to potentially prevent disease in adulthood. The integration of school-based, family-based, and community-based strategies, along with the support of public policies, are likely necessary for the success of these programs. In this review, the authors describe the future of promoting health. Specifically: 1) reasons why children should be a focus for health promotion (alarming trends of risk factors, association between unhealthy factors and subclinical disease, and cost-effectiveness); 2) strategies for health promotion in children (school-based, family-based, and community-based approaches) along with legislative efforts; and 3) research gaps are discussed.
↵∗ Drs. Fernandez-Jimenez and Al-Kazaz contributed equally to this work.
The FAMILIA (Family-Based Approach in a Minority Community Integrating Systems-Biology for Promotion of Health) study is funded by the American Heart Association under grant No 14SFRN20490315. The CNIC is supported by the Ministerio de Ciencia, Innovación y Universidades, and the Pro CNIC Foundation, and is a Severo Ochoa Center of Excellence (SEV-2015-0505). Dr. Fernandez-Jimenez has received funding from the European Union Horizon 2020 research and innovation programme under the Marie Skłodowska-Curie grant agreement No 707642. All other authors have reported that they have no relationships relevant to the contents of this paper to disclose.
Listen to this manuscript's audio summary by Editor-in-Chief Dr. Valentin Fuster on JACC.org.
- Received September 7, 2018.
- Revision received October 5, 2018.
- Accepted October 15, 2018.
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