Family-Based Approaches to Cardiovascular Health Promotion
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- 作者：Rajesh Vedanthan ; MD ; MPH ; rajesh.vedanthan@mssm.edu" class="auth_mail" title="E-mail the corresponding author ; Sameer Bansilal ; MD ; MS ; Ana Victoria Soto ; MD ; Jason C. Kovacic ; MD ; PhD ; Jacqueline Latina ; MD ; Risa Jaslow ; MS ; RDN ; Maribel Santana ; BS ; Elio Gorga ; MD ; Andrew Kasarskis ; PhD ; Roger Hajjar ; MD ; Eric E. Schadt ; PhD ; Johan L. Bjö ; rkegren ; MD ; PhD ; Zahi A. Fayad ; PhD ; MSE ; Valentin Fuster ; MD ; PhD
- 关键词：cardiovascular disease ; children ; genomics
- 刊名：Journal of the American College of Cardiology
- 出版年：2016
- 出版时间：12 April 2016
- 年：2016
- 卷：67
- 期：14
- 页码：1725-1737
- 全文大小：663 K
文摘
Cardiovascular disease is the leading cause of mortality in the world, and the increasing burden is largely a consequence of modifiable behavioral risk factors that interact with genomics and the environment. Continuous cardiovascular health promotion and disease prevention throughout the lifespan is critical, and the family is a central entity in this process. In this review, we describe the potential rationale and mechanisms that contribute to the importance of family for cardiovascular health promotion, focusing on: 1) mutual interdependence of the family system; 2) shared environment; 3) parenting style; 4) caregiver perceptions; and 5) genomics. We conclude that family-based approaches that target both caregivers and children, encourage communication among the family unit, and address the structural and environmental conditions in which families live and operate are likely to be the most effective approach to promote cardiovascular health. We describe lessons learned, future implications, and applications to ongoing and planned studies.