Challenges and Opportunities for the Prevention and Treatment of Cardiovascular Disease Among Young Adults: Report From a National Heart, Lung, and Blood Institute Working Group

Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease

Michael A. Grandner¹  Michaela Kiernan²  Karen A. Matthews³  Deborah Tate⁴  Trudy L. Burns⁴  Bonnie Spring⁵  Tené T. Lewis⁶  Janet M. Catov⁷  Norrina B. Allen⁸  Kathleen Mullan Harris⁹  Maureen Monaghan^1,10  Jennifer G. Robinson^1,11  Heather M. Johnson^1,12  Kirsten Bibbins‐Domingo^1,12  Andrew E. Moran^1,13  Holly C. Gooding^1,14  Fida Bacha^1,15  Samuel S. Gidding^1,16  Nicole Redmond^1,17 

[1] Reproductive Sciences Department of Epidemiology University of Pittsburgh Pittsburgh PA;Blechman Center for Specialty Care and Preventive Cardiology Boca Raton Regional Hospital/Baptist Health South Florida Boca Raton FL;Department of Epidemiology Emory University, Children's Healthcare of Atlanta Atlanta GA;Department of Epidemiology University of Iowa Iowa City IA;Department of Epidemiology and Biostatistics University of California San Francisco San Francisco CA;Department of Medicine Stanford University School of Medicine Stanford CA;;Department of Obstetrics, Gynecology &Department of Preventive Medicine Northwestern University Feinberg School of Medicine Chicago IL;Department of Psychiatry University of Arizona Tucson AZ;Department of Psychiatry University of Pittsburgh Pittsburgh PA;Department of Psychiatry and Behavioral Sciences Department of Pediatrics Children’s National Health System George Washington University School of Medicine Washington DC;Department of Sociology University of North Carolina at Chapel Hill Chapel Hill NC;Division of General Medicine Columbia University New York NY;Division of General Pediatrics and Adolescent Medicine Emory UniversityChildren's Healthcare of Atlanta Atlanta GA;Division of Pediatric Endocrinology and Diabetes Texas Children’s HospitalBaylor College of Medicine Houston TX;Genomic Medicine Institute Geisinger Danville PA;National Heart, Lung, and Blood Institute Bethesda MD;

关键词: cardiovascular disease prevention;    cardiovascular disease risk factors;    primary prevention;    young adults;   

DOI  :  10.1161/JAHA.120.016115

来源: DOAJ

【 摘 要 】

Abstract Improvements in cardiovascular disease (CVD) rates among young adults in the past 2 decades have been offset by increasing racial/ethnic and gender disparities, persistence of unhealthy lifestyle habits, overweight and obesity, and other CVD risk factors. To enhance the promotion of cardiovascular health among young adults 18 to 39 years old, the medical and broader public health community must understand the biological, interpersonal, and behavioral features of this life stage. Therefore, the National Heart, Lung, and Blood Institute, with support from the Office of Behavioral and Social Science Research, convened a 2‐day workshop in Bethesda, Maryland, in September 2017 to identify research challenges and opportunities related to the cardiovascular health of young adults. The current generation of young adults live in an environment undergoing substantial economic, social, and technological transformations, differentiating them from prior research cohorts of young adults. Although the accumulation of clinical and behavioral risk factors for CVD begins early in life, and research suggests early risk is an important determinant of future events, few trials have studied prevention and treatment of CVD in participants <40 years old. Building an evidence base for CVD prevention in this population will require the engagement of young adults, who are often disconnected from the healthcare system and may not prioritize long‐term health. These changes demand a repositioning of existing evidence‐based treatments to accommodate new sociotechnical contexts. In this article, the authors review the recent literature and current research opportunities to advance the cardiovascular health of today's young adults.

【 授权许可】

Unknown