Abstract 15178: Children First: How an Educational Program in Cardiovascular Prevention at School Can Improve Parents′ Cardiovascular Risk
Purpose: Evaluate if a multidisciplinary educational program in primary cardiovascular prevention (CVP) for children could improve the Framingham cardiovascular risk (FCR) of their parents after one year.
Methods: Students aging 6 to 10 years old were exposed to two different approaches in Sao Paulo, Brazil. For the morning period students (control group) we delivered written educational material (EM) for their parents during the year of 2010 about healthy lifestyle. The afternoon period students (intervention group) received the same EM for their parents and the children were exposed to a weekly educational program in CVP with a multidisciplinary heath team during the year 2010. This intervention tried to teach to these children concepts of healthy nutrition, avoidance of tobacco and physical activity. Both at the inclusion in the study and one year later we collect data of parents and their children, including nutritional and exercise survey, measures of weigh, height, waist circumference, arterial blood pressure, and laboratorial exams.
Results: We studied 197 children and 323 parents. The control group had 161 parents (mean age of 39 years, 53.4% female), and the intervention group had 162 parents (mean age of 38 years, 55.5% female). When we analyzed the parents' FCR we find that 9.3% of the control group (15 parents) and 6.8% (11 parents) of the intervention group had more than 10% year risk of cardiovascular heart disease (CHD) in the next 10 years. After the children's educational program at school during the year, the intervention group had a reduction of 91% in the intermediate/high FCR group (1 parent with >10% year risk of CHD) compared with 13% reduction in the control group (13 patients with >10% year risk of CHD), p=0.002, 95% CI : 0.0012-0.1948. In the same way, when we analyzed the FCR of all parents, with different Framingham risk categories, we find that there was a reduction of the average risk in the intervention group (3.53% to 2.80% respectively, p<0,001) compared with the control group (4.41% to 4.36%, p=0.98), in the beginning and in the end of 2010.
Conclusion: An educational program in cardiovascular prevention directed to children at school age can reduce the FCR risk of their parents especially in the intermediate/high risk categories.
- © 2011 by American Heart Association, Inc.