CARDIOVASCULAR HEALTH IN CHILDHOOD AND ADOLESCENCE: THE ROLE OF THE SCHOOL IN THE EARLY PREVENTION OF RISK FACTORS
DOI:
https://doi.org/10.63330/sasciencesv6n2-221Keywords:
Cardiovascular health, Prevention, School healthAbstract
This study analyzes the contribution of schools to the early prevention of factors associated with cardiovascular risk during childhood and adolescence. A qualitative, bibliographic, and documentary study with a descriptive-analytical approach was conducted based on scientific publications, guidelines, and institutional documents concerning child and adolescent health. The analysis indicates that cardiovascular alterations may begin early in life and are associated with multiple determinants, including excess weight, physical inactivity, sedentary behavior, and inadequate nutrition. Within the school environment, accessible physical activities, food education, balanced use of technologies, and continuous health promotion initiatives represent relevant opportunities for intervention. The findings also show that social inequalities influence opportunities for health care, requiring initiatives that consider students’ different living conditions. It is concluded that schools can strengthen cardiovascular protection without assuming clinical responsibilities, particularly when educational initiatives are coordinated with families, communities, and health services through integrated and sustained preventive practices.
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References
BARDIN, Laurence. Análise de conteúdo. São Paulo: Edições 70, 2016.
BERENSON, Gerald S. et al. Association between multiple cardiovascular risk factors and atherosclerosis in children and young adults. The New England Journal of Medicine, v. 338, n. 23, p. 1650-1656, 1998. DOI: https://doi.org/10.1056/NEJM199806043382302.
BRASIL. Decreto nº 6.286, de 5 de dezembro de 2007. Institui o Programa Saúde na Escola (PSE) e dá outras providências. Brasília, DF: Presidência da República, 2007.
BRASIL. Ministério da Saúde. Guia alimentar para a população brasileira. 2. ed. Brasília, DF: Ministério da Saúde, 2014.
CARSON, Valerie et al. Systematic review of sedentary behaviour and health indicators in school-aged children and youth: an update. Applied Physiology, Nutrition, and Metabolism, v. 41, n. 6, supl. 3, p. S240-S265, 2016. DOI: https://doi.org/10.1139/apnm-2015-0630.
DANIELS, Stephen R.; PRATT, Charlotte A.; HAYMAN, Laura L. Reduction of risk for cardiovascular disease in children and adolescents. Circulation, v. 124, n. 15, p. 1673-1686, 2011. DOI: https://doi.org/10.1161/CIRCULATIONAHA.110.016170.
DOBBINS, Maureen et al. School-based physical activity programs for promoting physical activity and fitness in children and adolescents aged 6 to 18. Cochrane Database of Systematic Reviews, n. 2, CD007651, 2013. DOI: https://doi.org/10.1002/14651858.CD007651.pub2.
FLYNN, Joseph T. et al. Clinical practice guideline for screening and management of high blood pressure in children and adolescents. Pediatrics, v. 140, n. 3, e20171904, 2017. DOI: https://doi.org/10.1542/peds.2017-1904.
GIL, Antonio Carlos. Métodos e técnicas de pesquisa social. 6. ed. São Paulo: Atlas, 2008.
GUTHOLD, Regina et al. Global trends in insufficient physical activity among adolescents: a pooled analysis of 298 population-based surveys with 1.6 million participants. The Lancet Child & Adolescent Health, v. 4, n. 1, p. 23-35, 2020. DOI: https://doi.org/10.1016/S2352-4642(19)30323-2.
JUONALA, Markus et al. Childhood adiposity, adult adiposity, and cardiovascular risk factors. The New England Journal of Medicine, v. 365, n. 20, p. 1876-1885, 2011. DOI: https://doi.org/10.1056/NEJMoa1010112.
KRIEMLER, Susi et al. Effect of school-based interventions on physical activity and fitness in children and adolescents: a review of reviews and systematic update. British Journal of Sports Medicine, v. 45, n. 11, p. 923-930, 2011. DOI: https://doi.org/10.1136/bjsports-2011-090186.
MONTEIRO, Carlos A. et al. Ultra-processed foods: what they are and how to identify them. Public Health Nutrition, v. 22, n. 5, p. 936-941, 2019. DOI: https://doi.org/10.1017/S1368980018003762.
POITRAS, Veronica J. et al. Systematic review of the relationships between objectively measured physical activity and health indicators in school-aged children and youth. Applied Physiology, Nutrition, and Metabolism, v. 41, n. 6, supl. 3, p. S197-S239, 2016. DOI: https://doi.org/10.1139/apnm-2015-0663.
PONT, Stephen J. et al. Stigma experienced by children and adolescents with obesity. Pediatrics, v. 140, n. 6, e20173034, 2017. DOI: https://doi.org/10.1542/peds.2017-3034.
STEINBERGER, Julia et al. Cardiovascular health promotion in children: challenges and opportunities for 2020 and beyond. Circulation, v. 134, n. 12, p. e236-e255, 2016. DOI: https://doi.org/10.1161/CIR.0000000000000441.
STIGLIC, Neza; VINER, Russell M. Effects of screentime on the health and well-being of children and adolescents: a systematic review of reviews. BMJ Open, v. 9, n. 1, e023191, 2019. DOI: https://doi.org/10.1136/bmjopen-2018-023191.
STRONG, Jack P. et al. Prevalence and extent of atherosclerosis in adolescents and young adults: implications for prevention from the Pathobiological Determinants of Atherosclerosis in Youth Study. JAMA, v. 281, n. 8, p. 727-735, 1999. DOI: https://doi.org/10.1001/jama.281.8.727.
WORLD HEALTH ORGANIZATION. WHO guidelines on physical activity and sedentary behaviour. Geneva: World Health Organization, 2020.
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