Advertisement

Findings from Project HeartBeat!

Their Importance for CVD Prevention
  • Darwin R. Labarthe
    Correspondence
    Address author correspondence and reprint requests to: Darwin R. Labarthe, MD, MPH, PhD, Division for Heart Disease and Stroke Prevention, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Highway NE, MS K-47, Atlanta GA 30341
    Affiliations
    Division for Heart Disease and Stroke Prevention, National Center for Chronic Disease Prevention and Health Promotion, CDC, Atlanta, Georgia
    Search for articles by this author
  • Shifan Dai
    Affiliations
    Division for Heart Disease and Stroke Prevention, National Center for Chronic Disease Prevention and Health Promotion, CDC, Atlanta, Georgia
    Search for articles by this author
  • R. Sue Day
    Affiliations
    Michael & Susan Dell Center for Advancement of Healthy Living, School of Public Health, University of Texas Health Science Center, Houston, Texas
    Search for articles by this author
  • Janet E. Fulton
    Affiliations
    Division of Nutrition, Physical Activity, and Obesity, National Center for Chronic Disease Prevention and Health Promotion, CDC, Atlanta, Georgia
    Search for articles by this author
  • Jo Anne Grunbaum
    Affiliations
    Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion, CDC, Atlanta, Georgia
    Search for articles by this author
  • Project HeartBeat! Writing Group

      Abstract

      Project HeartBeat! was a longitudinal “growth” study of cardiovascular disease (CVD) risk factors and body composition in childhood and adolescence. Its findings demonstrate patterns of change from ages 8 to 18 years in anthropometric indicators of adiposity, blood lipid components, and blood pressure measurements, as well as the varying inter-relations among these patterns. Especially noteworthy are differences among associations between the two components of BMI (kg/m2)—the lean or fat-free mass index, and the fat mass index—and each of several CVD risk factors. Policy development and public health recommendations for CVD prevention beginning in childhood have evolved over 30 years or more. A new impetus to action is the recognized increase in the prevalence of childhood overweight and obesity. Intervention to prevent obesity can have a major impact in preventing CVD risk factors more broadly. Opportunities to strengthen interventions for CVD prevention in childhood and adolescence include updated algorithms for monitoring body composition, blood lipids, and blood pressure throughout childhood and adolescence through use of the Project HeartBeat! study results.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to American Journal of Preventive Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Dai S.
        • Labarthe D.R.
        • Day R.S.
        • et al.
        Project HeartBeat!: concept, development, and design.
        Am J Prev Med. 2009; 37: S9-S16
        • Harrist R.B.
        • Dai S.
        Analytic methods in Project HeartBeat!.
        Am J Prev Med. 2009; 37: S17-S24
        • Dai S.
        • Fulton J.E.
        • Harrist R.B.
        • Grunbaum J.A.
        • Steffen L.M.
        • Labarthe D.R.
        Blood lipids in children: age-related patterns and association with body-fat indices: Project HeartBeat!.
        Am J Prev Med. 2009; 37: S56-S64
        • Dai S.
        • Labarthe D.R.
        • Fulton J.E.
        • Harrist R.B.
        • Shah S.M.
        • Eissa M.A.
        Systolic and fourth- and fifth-phase diastolic blood pressure from ages 8 to 18 years: Project HeartBeat!.
        Am J Prev Med. 2009; 37: S86-S96
        • Dai S.
        • Labarthe D.R.
        • Grunbaum J.A.
        • Harrist R.B.
        • Mueller W.H.
        Longitudinal analysis of changes in indices of obesity from age 8 to 18 years: Project HeartBeat!.
        Am J Epidemiol. 2002; 156: 720-729
        • Eissa M.A.
        • Dai S.
        • Mihalopoulos N.L.
        • Day R.S.
        • Harrist R.B.
        • Labarthe D.R.
        Trajectories of fat mass index, fat free–mass index, and waist circumference in children: Project HeartBeat!.
        Am J Prev Med. 2009; 37: S34-S39
        • Labarthe D.R.
        • Dai S.
        • Harrist R.B.
        Blood lipids, blood pressure, and BMI in childhood and adolescence: background to Project HeartBeat!.
        Am J Prev Med. 2009; 37: S3-S8
        • Strasser T.
        Reflections on cardiovascular diseases.
        Interdiscip Sci Rev. 1978; 3: 225-230
        • Strasser T.
        Prevention in childhood of major cardiovascular diseases of adults.
        in: Falkner F. Prevention in childhood of health problems in adult life. WHO, Geneva1980
        • Rose G.
        Sick individuals and sick populations.
        Int J Epidemiol. 1985; 14: 32-38
        • WHO Expert Committee
        Prevention in childhood and youth of adult cardiovascular diseases: time for action.
        (Technical Report Series 792) WHO, Geneva1990
        • Strong W.B.
        • Deckelbaum R.J.
        • Gidding S.S.
        • et al.
        Special report: integrated cardiovascular health promotion in childhood: a statement for health professionals from the Subcommittee on Atherosclerosis and Hypertension in Childhood of the Council on Cardiovascular Disease in the Young, American Heart Association.
        Circulation. 1992; 5: 1638-1644
        • Moller J.H.
        • Taubert K.A.
        • Allen H.D.
        • Clark E.B.
        • Lauer R.M.
        • A Special Writing Group from the Task Force on Children and Youth, American Heart Association
        Cardiovascular health and disease in children: current status.
        Circulation. 1994; 9: 923-930
        • Gidding S.S.
        • Leibel R.L.
        • Daniels S.
        • Rosenbaum M.
        • Van Horn L.
        • Marx G.R.
        Understanding obesity in youth.
        Circulation. 1996; 4: 3383-3387
        • Williams C.L.
        • Hayman L.L.
        • Daniels S.R.
        • et al.
        Cardiovascular health in childhood.
        Circulation. 2002; 106: 143-160
        • Kavey R.-E.W.
        • Daniels S.R.
        • Lauer R.M.
        • Atkins D.L.
        • Hayman L.L.
        • Taubert K.
        American Heart Association guidelines for primary prevention of atherosclerotic cardiovascular disease beginning in childhood.
        Circulation. 2003; 107: 1562-1566
        • Hayman L.L.
        • Williams C.L.
        • Daniels S.r.
        • et al.
        Cardiovascular health promotion in the schools.
        Circulation. 2004; 110: 2266-2275
        • Pearson T.A.
        • Bazzarre T.L.
        • Daniels S.R.
        • et al.
        American Heart Association guide for proving cardiovascular health at the community level.
        Circulation. 2003; 107: 645-651
        • Daniels S.R.
        • Arnett D.K.
        • Eckel R.H.
        • et al.
        Overweight in children and adolescents.
        Circulation. 2005; 111: 1999-2012
        • Gidding S.S.
        • Dennison B.A.
        • Birch L.L.
        • et al.
        Dietary recommendations for children and adolescents.
        Circulation. 2005; 112: 2061-2075
        • Pate R.R.
        • Davis M.G.
        • Robinson T.N.
        • Stone E.J.
        • McKenzie T.L.
        • Young J.C.
        Promoting physical activity in children and youth.
        Circulation. 2006; 114: 1214-1224
        • Hayman L.L.
        • Meininger J.C.
        • Daniels S.R.
        • et al.
        Primary prevention of cardiovascular disease in nursing practice: focus on children and youth.
        Circulation. 2007; 116: 344-357
        • Task Force on Blood Pressure Control in Children
        Report of the Task Force on Blood Pressure Control in Children.
        Pediatrics. 1977; 2S (797–820): I-II
        • Task Force on Blood Pressure Control in Children
        Report of the Second Task Force on Blood Pressure Control in Children–1987.
        Pediatrics. 1987; 79: 1-25
        • National High Blood Pressure Education Program Working Group on Hypertension Control in Children and Adolescents
        Update on the 1987 task force report on high blood pressure in children and adolescents: a working group report from the National High Blood Pressure Education Program.
        Pediatrics. 1996; 98: 649-658
        • USDHHS
        Fourth Report on the Diagnosis, Evaluation, and Treatment of High Blood Pressure in Children and Adolescents.
        USDHHS, NIH, National Heart, Lung, and Blood Institute, May 2005 (NIH Publication No. 05-5267)
        • National Cholesterol Education Program Expert Panel on Blood Cholesterol Levels in Children and Adolescents
        Report of the Expert Panel on Blood Cholesterol Levels in Children and Adolescents.
        USDHHS, Public Health Service, NIH, National Heart, Lung, and Blood Institute, National Cholesterol Education Program, Bethesda Maryland1991 (NIH Publication No. 91-2732)
        • Daniels S.R.
        • Greer F.R.
        Committee on Nutrition.
        Pediatrics. 2008; 122: 198-208
        • Labarthe D.R.
        • Nichaman M.Z.
        • Harrist R.B.
        • Grunbaum J.A.
        • Dai S.
        Development of cardiovascular risk factors from ages 8 to 18 in Project HeartBeat! Study design and patterns of change in plasma total cholesterol concentration.
        Circulation. 1997; 95: 2636-2642
        • Labarthe D.R.
        • Dai S.
        • Fulton J.E.
        Cholesterol screening in children: insights from Project HeartBeat! and NHANES III.
        Prog Ped Cardiol. 2003; 17: 169-178
        • Fulton J.E.
        • Dai S.
        • Steffen L.M.
        • Grunbaum J.A.
        • Shah S.M.
        • Labarthe D.R.
        Physical activity, energy intake, sedentary behavior, and adiposity in youth.
        Am J Prev Med. 2009; 37: S40-S49
        • Altwaijri Y.A.
        • Day R.S.
        • Harrist R.B.
        • Dwyer J.T.
        • Ausman L.M.
        • Labarthe D.R.
        Sexual maturation affects diet–blood total cholesterol association in children: Project HeartBeat!.
        Am J Prev Med. 2009; 37: S65-S70
        • Fulton J.E.
        • Dai S.
        • Grunbaum J.A.
        • Boerwinkle E.
        • Labarthe D.R.
        Effects of apolipoprotein E genotype on blood cholesterol in adolescent girls.
        Am J Prev Med. 2009; 37: S78-S85