Impact of Adverse Childhood Experiences on Cardiovascular Health across the Lifespan.

IF 6.3 2区 医学 Q1 PERIPHERAL VASCULAR DISEASE
Ananya Mukundan, Tammy M Brady
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引用次数: 0

Abstract

Purpose of review: Pediatric hypertension is an increasingly recognized public health issue and represents a key target for preventing long-term cardiovascular morbidity and mortality. Adverse childhood experiences-traumatic events related to abuse, neglect, and household dysfunction occurring before age 18-are emerging as significant risk factors for both pediatric and adult hypertension and cardiovascular disease (CVD).

Findings: While some studies report direct links between childhood adversity and cardiovascular outcomes, others suggest these associations may be mediated by the development of intermediate CVD risk factors such as obesity and mood disorders. Regardless of pathway, evidence indicates that even exposure to a single form of adversity can negatively impact cardiovascular health, with some studies demonstrating threshold and cumulative effects. Early identification of children exposed to adversity may offer a valuable opportunity to guide targeted interventions aimed at the primary prevention of CVD.

童年不良经历对心血管健康的影响。
综述目的:儿童高血压是一个日益被认识到的公共卫生问题,是预防长期心血管发病率和死亡率的关键目标。童年不良经历——18岁之前发生的与虐待、忽视和家庭功能障碍相关的创伤性事件——正在成为儿童和成人高血压和心血管疾病(CVD)的重要危险因素。研究结果:虽然一些研究报告了童年逆境与心血管疾病之间的直接联系,但其他研究表明,这些联系可能是由肥胖和情绪障碍等中间心血管疾病危险因素的发展介导的。无论途径如何,有证据表明,即使暴露于单一形式的逆境也会对心血管健康产生负面影响,一些研究显示了阈值和累积效应。早期识别暴露于逆境的儿童可能为指导针对心血管疾病一级预防的有针对性干预提供宝贵机会。
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来源期刊
Current Hypertension Reports
Current Hypertension Reports 医学-外周血管病
CiteScore
10.50
自引率
0.00%
发文量
65
审稿时长
6-12 weeks
期刊介绍: This journal intends to provide clear, insightful, balanced contributions by international experts that review the most important, recently published clinical findings related to the diagnosis, treatment, management, and prevention of hypertension. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as antihypertensive therapies, associated metabolic disorders, and therapeutic trials. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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