Cardiovascular health status in Chinese school-aged children
Objective The American Heart Association released the Life's Essential 8(LE 8)for the overall evaluation of cardi-ovascular health(CVH)on individual level.The present study aimed to describe the overall CVH in Chinese school-aged children using LE 8 metrics.Methods Data of the present analysis came from a national-representative multicentered cross-sectional study conducted in 7 provinces of China in 2013.The original study used a multistage cluster sampling method.A total of 10 326 children aged 5 to 19 years with complete data of health behaviors and health outcomes were included in the study.Children's health behavior indicators included diet,physical activity,nicotine exposure and sleep health.Health outcome factors included body mass index,fast blood glucose,lipid profile and blood pressure.Results The median CVH score was 73.3(IQR=14.4)in boys and 73.4(IQR=13.5)in girls.Compared to children aged ≤9 years,the health behavior scores were lowest in the 13-15 age group,with boys scoring 7.73 lower(95%CI=-8.35--7.12,P<0.01)and girls scoring 9.15(95%CI=-9.83--8.48,P<0.01)lower.The ≥16 age group had the lowest health outcome scores,with boys scoring 7.85(95%CI=-9.07--6.63,P<0.01)lower and girls sco-ring 6.11(95%CI=-7.12--5.09,P<0.01)lower.Conclusions Chinese school-aged children are generally at a moderate level of cardiovascular health.Specific LE 8 components vary substantially between groups and therefore require targeted intervention strate-gies.