Key result
Family-oriented health counselling improved total (-0.3 vs +0.2 mmol/l) and LDL cholesterol in girls aged 6-9 years, and reduced diastolic blood pressure increases in boys aged 6-9 years.
Why the study?
Does family-oriented risk-based prevention improve serum cholesterol and blood pressure values in children and adolescents?
Does family-oriented risk-based prevention improve serum cholesterol and blood pressure values in children and adolescents?
Family-oriented health counselling can favorably impact cholesterol and blood pressure trajectories in young children with a family history of cardiovascular disease.
May support family counselling in high-risk young children; leaves open confirmation via randomized trials before practice change.
OBJECTIVE: To describe the effects of family-oriented prevention on total and LDL cholesterol and blood pressure of children. DESIGN: A controlled intervention study. SETTING: Family-oriented prevention of risk factors of coronary heart disease (CHD) in Eastern Finland. The programme consisted of two counselling meetings at children's schools, and three at children's homes. SUBJECTS: In total 388 in the intervention group (IG) with a family history of cardiovascular diseases (CVDs), and 470 in control groups: 151 in control group I (CI) with a family history of CVDs, and 319 in control group II (CII) with no family history. MAIN OUTCOME MEASURES: Serum mean total and LDL cholesterol, and blood pressure. RESULTS: Among the youngest (6-9 years) girls, changes in total (-0.3 vs. +0.2 mmol/l) and LDL cholesterol (-0.3 vs. +0.0 mmol/l) were more favourable in IG than in CI. Diastolic blood pressure increased less among the youngest boys in IG (+3 mm Hg) than among those in CI (+11 mm Hg) or CII (+10 mm Hg). CONCLUSION: Family-oriented health counselling had favourable effects on total and LDL cholesterol among girls aged 6-9 years, and on the development of diastolic blood pressure among boys aged 6-9 years.
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Salminen et al. (2005) studied Risk factors of coronary heart disease (n=858). Family-oriented health counselling vs. No family-oriented health counselling was evaluated on Serum mean total and LDL cholesterol, and blood pressure. Family-oriented health counselling improved total (-0.3 vs +0.2 mmol/l) and LDL cholesterol in girls aged 6-9 years, and reduced diastolic blood pressure increases in boys aged 6-9 years.
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