Abstract 20398: Improving Ideal Cardiovascular Health in a Pediatric Preventive Cardiology Clinic

Introduction: Achieving ideal cardiovascular health (iCVH) for children necessitates both public health and clinic-based interventions. In a pediatric population referred for dyslipidemia, we aimed to describe the change in iCVH metrics after clinic-based lifestyle counseling. We hypothesized that children referred to a preventive cardiology clinic would show improvement in iCVH factors during clinical care. Methods: We analyzed data from children ages 8-19 years seen for two consecutive visits in the Boston Children’s Hospital Preventive Cardiology clinic between 2010-2014. Height, weight, blood pressure, fasting cholesterol, and fasting glucose were measured using standard clinic and laboratory protocols; smoking, diet, and physical activity patterns were self-reported. We used the AHA definitions of ideal, intermediate, and poor iCVH with minor adaptations (Figure). Each iCVH score had a possible range of 0 (poor) to 2 (ideal); the corresponding total iCVH score could range from 0 (all poor) to 14 (all...