Pediatric Nephrology

, Volume 27, Issue 9, pp 1441–1452

When and how to start prevention of atherosclerosis? Lessons from the Cardiovascular Risk in the Young Finns Study and the Special Turku Coronary Risk Factor Intervention Project

  • Costan G. Magnussen
  • Harri Niinikoski
  • Markus Juonala
  • Mika Kivimäki
  • Tapani Rönnemaa
  • Jorma S. A. Viikari
  • Olli Simell
  • Olli T. Raitakari
Review

DOI: 10.1007/s00467-011-1990-y

Cite this article as:
Magnussen, C.G., Niinikoski, H., Juonala, M. et al. Pediatr Nephrol (2012) 27: 1441. doi:10.1007/s00467-011-1990-y

Abstract

This review provides an up-to-date summary of findings from two ongoing population-based, prospective studies conducted in Finland: The Cardiovascular Risk in Young Finns Study, and the Special Turku Coronary Risk Factor Intervention Project (STRIP), which have contributed significantly to the scientific literature concerning the childhood origin of cardiovascular disease, and whether prevention efforts in adults can be expanded to young people. From the Young Finns Study, we summarize evidence demonstrating childhood risk factors to be associated with both risk factors and preclinical markers of atherosclerosis in adulthood, and from STRIP, we summarize evidence showing that supervised dietary counseling of a low saturated fat diet effectively decreases exposure to cardiovascular risk factors without affecting growth and development of healthy children and adolescents. The evidence available from these studies supports that the ability to prevent or delay the risk of premature atherosclerosis and its clinical sequelae later in life lies in maintaining a low lifetime risk by preventing the development of risk factors in early life.

Keywords

Children Atherosclerosis Risk factors Prevention Diet Review 

Copyright information

© IPNA 2011

Authors and Affiliations

  • Costan G. Magnussen
    • 1
    • 5
  • Harri Niinikoski
    • 2
  • Markus Juonala
    • 1
    • 3
  • Mika Kivimäki
    • 6
  • Tapani Rönnemaa
    • 3
  • Jorma S. A. Viikari
    • 3
  • Olli Simell
    • 2
  • Olli T. Raitakari
    • 1
    • 4
    • 5
  1. 1.Research Centre of Applied and Preventive Cardiovascular MedicineUniversity of Turku and Turku University HospitalFinlandFinland
  2. 2.Department of PediatricsUniversity of Turku and Turku University HospitalFinlandFinland
  3. 3.Department of MedicineUniversity of Turku and Turku University HospitalFinlandFinland
  4. 4.Department of Clinical PhysiologyUniversity of Turku and Turku University HospitalFinlandFinland
  5. 5.Menzies Research Institute TasmaniaUniversity of TasmaniaHobartAustralia
  6. 6.Department of Epidemiology and Public HealthUniversity College LondonLondonUK

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