Promoting Ideal Cardiovascular Health since early Childhood. A Health – Education integration opportunity

Cardiovascular disease (CVD) is the leading cause of mortality worldwide. According to the World Bank report, 56% of all deaths in low and middle-income countries can be attributed to noncommunicable diseases (Adey, O. & Smith, O., 2008). Harmful health behaviors, initiated in childhood such as sedentary lifestyle, poor nutritional habits and obesity, as well as stress management which are factors intensified during adulthood, can be risk factors that predict CVD, which has well-known consequences in the economy and health. (Nicklas, T., Morales, M., Yang, S, Zakeri, I & Berenson, G., 2006). Latin America and Colombia aren’t an exception, Cardiovascular risk is also our first cause of mortality (WHO, 2012). Among the pediatric population, there is high prevalence of cardiovascular risk factors (CVRF) (Briceño, G., Céspedes, J. & Leal, M. 2018; Céspedes, J., Briceño, G & Fernández, J. 2015). It is a situation that requires the implementation of public health strategies at different levels in the promotion of cardiovascular health (SCV). For the achievement of this objective, the maintenance of the ideal SCV from birth to early adulthood is essential (Steinberg, J., Daniels, S., Hagberg, N, Isasi, C, Kelly, A., Lloyd, D., 2016). The CardioInfantil Institute of Cardiology Foundation (FCI) develops SCV promotion activities starting in childhood, including secondary prevention activities such as free care for children with poor heart disease, who cannot access medical services High quality and technology. To do this, an average of 11 cardiology brigades are conducted annually in different cities of the country, in which children are examined by our specialists to identify heart disease, and if they require it, be brought to the Cardioinfantil Foundation for treatment (FCI, 2018). The FCI has been working on the promotion of the SCV through national initiatives such as CARDIECOL (Cardiecol, 2018), and international initiatives such as the SI! (Integral Health) (Peñalvo JL, Santos-Beneit G, Sotos-Prieto M, Bodega P, Oliva B, Orrit X, et al., 2015), evaluating the effect of interventions on healthy habits in the pediatric population, showing benefits in the level of physical activity and healthy eating (Céspedes J, Briceño G, Farkouh ME, Vedanthan R, Baxter J, Leal M, et al., 2013; Céspedes J, et al. (2013). From the articulation between the Pediatrics’ Research Group at FCI and the Sports Medicine department we design a model for primary and secondary prevention integrating pedagogical strategies and research using heart rate variability (Tafur, L.J., Cabrera, M.A., Neisa, L.F., García-Corzo, S.A., Povea, C.H., & Tejada, C.X.; 2019), measurements of children’s daily performances (using accelerometers), cross variable analysis with biometrical indices (abdominal circumference, blood pressure, cholesterol, triglycerides, glucose in preschoolers age 6 to 9 yrs. after a Multicomponent Pedagogical Intervention – MPI), evaluating changes in active energy expenditure AEE (kcal/week) generated by physical activity on schoolers 6 to 9 age after a MPI and changes in knowledge, attitude and habits towards a lifestyle, as well as the impact of MPI on schoolers age 6 to 9 on eating habits their parents and teachers. The speakers’ conference aim is to share our results and main pedagogical strategies of the diverse studies on promoting ideal cardiovascular health since childhood with different populations such as rural, vulnerable poor population and screening health caregivers and their children at FCI.



Pediatric’s Hospital Director, Fundación Cardioinfantil, Bogotá, Colombia
Pediatric’s Postagraduate program Director, El Rosario University
Pediatric’s Research Group leader, Colciencias
Academic and research leader in healthy habits and helathy life styles since first age




Pediatrician graduated from the Javeriana Univertity of Bogotá, Colombia in 1987. Postgraduate studies in Clinical Nutrition and Information Technology form Uppsala University, Sweden. Clinical epidemiology studies at the University of Rosario and Javeriana in Bogotá. Current director of the Pediatric Hospital of the Cardio Infantil Foundation – Institute of Cardiology. Director of the postgraduate program of pediatrics at Universidad del Rosario in Bogotá. Leader and principal researcher of the pediatrics group of Colciencias (Colombian institute for science). Publication on Healthy Habits for life in cooperation with Dr. Valentin Fuster of Mount Sinai Hospital in New York and the Sesamo Plaza workshop (AJM 2013: 126: 1, Pp 26-35e3).