The rationale behind early prevention of cardiovascular disease in young people

The rationale for primary prevention of cardiovascular disease (CVD) in young people is based on the applicability to youth of the causal aetiologic model of CVD among adults. Young people in developed countries exhibit early atherosclerotic lesions, as well as elevated physiological risk factors. Young people in the United States consume a higher fat diet than recommended, approximately half are physically active and nearly 1 in 5 graduate from high school as regular cigarette smokers. Not only are risk factors and risk behaviours evident in youth, but they appear to track through adolescence and into adulthood. This review suggests that early prevention efforts are prudent and may be critical.