• Cristiano J M Pinto, Luciana S Fornari, Silvia M R Oyama, Maria M D Rodrigues, Taciana Davanço, and Bruno Caramelli.
• Universidade de São Paulo, São Paulo, SP, Brasil.
• Rev Assoc Med Bras (1992). 2020 Sep 1; 66 (9): 1217-1224.

ObjectiveThe aim of this study was to analyze whether the implementation of a multidisciplinary educational programme for cardiovascular prevention in public schools can contribute to reducing the FramINGHAM CARDIOVASCULAR RISK SCORE OF THE CHILDREN'S PARENTS AFTER ONE YEAR.MethodsThis was a prospective, community-based, case-control study carried out in public schools in Sao Paulo, Brasil. Students were randomized to receive healthy lifestyle recommendations by two different approaches. The control group received written cardiovascular health educational brochures for their parents. The intervention group received the same brochures for the parents, and the children were exposed to a weekly educational programme on cardiovascular prevention with a multidisciplinary health team for one year. Clinical and laboratorial data were collected at the onset and end of the study.ResultsWe studied 265 children and their 418 parents. At the baseline, the rate of parents with intermediate or high Framingham scores (risk of cardiovascular disease over the next 10 years greater than 10%) was 6.9% in the control group and 13.3% in the intervention group. After one year, the rate of parents with intermediate or high Framingham risk score was reduced by 22.2% in the intervention group and increased by 33.3% in the control group (p=0.031). The cardiovascular risk factors that improved in the intervention group were blood pressure, LDL-cholesterol (low-density lipoprotein cholesterol), and glucose levels.ConclusionAn educational programme on cardiovascular prevention for school-age children in public schools can reduce the cardiovascular risk of their parents.

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