{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T12:04:49Z","timestamp":1784117089699,"version":"3.55.0"},"reference-count":35,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"21","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2024,11,5]]},"abstract":"<jats:sec xml:lang=\"en\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p xml:lang=\"en\">Preventive screenings in children encourage maintenance of optimal cardiovascular health, but gaps may exist between recommendations and clinical practice. We evaluated adherence to pediatric guidelines for universal age\u2010based and risk\u2010based screening for body mass index, blood pressure, lipids, and blood glucose.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Methods and Results<\/jats:title>\n                    <jats:p xml:lang=\"en\">We used 2010 to 2018 ambulatory visit data from children aged 2 to 12\u2009years within CAPRICORN (Chicago Area Patient\u2010Centered Outcomes Research Network), an electronic health record network in Chicago. This study included 87\u2009549 children who attended 197\u2009559 well\u2010child encounters. Across all encounters, children were 51.5% male and mean (SD) age 6.4 (3.3) years. For each child who attended a well\u2010child visit and met age and\/or risk\u2010based criteria, receipt of body mass index, blood pressure, lipids, and\/or hemoglobin A1c or fasting blood glucose measurements were assessed. We used generalized estimating equations to calculate proportion adherence for each metric overall and stratified by age, sex, race and ethnicity, and insurance status. Universal age\u2010based screening prevalence (95% CI) per 100 eligible visits was 77.1 (76.8\u201377.3) for body mass index, 33.4 (33.1\u201333.7) for blood pressure, and 9.6 (9.3\u20139.9) for lipids. Risk\u2010based screening prevalence (95% CI) per 100 eligible visits was 13.9 (12.2\u201315.9) for blood pressure, 6.9 (6.4\u20137.5) for lipids, and 13.3 (12.6\u201314.1) for blood glucose.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p xml:lang=\"en\">Early screening of cardiovascular health risk factors could lead to earlier interventions, which could alter cardiovascular health trajectories across the lifetime. Low\u2010to\u2010moderate levels of adherence to universal age\u2010based and risk\u2010based cardiovascular health screening highlight the gap between recommendations and clinical practice, emphasizing the need to understand and address barriers to screening in pediatric populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/jaha.123.033589","type":"journal-article","created":{"date-parts":[[2024,10,25]],"date-time":"2024-10-25T07:06:06Z","timestamp":1729839966000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Adherence to Pediatric Screening"],"prefix":"10.1161","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-4416-0180","authenticated-orcid":false,"given":"Abigail M.","family":"Gauen","sequence":"first","affiliation":[{"name":"Northwestern University Feinberg School of Medicine","place":["Chicago, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-3333-9225","authenticated-orcid":false,"given":"Yaojie","family":"Wang","sequence":"additional","affiliation":[{"name":"Northwestern University Feinberg School of Medicine","place":["Chicago, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1025-0997","authenticated-orcid":false,"given":"Amanda M.","family":"Perak","sequence":"additional","affiliation":[{"name":"Northwestern University Feinberg School of Medicine","place":["Chicago, USA"]},{"name":"Ann & Robert H. Lurie Children\u2019s Hospital of Chicago","place":["Chicago, USA"]},{"name":"Stanley Manne Children\u2019s Research Institute, Ann & Robert H. Lurie Children\u2019s Hospital of Chicago","place":["Chicago, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6370-641X","authenticated-orcid":false,"given":"Matthew M.","family":"Davis","sequence":"additional","affiliation":[{"name":"Northwestern University Feinberg School of Medicine","place":["Chicago, USA"]},{"name":"Ann & Robert H. Lurie Children\u2019s Hospital of Chicago","place":["Chicago, USA"]},{"name":"Stanley Manne Children\u2019s Research Institute, Ann & Robert H. Lurie Children\u2019s Hospital of Chicago","place":["Chicago, USA"]},{"name":"Ann & Robert H. Lurie Children\u2019s Hospital of Chicago","place":["Chicago, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Rosenman","sequence":"additional","affiliation":[{"name":"Stanley Manne Children\u2019s Research Institute, Ann & Robert H. Lurie Children\u2019s Hospital of Chicago","place":["Chicago, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0847-6110","authenticated-orcid":false,"given":"Donald M.","family":"Lloyd\u2010Jones","sequence":"additional","affiliation":[{"name":"Northwestern University Feinberg School of Medicine","place":["Chicago, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Zmora","sequence":"additional","affiliation":[{"name":"Northwestern University Feinberg School of Medicine","place":["Chicago, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6993-4384","authenticated-orcid":false,"given":"Norrina B.","family":"Allen","sequence":"additional","affiliation":[{"name":"Northwestern University Feinberg School of Medicine","place":["Chicago, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0156-1219","authenticated-orcid":false,"given":"Lucia C.","family":"Petito","sequence":"additional","affiliation":[{"name":"Northwestern University Feinberg School of Medicine","place":["Chicago, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000001052"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamacardio.2020.0140"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2021.04.010"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwab149"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.110.016170"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2023.04.007"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000001078"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-2107C"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2023-061451"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2020-0265"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.cir.0000061521.15730.6e"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacl.2020.01.013"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.9778\/cmajo.20150016"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2020.10.058"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2011-3888"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.114.1.141"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2021.13304"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1037\/0003-066X.60.1.16"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.2146\/ajhp050064"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1136\/amiajnl-2014-002827"},{"key":"e_1_3_2_22_2","volume-title":"Epidemiologic Studies to Characterize Cardiovascular Health and its Predictors and Trajectories in Diverse Groups of Children","author":"Notice of Special Interest (NOSI)","year":"2019","unstructured":"Notice of Special Interest (NOSI) . 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