{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T06:02:04Z","timestamp":1782280924806,"version":"3.54.5"},"reference-count":12,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T00:00:00Z","timestamp":1782259200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["ssph-journal.org"],"crossmark-restriction":true},"short-container-title":["Public Health Rev."],"abstract":"\n Background<\/jats:title>\n Cardiovascular disease and diabetes remain the leading causes of premature mortality in Europe, despite longstanding political commitments and the availability of cost-effective preventive interventions. As the global public health community approaches the 40th anniversary of the Ottawa Charter for Health Promotion, persistent gaps between prevention principles and implementation require renewed policy focus.<\/jats:p>\n <\/jats:sec>\n \n Analysis<\/jats:title>\n This policy brief synthesises evidence from international reports and European initiatives to examine why prevention efforts for cardiovascular disease and diabetes have not achieved sufficient scale or impact. It highlights the role of obesity, diabetes, and early-life risk exposure in shaping cardiovascular risk, alongside fragmented surveillance systems and continued reliance on reactive, treatment-centred care. While current policy frameworks demonstrate ambition, implementation and accountability remain inconsistent.<\/jats:p>\n <\/jats:sec>\n \n Policy Options<\/jats:title>\n Priority actions include embedding life-course prevention across cardiovascular and diabetes strategies, strengthening primary and community-based prevention, investing in equity-oriented surveillance, and scaling collaborative initiatives such as JACARDI and JA PreventNCD.<\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Achieving equitable prevention of cardiovascular disease and diabetes requires a shift from reactive care to sustained life-course prevention.<\/jats:p>\n <\/jats:sec>","DOI":"10.3389\/phrs.2026.1609639","type":"journal-article","created":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T05:10:09Z","timestamp":1782277809000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["From commitment to capacity: strengthening Europe\u2019s public health response to cardiovascular disease and diabetes through life-course prevention"],"prefix":"10.3389","volume":"47","author":[{"given":"Sarah","family":"Cuschieri","sequence":"first","affiliation":[{"name":"University of Malta Faculty of Medicine and Surgery","place":["Msida, Malta"]},{"name":"Department of Epidemiology and Biostatistic, Western University","place":["London, ON, Canada"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,6,24]]},"reference":[{"key":"B1","volume-title":"Noncommunicable Diseases Progress Monitor 2025","year":"2025"},{"key":"B2","volume-title":"European Health Report 2024: Keeping Health High on the Agenda","year":"2025"},{"key":"B3","volume-title":"Health at a Glance: Europe 2024: State of Health in the EU Cycle","year":"2024"},{"key":"B4","volume-title":"Political Declaration of the Fourth high-level Meeting on the Prevention and Control of Non-communicable Diseases","author":"Ung","year":"2025"},{"key":"B5","volume-title":"Ottawa Charter for Health Promotion","year":"1986"},{"key":"B6","doi-asserted-by":"publisher","first-page":"203","DOI":"10.1016\/S0140-6736(23)01301-6","article-title":"Global, regional, and national burden of diabetes from 1990 to 2021, with projections of prevalence to 2050: a systematic analysis for the global burden of disease study 2021","volume":"402","author":"Ong","year":"2023","journal-title":"The Lancet"},{"key":"B7","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1056\/NEJMra0708473","article-title":"Effect of in utero and early-life conditions on adult health and disease","volume":"359","author":"Gluckman","year":"2008","journal-title":"N Engl J Med"},{"key":"B8","doi-asserted-by":"publisher","first-page":"101281","DOI":"10.1016\/j.lanepe.2025.101281","article-title":"Quick buys for prevention and control of noncommunicable diseases","volume":"52","author":"Galea","year":"2025","journal-title":"Lancet Reg Health Eur"},{"key":"B9","doi-asserted-by":"publisher","first-page":"101553","DOI":"10.1016\/j.lanepe.2025.101553","article-title":"Strengthening non-communicable diseases monitoring systems in Europe through a multistakeholder collaborative approach: a key priority for advancing data-driven policymaking","volume":"61","author":"Armocida","year":"2026","journal-title":"Lancet Reg Health Eur"},{"key":"B10","volume-title":"Communication from the Commission to the European Parliament, the Council, the European Economic and Social Committee and the Committee of the Regions on an EU Cardiovascular Health Plan: The Safe Hearts Plan","year":"2025"},{"key":"B11","doi-asserted-by":"publisher","first-page":"4","DOI":"10.4415\/ann_24_01_02","article-title":"Tackling the challenge of cardiovascular diseases and diabetes across Europe: a joint action by more than 300 public health professionals. Commentary","volume":"60","author":"Armocida","year":"2024","journal-title":"Ann Ist Super Sanita"},{"key":"B12","doi-asserted-by":"publisher","first-page":"72","DOI":"10.1177\/14034948251365171","article-title":"Reducing europe's cancer and NCD burden through coordinated strategies on health determinants: the joint action on cancer and other NCDs prevention (JA-PreventNCD)","volume":"53","author":"Bucciardini","year":"2025","journal-title":"Scand J Public Health"}],"container-title":["Public Health Reviews"],"original-title":[],"link":[{"URL":"https:\/\/www.ssph-journal.org\/articles\/10.3389\/phrs.2026.1609639\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T05:10:12Z","timestamp":1782277812000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ssph-journal.org\/articles\/10.3389\/phrs.2026.1609639\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,24]]},"references-count":12,"alternative-id":["10.3389\/phrs.2026.1609639"],"URL":"https:\/\/doi.org\/10.3389\/phrs.2026.1609639","relation":{},"ISSN":["2107-6952"],"issn-type":[{"value":"2107-6952","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,24]]},"article-number":"1609639"}}