Abstract
This report presents a critical review and synthesis of selected school-based research that has been instrumental in demonstrating the feasibility and potential of schools as a population-based venue for preventive cardiovascular care and recent data on the status of school-based cardiovascular disease prevention initiatives. Results underscore the importance of evidence-based approaches for promoting healthy behaviors and heart health in the school environment, indicate the need for policies that enhance the food and physical environments of schools, and provide data indicating substantial (state, school district, and school level) variability in implementation of policies designed to promote heart health in schools. Multilevel, evidence-based polices and dedicated resources are central and essential to promote heart health in school environments. Research is needed to evaluate the process and outcomes of school-based programs and policies and optimize schools as a delivery channel for preventive cardiovascular care.
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