International Journal of Preventive Medicine (Int J Prev Med)2008-78029122018123119811981ENAtherosclerosis Prevention Institute, MunichDepartment of Internal Medicine, Campus Grosshadern, Ludwig‑Maximilians University, Munich, Germany20181231<p><span class="fontstyle0"><strong>Objectives</strong>: </span><span class="fontstyle2">The PEP Family Heart Study is a perspective community‑based long‑term project for the whole family to improve cardiovascular health aiming to assess and to amend risk factors in children and their parents by lifestyle change. </span></p><p><strong></strong><span class="fontstyle0"><strong>Methods</strong>: </span><span class="fontstyle2">A total of 48,667 subjects (24,927 adults and 23,740 children) from 3,370 families living in 94% of the elementary school districts of<br />Nuremberg (Germany) participated in this observational study from 1993/1994 ‑2007/2008. The yearly surveys consisting of personal and family histories, structured interviews on leisure time physical activity and tobacco smoke exposition, physical examinations and nutritional intake as<br />documented by seven days weighed dietary protocols and sustained healthy lifestyle counselling were mainly performed at home. Fasting blood collections for biochemical analyses in the study laboratories, cooking courses and seminars on healthy lifestyle were performed on weekends in<br />central school buildings. </span></p><p><span class="fontstyle0"><strong>Results</strong>: </span><span class="fontstyle2">Here we report some of the main results demonstrating e.g., that at least one CVD risk factor in a child conferred a 2–4 fold higher risk among their parents, that obese children and adolescents had a nearly fve times higher prevalence of hypertension than nonoverweight youths. </span></p><p><span class="fontstyle0"><strong>Conclusions</strong>: </span><span class="fontstyle2">Sustained healthy lifestyle behavior can be implemented in daily life of family members which results in amended nutritional intake and improved cardiometabolic risk factors.<br /></span></p>http://ijpm.mui.ac.ir/index.php/ijpm/article/view/1981http://ijpm.mui.ac.ir/index.php/ijpm/article/download/1981/717717801