Abstract
Extensive epidemiologic, clinical, and laboratory data accumulated over the past 3 decades provide convincing rationale for primary prevention of coronary heart disease (CHD) beginning early in life. This article focuses on evidence-based strategies designed to promote cardiovascular health in children and adolescents and reduce the risk and burden of CHD in adult life. Emphasis is placed on healthful lifestyle training and behavioral change interventions applicable in health care and school-based and community-based settings.