Aim: The primary aim of the study is to assess and rank cardiovascular risk factors in urban schoolchildren with and without a family history of CVD and subsequently optimize programs for early detection and prevention.
Material and Methods: The study included 106 schoolchildren aged 10 to 17 years. The main group consisted of 55 children with a family history of CVD, and the control group comprised 51 children without a hereditary predisposition. The study employed a questionnaire encompassing medical history, clinical examinations, and laboratory data. The levels of various lipids (total cholesterol, high-density lipoproteins, and triglycerides) were measured using a specific kit and method.
Results: The study's findings include - Identifying the most significant risk factors for cardiovascular pathology, which include the combination of hereditary predisposition with hypercholesterolemia, triglyceridemia, low HDL cholesterol, smoking, overweight, and physical inactivity. The study indicates that hereditary predisposition occurs in 7.7% of school-age children in the Kyrgyz Republic. Among hereditary factors, hypertension, arterial hypertension without a diagnosed hypertension, and coronary heart disease are the most prevalent. Cardiovascular system changes were detected in 47.9% of schoolchildren with a family history of CVD.
Conclusion: The study concludes that cardiovascular risk factors are prevalent among children, similar to adults. It also highlights that the prevalence of these risk factors is higher in children with a family history of CVD compared to those without such a history. 

Mairam Koshukeeva completed Pediatric Faculty, General Pediatric Residency at I.K. Akhunbaev Kyrgyz State Medical Academy. She holds a Postgraduate Diploma in Pediatrics. She is a Candidate of Medical Science. She is an Assistant of the Department of Pediatrics in International Higher School of Medicine. She has over 15 publications and more than 10 conferences attended.