The main cardiovascular risk is obesity and its associated factors, such as diabetes and high blood pressure, caused by poor nutrition and low levels of physical activity. Addictions such as alcohol, smoking and other drugs are also important risk factors for cardiovascular disease.

The development and scientific validation of the SI! Programme (Total Health), a health programme that extends from the Second Cycle of Infant Education to the end of Secondary Education (from 3 to 16 years), is one of the most important challenges for the SHE Foundation.

It has been widely demonstrated that obesity and other related pathologies, such as diabetes and high blood pressure, are the main cardiovascular risk factors. Often these pathologies arise from a lack of physical activity or poor nutrition. Both of these are lifestyle habits that can be modified and changes for the better can slow down the increases in the prevalence of cardiovascular disease that have been developing throughout the world over the last few decades [*].

Because cardiovascular diseases often have their origins in childhood [*], the SHE Foundation believes that it is extremely important to create school programmes aimed at promoting cardiovascular health from an early age. In addition, scientific evidence supports the effectiveness of school-based interventions as the best means of reaching children and their immediate circle [*], especially when accompanied by a solid process of evaluation, as is the case with the SI! Programme Total Health.

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