Adherence to 24-hour movement guidelines in adolescence and its association with lower risk of hypertension in adulthood

Date

2025-03-06

Authors

Yáñez-Sepúlveda, Rodrigo
Olivares-Arancibia, Jorge
Páez-Herrera, Jacqueline
Ezzatvar, Yasmin

Director

Publisher

Springer
Acceso abierto / Sarbide irekia
Artículo / Artikulua
Versión publicada / Argitaratu den bertsioa

Project identifier

Impacto
No disponible en Scopus

Abstract

Background There is limited research on how adherence to 24 h movement guidelines from adolescence to adulthood afects long-term hypertension outcomes. This study examined the association between sustained adherence to these guidelines and hypertension risk. Methods Analysis was done on data from adolescents 12- to 19-year-olds who took part in Waves I and V of the Add Health Study. Physical activity (PA), screen time, and sleep duration were assessed through self-report questionnaires. Blood pressure (BP) was assessed on the right arm following a 5 min seated rest, utilizing an oscillometric device, and hypertension was defned as systolic/diastolic BP≥140/90 mmHg, physician-diagnosed hypertension, or current antihypertensive medication use. Results This prospective study included a total of 3076 participants (60.3% female), and 802 were diagnosed with hypertension. Meeting sleep duration guidelines at Wave I was associated with reductions in systolic [−0.568 mmHg, 95% biascorrected and accelerated (BCa) confdent interval (CI)−2.128 to−0.011, P=0.044] and diastolic (−0.331 mmHg, 95% BCa CI−1.506 to−0.071, P=0.043) BP at Wave V. Adherence to PA and sleep duration guidelines at both waves further reduced BP, with the greatest decreases observed among participants meeting all three guidelines: systolic (−6.184 mmHg, 95% BCa CI−13.45 to−0.915, P=0.040) and diastolic BP (−3.156 mmHg, 95% BCa CI−6.413 to−0.120, P=0.047). The risk of hypertension was lower among those who met the PA guidelines individually [relative risk (RR) 0.710, 95% CI 0.516–0.976, P=0.035] or adhered to all three recommendations (RR 0.699, 95% CI 0.311–0.899, P=0.030) in both waves. Conclusions Our fndings highlight the cardiovascular benefts of consistently adhering to healthy movement behaviors from adolescence through adulthood.

Description

Keywords

Blood pressure, Physical activity, Screen time, Sleep duration, Vascular health

Department

Ciencias de la Salud / Osasun Zientziak

Faculty/School

Degree

Doctorate program

item.page.cita

García-Hermoso, A., López-Gil, J. F., Yáñez-Sepúlveda, R., Olivares-Arancibia, J., Páez-Herrera, J., Ezzatvar, Y. (2025). Adherence to 24-hour movement guidelines in adolescence and its association with lower risk of hypertension in adulthood. World Journal of Pediatrics, 21(3), 284-290. https://doi.org/10.1007/s12519-025-00880-z.

item.page.rights

© The Author(s) 2025. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made.

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