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

dc.contributor.authorGarcía Hermoso, Antonio
dc.contributor.authorLópez Gil, José Francisco
dc.contributor.authorYáñez-Sepúlveda, Rodrigo
dc.contributor.authorOlivares-Arancibia, Jorge
dc.contributor.authorPáez-Herrera, Jacqueline
dc.contributor.authorEzzatvar, Yasmin
dc.contributor.departmentCiencias de la Saludes_ES
dc.contributor.departmentOsasun Zientziakeu
dc.contributor.funderUniversidad Pública de Navarra / Nafarroako Unibertsitate Publikoa
dc.date.accessioned2025-06-24T08:41:13Z
dc.date.available2025-06-24T08:41:13Z
dc.date.issued2025-03-06
dc.date.updated2025-06-24T08:36:36Z
dc.description.abstractBackground 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.en
dc.description.sponsorshipOpen Access funding provided by Universidad Pública de Navarra.
dc.format.mimetypeapplication/pdf
dc.identifier.citationGarcía-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.
dc.identifier.doi10.1007/s12519-025-00880-z
dc.identifier.issn1708-8569
dc.identifier.urihttps://academica-e.unavarra.es/handle/2454/54300
dc.language.isoeng
dc.publisherSpringer
dc.relation.ispartofWorld Journal of Pediatrics (2025), vol. 21
dc.relation.publisherversionhttps://doi.org/10.1007/s12519-025-00880-z
dc.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.
dc.rights.accessRightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectBlood pressureen
dc.subjectPhysical activityen
dc.subjectScreen timeen
dc.subjectSleep durationen
dc.subjectVascular healthen
dc.titleAdherence to 24-hour movement guidelines in adolescence and its association with lower risk of hypertension in adulthooden
dc.typeinfo:eu-repo/semantics/article
dc.type.versioninfo:eu-repo/semantics/publishedVersion
dspace.entity.typePublication
relation.isAuthorOfPublicatione84ae68a-fa4a-4e00-be27-bedfffc8612e
relation.isAuthorOfPublicationa8a724dc-bd51-4ab2-8e46-97e362d3ba8f
relation.isAuthorOfPublication.latestForDiscoverye84ae68a-fa4a-4e00-be27-bedfffc8612e

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