Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Jul 24;14(1):17060.
doi: 10.1038/s41598-024-68063-w.

Association of meeting the 24-h movement guidelines with high blood pressure in adolescents: a cross-sectional study

Diego G D Christofaro  1 , Gerson Ferrari  2 , Gabriel G Cucato  3 , Jorge Mota  4 , Danilo R Silva  5 , Luiz Carlos M Vanderlei  6 , William R Tebar  6 , Javier Brazo-Sayavera  7
Affiliations

Association of meeting the 24-h movement guidelines with high blood pressure in adolescents: a cross-sectional study

Diego G D Christofaro et al. Sci Rep. .

Abstract

The 24-h movement guidelines for children and adolescents comprise recommendations for adequate sleep, moderate to vigorous physical activity (MVPA) and sedentary behaviour (SB). However, whether adolescents who meet these 24-h movement guidelines may be less likely to have high blood pressure (HBP) has not been established. The present study assessed the association between meeting 24-h movement guidelines and HBP in a school-based sample of 996 adolescents between 10-17 years (13.2 ± 2.4 years, 55.4% of girls). Blood pressure was measured using a digital oscillometric device, while sleep, MVPA and SB were measured using the Baecke questionnaire. The association between the 24-h movement guidelines and HBP was performed using binary logistic regression adjusted for sex, age, socioeconomic status, and body mass index. It was observed that less than 1% of the sample meet the three 24-h movement guidelines. The prevalence of HBP was lower in adolescents who meet all three movement 24-h guidelines (11.1%) compared to those who did not meet any guidelines (27.2%). Individual 24-h movement guidelines analysis showed that adolescents with adequate sleep were 35% less likely to have HBP (OR = 0.65; 95% CI 0.46-0.91). Meeting sleep guidelines combined with meeting MVPA (OR = 0.69; 95% CI 0.50-0.95) or SB (OR = 0.67; 95% CI 0.48-0.94) was inversely associated with HBP. Adolescents who meet two or three 24-h movement guidelines were respectively 47% (OR = 0.53; 95% CI 0.29-0.98) and 34% (OR = 0.66; 95% CI 0.48-0.91) less likely to have HBP. In adolescents, meeting sleep and 24-h movement guidelines were inversely associated with HBP.

Keywords: Cardiovascular parameters; Movement guidelines; Physical activity; Sedentary behaviour; Sleep.

PubMed Disclaimer

Conflict of interest statement

The authors declare no competing interests.

Figures

Figure 1
Figure 1
Venn diagram of meeting 24-h movement guidelines in adolescents (n = 996). MVPA moderate-to-vigorous physical activity, SB sedentary behaviour.
Figure 2
Figure 2
Prevalence of high blood pressure according to 24-h guidelines. *Statistical difference in proportions at p < 0.05 level.
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Roth, G. A. et al. GBD-NHLBI-JACC global burden of cardiovascular diseases writing group. Global burden of cardiovascular diseases and risk factors, 1990–2019: Update from the GBD 2019 study. J. Am. Coll. Cardiol.76(25), 2982–3021. 10.1016/j.jacc.2020.11.010 (2020). - PMC - PubMed
    1. Gartlehner, G. et al. Screening for hypertension in children and adolescents: Updated evidence report and systematic review for the US preventive services task force. JAMA324(18), 1884–1895. 10.1001/jama.2020.11119 (2020). - PubMed
    1. Yuan, Y. et al. Poor sleep quality is associated with new-onset hypertension in a diverse young and middle-aged population. Sleep Med.88, 189–196. 10.1016/j.sleep.2021.10.021 (2021). - PubMed
    1. Xu, H. et al. Effect of comprehensive interventions including nutrition education and physical activity on high blood pressure among children: Evidence from school-based cluster randomized control trial in China. Int. J. Environ. Res. Pub. Health17(23), 8944. 10.3390/ijerph17238944 (2020). - PMC - PubMed
    1. Christofaro, D. G. et al. High blood pressure and sedentary behaviour in adolescents are associated even after controlling for confounding factors. Blood Press.24(5), 317–323. 10.3109/08037051.2015.1070475 (2015). - PubMed