Adherence to 24-hour movement guidelines in adolescence and its association with lower risk of hypertension in adulthood. - National Genomics Data Center (CNCB-NGDC)

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

Antonio Garc��a-Hermoso, Jos�� Francisco L��pez-Gil, Rodrigo Y��ez-Sep��lveda, Jorge Olivares-Arancibia, Jacqueline P��ez-Herrera, Yasmin Ezzatvar

Author Information

Antonio Garc��a-Hermoso: Navarrabiomed, Hospital Universitario de Navarra (HUN), Universidad P��blica de Navarra (UPNA), IdiSNA, Pamplona, Spain. antonio.garciah@unavarra.es. ORCID
Jos�� Francisco L��pez-Gil: One Health Research Group, Universidad de Las Am��ricas, Quito, Ecuador. ORCID
Rodrigo Y��ez-Sep��lveda: Faculty Education and Social Sciences, Universidad Andr��s Bello, Vi��a del Mar, Chile. ORCID
Jorge Olivares-Arancibia: Grupo AFySE, Investigaci��n en Actividad F��sica y Salud Escolar, Escuela de Pedagog��a en Educaci��n F��sica, Facultad de Educaci��n, Universidad de Las Am��ricas, Santiago, Chile. ORCID
Jacqueline P��ez-Herrera: Grupo Investigaci��n Efidac, Escuela Educaci��n F��sica, Pontificia Universidad Cat��lica de Valpara��so, Valpara��so, Chile. ORCID
Yasmin Ezzatvar: Lifestyle Factors With Impact On Ageing and Overall Health (LAH) Research Group, Department of Nursing, University of Val��ncia, Valencia, Spain. ORCID

PMID: 40048125 DOI: 10.1007/s12519-025-00880-z

BACKGROUND: There is limited research on how adherence to 24 h movement guidelines from adolescence to adulthood affects 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 defined 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% bias-corrected and accelerated (BCa) confident 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 findings highlight the cardiovascular benefits of consistently adhering to healthy movement behaviors from adolescence through adulthood.

Blood pressure Physical activity Screen time Sleep duration Vascular health

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