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Background <p>There is limited research on how adherence to 24&#xa0;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.</p> Methods <p>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&#xa0;min seated rest, utilizing an oscillometric device, and hypertension was defined as systolic/diastolic BP ≥ 140/90&#xa0;mmHg, physician-diagnosed hypertension, or current antihypertensive medication use.</p> Results <p>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&#xa0;mmHg, 95% bias-corrected and accelerated (BCa)&#xa0;confident interval (CI) − 2.128 to − 0.011, <i>P</i> = 0.044] and diastolic (− 0.331&#xa0;mmHg, 95% BCa&#xa0;CI − 1.506 to − 0.071, <i>P</i> = 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&#xa0;mmHg, 95% BCa&#xa0;CI − 13.45 to − 0.915, <i>P</i> = 0.040) and diastolic BP&#xa0;(− 3.156&#xa0;mmHg, 95% BCa&#xa0;CI − 6.413 to − 0.120, <i>P</i> = 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, <i>P</i> = 0.035] or adhered to all three recommendations (RR 0.699, 95% CI 0.311–0.899, <i>P</i> = 0.030) in both waves.</p> Conclusions <p>Our findings highlight the cardiovascular benefits of consistently adhering to healthy movement behaviors from adolescence through adulthood.</p> Graphical abstract <p></p>

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

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年3月6日

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  • Antonio García-Hermoso,
  • José Francisco López-Gil,
  • Rodrigo Yáñez-Sepúlveda,
  • Jorge Olivares-Arancibia,
  • Jacqueline Páez-Herrera,
  • Yasmin Ezzatvar

摘要

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.

Graphical abstract