ArticlePloS one2013
Independent and combined effects of physical activity and sedentary behavior on blood pressure in adolescents: gender differences in two cross-sectional studies.
Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 14 papers, 4 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 4 syntheses or guidelines pooled it, 54 citations in OpenAlex.
- Prolonged screen watching behavior is associated with high blood pressure among children and adolescents: a systematic review and dose-response meta-analysis.Journal of health, population, and nutrition · 2023Pooled it
- Combinations of Physical Activity, Sedentary Behavior, and Sleep Duration and Their Associations With Physical, Psychological, and Educational Outcomes in Children and Adolescents: A Systematic Review.American journal of epidemiology · 2023Pooled it
- Sedentary behavior in Brazilian children and adolescents: a systematic review.Revista de saude publica · 2016Pooled it
- The association between time spent in sedentary behaviors and blood pressure: a systematic review and meta-analysis.Sports medicine (Auckland, N.Z.) · 2015Pooled it
- 24-h Movement Behaviors and Incident Hypertension Among Adolescents: A Prospective Study From the ABCD Study.Scandinavian journal of medicine & science in sports · 2026Article
- Occupational Physical Activity and Blood Pressure: The Role of Leisure Time Physical Activity and Sex Differences.Journal of Korean medical science · 2026Article
- Safety and adherence of pressure garment therapy in children with upper limb unilateral cerebral palsy. Results from a randomized clinical trial ancillary analysis.Frontiers in pediatrics · 2023Article
- High Fructose Intake Contributes to Elevated Diastolic Blood Pressure in Adolescent Girls: Results from The HELENA Study.Nutrients · 2021Article
- Article
- Association between leisure-time physical activity and sedentary behavior with cardiometabolic health in the ELSA-Brasil participants.SAGE open medicine · 2019Article
- Does body mass index modify the association between physical activity and screen time with cardiometabolic risk factors in adolescents? Findings from a country-wide survey.International journal of obesity (2005) · 2017Article
- Prediction of bone mineral density and content from measures of physical activity and sedentary behavior in younger and older females.Preventive medicine reports · 2015Article
- Nutrition and lifestyle in european adolescents: the HELENA (Healthy Lifestyle in Europe by Nutrition in Adolescence) study.Advances in nutrition (Bethesda, Md.) · 2014Review
- Objectively measured sedentary behaviour and cardio-metabolic risk in youth: a review of evidence.European journal of pediatrics · 2014Review
Corrections and comments
- Erratum issued
Authors and funding
19 authors at 13 institutions in 10 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo examine the independent and combined association of physical activity (PA) and sedentary behavior (SB) on both systolic (SBP) and diastolic blood pressure (DBP) in adolescents from two observational studies.
methodsParticipants from two cross-sectional studies, one conducted in Europe (n = 3,308; HELENA study) and the other in Brazil (n = 991; BRACAH study), were selected by complex sampling. Systolic and diastolic blood pressure (outcomes), PA and SB, both independently and combined, and potential confounders were analyzed. Associations were examined by multilevel linear regression.
resultsPerforming the recommended amount of PA (≥ 60 min/d) attenuated the effect of SB on DBP in BRACAH study girls and in boys from both studies. In contrast, PA did not attenuate the effects of SB on the SBP of girls in the HELENA study. The combination of less than recommended levels of PA with 2-4 h/d of sedentary behavior was found to be associated with increased SBP in boys from both studies.
conclusionsMeeting current PA recommendations could mediate the association between SB and DBP in both sexes. In boys, the joint effect of low levels of PA and excessive sedentary activity increases SBP levels. Longitudinal studies are required to confirm these findings.
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Registered trials
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