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A sedentary lifestyle, physical inactivity and unfavorable socioeconomic conditions can aggravate this risk, while regular physical activity, a healthy diet and lipid profile control are protective factors. Objective: To determine the relationship among clinical, behavioral, and socioeconomic factors and CVR in adolescents with CHD. Methods: Cross-sectional study with 75 adolescents, aged 10 to 18 years old, attending a reference outpatient service in Alagoas, Brazil. The Physical Activity Questionnaire for Children, Questionnaire for Screen Time of Adolescents, lipid and glycemic profile and Pathobiological Determinants of Atherosclerosis in Youth score were used. Associations were tested by chi-square for categorical variables and Student\u2019s t-test for continuous variables. Multivariate binary logistic regression was used by the backward non-conditional method, adjusted for significant confounding factors (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.20). Results: A total of 75 adolescents were recruited, 62.6% showed low CVR, 82.7% exhibited excessive sedentary behavior and 90.7% were physically inactive, both associated with lipid alterations. Females had a lower odds ratio (OR) of 0.32 (95% CI\u2009=\u20090.11; 0.91) for higher CVR, while high complexity of CHD had an OR of 4.38 (95% CI\u2009=\u20091.02; 18.69) for high LDL-c levels. Adolescents with lower income had an OR of 3.29 (95% CI\u2009=\u20091.20; 9.08) for low HDL-c levels. Conclusion: Adolescents with CHD have a high sedentary lifestyle, low levels of physical activity and clinical and socioeconomic factors that increase cardiovascular risk.\n                  <\/jats:p>","DOI":"10.1007\/s00246-026-04218-y","type":"journal-article","created":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T09:49:44Z","timestamp":1773308984000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Cardiovascular Risk in Adolescents with Congenital Heart Disease Living in a Low-Income Region: Cross-Sectional Associations with Clinical, Behavioral and Sociodemographic Factors"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4701-523X","authenticated-orcid":false,"given":"Marylia Santos","family":"Pereira","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-0272-2638","authenticated-orcid":false,"given":"Ana Carla Porciuncula","family":"Cavalcante","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9678-0974","authenticated-orcid":false,"given":"Adrielly Suely Santos","family":"Pereira","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6124-8243","authenticated-orcid":false,"given":"Christefany R\u00e9gia Braz","family":"Costa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8252-725X","authenticated-orcid":false,"given":"Filipe Antonio","family":"de Barros Sousa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4056-9528","authenticated-orcid":false,"given":"Isabela","family":"de Carlos Back","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0280-0151","authenticated-orcid":false,"given":"Luiz Rodrigo Augustemak","family":"de Lima","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,3,12]]},"reference":[{"key":"4218_CR1","doi-asserted-by":"crossref","unstructured":"Cappellesso VR, de Aguiar AP (2017) Cardiopatias cong\u00eanitas em crian\u00e7as e adolescentes:caracteriza\u00e7\u00e3o cl\u00ednico-epidemiol\u00f3gica em um hospital infantil de Manaus-AM. 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