{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T13:44:27Z","timestamp":1793108667488,"version":"4.5.0"},"reference-count":25,"publisher":"Elsevier BV","issue":"1","license":[{"start":{"date-parts":[[2027,1,1]],"date-time":"2027-01-01T00:00:00Z","timestamp":1798761600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2027,1,1]],"date-time":"2027-01-01T00:00:00Z","timestamp":1798761600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T00:00:00Z","timestamp":1790035200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["clinicalkey.es","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Jornal de Pediatria"],"published-print":{"date-parts":[[2027,1]]},"DOI":"10.1016\/j.jped.2026.101630","type":"journal-article","created":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T13:27:54Z","timestamp":1793107674000},"page":"101630","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Relationship between dietary live microbial consumption and hypertension risk in children and adolescents: results from the NHANES 2009\u20132023"],"prefix":"10.1016","volume":"103","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-6668-5764","authenticated-orcid":false,"given":"Xiaowei","family":"Li","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8795-658X","authenticated-orcid":false,"given":"Xiaoli","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5253-9532","authenticated-orcid":false,"given":"Yong","family":"Han","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-7172-7743","authenticated-orcid":false,"given":"Xianmei","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"12","key":"10.1016\/j.jped.2026.101630_bib0001","doi-asserted-by":"crossref","first-page":"1154","DOI":"10.1001\/jamapediatrics.2019.3310","article-title":"Global Prevalence of hypertension in children: a systematic review and meta-analysis","volume":"173","author":"Song","year":"2019","journal-title":"JAMA Pediatr"},{"issue":"4","key":"10.1016\/j.jped.2026.101630_bib0002","doi-asserted-by":"crossref","first-page":"584","DOI":"10.1016\/j.jpeds.2011.03.021","article-title":"Tracking of serum lipid levels, blood pressure, and body mass index from childhood to adulthood: the cardiovascular risk in Young Finns study","volume":"159","author":"Juhola","year":"2011","journal-title":"J Pediatr"},{"issue":"2","key":"10.1016\/j.jped.2026.101630_bib0003","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1542\/peds.2006-2543","article-title":"Systolic blood pressure in childhood predicts hypertension and metabolic syndrome later in life","volume":"119","author":"Sun","year":"2007","journal-title":"Pediatrics"},{"issue":"18","key":"10.1016\/j.jped.2026.101630_bib0004","doi-asserted-by":"crossref","first-page":"1878","DOI":"10.1001\/jama.2020.20122","article-title":"Screening for high blood pressure in children and adolescents: US Preventive Services Task Force Recommendation Statement","volume":"324","author":"Krist","year":"2020","journal-title":"JAMA"},{"issue":"3","key":"10.1016\/j.jped.2026.101630_bib0005","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1038\/s41581-022-00654-0","article-title":"The gut microbiome and hypertension","volume":"19","author":"O'Donnell","year":"2023","journal-title":"Nat Rev Nephrol"},{"issue":"7","key":"10.1016\/j.jped.2026.101630_bib0006","doi-asserted-by":"crossref","first-page":"1527","DOI":"10.3390\/nu14071527","article-title":"Fermented foods, health and the gut microbiome","volume":"14","author":"Leeuwendaal","year":"2022","journal-title":"Nutrients"},{"issue":"22","key":"10.1016\/j.jped.2026.101630_bib0007","doi-asserted-by":"crossref","first-page":"3955","DOI":"10.3390\/nu16223955","article-title":"Health benefits of prebiotics, probiotics, synbiotics, and postbiotics","volume":"16","author":"Al-Habsi","year":"2024","journal-title":"Nutrients"},{"key":"10.1016\/j.jped.2026.101630_bib0008","doi-asserted-by":"crossref","DOI":"10.1016\/j.phrs.2020.104663","article-title":"Effect of lactobacillusplantarum containing probiotics on blood pressure: a systematic review and meta-analysis","volume":"153","author":"Lewis-Mikhael","year":"2020","journal-title":"Pharmacol Res"},{"issue":"3","key":"10.1016\/j.jped.2026.101630_bib0009","doi-asserted-by":"crossref","DOI":"10.1016\/j.numecd.2024.103786","article-title":"Mediating effect of physical activity on the relationship between high dietary live microbe intake and obesity among U.S adolescents, finding from NHANES 1999-2018","volume":"35","author":"Liang","year":"2025","journal-title":"Nutr Metab Cardiovasc Dis"},{"issue":"1","key":"10.1016\/j.jped.2026.101630_bib0010","article-title":"Dietary intake of live microbes mitigates the mortality risk associated with sedentary behavior in US hypertensive individuals","volume":"15","author":"Huang","year":"2025","journal-title":"Sci Rep"},{"issue":"12","key":"10.1016\/j.jped.2026.101630_bib0011","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1016\/j.clnu.2024.10.008","article-title":"Effects of the interaction between body mass index and dietary patterns on severe NAFLD incidence: a prospective cohort study","volume":"43","author":"Wang","year":"2024","journal-title":"Clin Nutr"},{"issue":"3","key":"10.1016\/j.jped.2026.101630_bib0012","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2017-1904","article-title":"Clinical practice guideline for screening and management of high blood pressure in children and adolescents","volume":"140","author":"Flynn","year":"2017","journal-title":"Pediatrics"},{"issue":"7","key":"10.1016\/j.jped.2026.101630_bib0013","doi-asserted-by":"crossref","first-page":"1729","DOI":"10.1093\/jn\/nxac074","article-title":"A classification system for defining and estimating dietary intake of live microbes in US adults and children","volume":"152","author":"Marco","year":"2022","journal-title":"J Nutr"},{"issue":"6","key":"10.1016\/j.jped.2026.101630_bib0014","doi-asserted-by":"crossref","first-page":"1108","DOI":"10.1161\/HYPERTENSIONAHA.115.05831","article-title":"Childhood to early-midlife systolic blood pressure trajectories: early-life predictors, effect modifiers, and adult cardiovascular outcomes","volume":"66","author":"Theodore","year":"2015","journal-title":"Hypertension"},{"issue":"2","key":"10.1016\/j.jped.2026.101630_bib0015","doi-asserted-by":"crossref","first-page":"605","DOI":"10.1093\/ajcn\/nqab077","article-title":"Associations of healthy food choices with gut microbiota profiles","volume":"114","author":"Koponen","year":"2021","journal-title":"Am J Clin Nutr"},{"issue":"5","key":"10.1016\/j.jped.2026.101630_bib0016","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1007\/s11906-020-01041-5","article-title":"Effects of probiotics on patients with hypertension: a systematic review and meta-analysis","volume":"22","author":"Chi","year":"2020","journal-title":"Curr Hypertens Rep"},{"issue":"4","key":"10.1016\/j.jped.2026.101630_bib0017","doi-asserted-by":"crossref","first-page":"1143","DOI":"10.1016\/j.tjnut.2023.02.019","article-title":"Positive health outcomes associated with live microbe intake from foods, including fermented foods, assessed using the NHANES Database","volume":"153","author":"Hill","year":"2023","journal-title":"J Nutr"},{"issue":"8","key":"10.1016\/j.jped.2026.101630_bib0018","doi-asserted-by":"crossref","first-page":"4915","DOI":"10.1016\/j.clnu.2021.06.023","article-title":"Effects of probiotics on body adiposity and cardiovascular risk markers in individuals with overweight and obesity: a systematic review and meta-analysis of randomized controlled trials","volume":"40","author":"Pontes","year":"2021","journal-title":"Clin Nutr"},{"key":"10.1016\/j.jped.2026.101630_bib0019","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1016\/j.autneu.2016.05.007","article-title":"Sympathetic innervation of the kidney in health and disease: emphasis on the role of purinergic cotransmission","volume":"204","author":"Burnstock","year":"2017","journal-title":"Auton Neurosci"},{"issue":"5","key":"10.1016\/j.jped.2026.101630_bib0020","doi-asserted-by":"crossref","first-page":"1400","DOI":"10.1161\/HYPERTENSIONAHA.120.14586","article-title":"Origins of primary hypertension in children: early vascular or biological aging?","volume":"76","author":"Litwin","year":"2020","journal-title":"Hypertension"},{"issue":"1","key":"10.1016\/j.jped.2026.101630_bib0021","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1161\/HYPERTENSIONAHA.113.01453","article-title":"Adiponectin levels and the risk of hypertension: a systematic review and meta-analysis","volume":"62","author":"Kim","year":"2013","journal-title":"Hypertension"},{"issue":"4","key":"10.1016\/j.jped.2026.101630_bib0022","doi-asserted-by":"crossref","first-page":"692","DOI":"10.1097\/HJH.0000000000002328","article-title":"Regulatory T-cell subset distribution in children with primary hypertension is associated with hypertension severity and hypertensive target organ damage","volume":"38","author":"Gackowska","year":"2020","journal-title":"J Hypertens"},{"issue":"11","key":"10.1016\/j.jped.2026.101630_bib0023","doi-asserted-by":"crossref","first-page":"1804","DOI":"10.1161\/CIRCRESAHA.114.302524","article-title":"The autonomic nervous system and hypertension","volume":"114","author":"Mancia","year":"2014","journal-title":"Circ Res"},{"issue":"10","key":"10.1016\/j.jped.2026.101630_bib0024","doi-asserted-by":"crossref","first-page":"2982","DOI":"10.3390\/nu12102982","article-title":"Gut microbiota in hypertension and atherosclerosis: a review","volume":"12","author":"Verhaar","year":"2020","journal-title":"Nutrients"},{"issue":"7","key":"10.1016\/j.jped.2026.101630_bib0025","doi-asserted-by":"crossref","first-page":"442","DOI":"10.1038\/s41581-018-0018-2","article-title":"The gut microbiota and the brain-gut-kidney axis in hypertension and chronic kidney disease","volume":"14","author":"Yang","year":"2018","journal-title":"Nat Rev Nephrol"}],"container-title":["Jornal de Pediatria"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0021755726001324?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0021755726001324?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T13:27:59Z","timestamp":1793107679000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0021755726001324"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2027,1]]},"references-count":25,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2027,1]]}},"alternative-id":["S0021755726001324"],"URL":"https:\/\/doi.org\/10.1016\/j.jped.2026.101630","relation":{},"ISSN":["0021-7557"],"issn-type":[{"value":"0021-7557","type":"print"}],"subject":[],"published":{"date-parts":[[2027,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Relationship between dietary live microbial consumption and hypertension risk in children and adolescents: results from the NHANES 2009\u20132023","name":"articletitle","label":"Article Title"},{"value":"Jornal de Pediatria","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jped.2026.101630","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 The Authors. Published by Elsevier Espa\u00f1a, S.L.U. on behalf of Sociedade Brasileira de Pediatria.","name":"copyright","label":"Copyright"}],"article-number":"101630"}}