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However, their combined associations with arterial IMT, especially aortic IMT, where cardiometabolic risk burden may be reflected at an earlier age, have not been studied before. This study examined how 24\u2010h movement behaviors associate with aortic and carotid IMT among young adults. Participants (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u2009327) were healthy young adults (mean age 26.1\u2009years, SD 0.2) from the Special Turku Coronary Risk Factor Intervention Project (STRIP). 24\u2010h movement behaviors were measured using a wrist\u2010worn accelerometer for 1\u2009week. Aortic and carotid IMT were measured with ultrasonography. Associations between 24\u2010h movement behaviors and aortic and carotid IMT were analyzed using compositional data analysis and compositional isotemporal substitution analysis, adjusting for sex, education, smoking, and distribution of dietary fats. Descriptive model\u2010based estimations indicated lower aortic IMT values for compositions with a higher proportion of LPA. However, theoretical time reallocations between LPA and other behaviors did not indicate significant differences in aortic IMT (e.g., 30\u2009min from sleep to LPA, \u22120.005\u2009mm [95% CI \u22120.020\u22120.010\u2009mm], from SED to LPA, \u22120.006\u2009mm [95% CI \u22120.018\u22120.006], and from MVPA to LPA, \u22120.008\u2009mm [95% CI \u22120.038\u22120.021]). No associations were found for carotid IMT either. No apparent associations were observed between 24\u2010h movement behaviors and arterial IMT among young adults.\n                  <\/jats:p>","DOI":"10.1111\/sms.70387","type":"journal-article","created":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T08:03:17Z","timestamp":1792828997000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Device\u2010Measured 24\u2010h Movement Behaviors and Arterial Intima\u2010Media Thickness in Young Adults"],"prefix":"10.1111","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3520-8069","authenticated-orcid":false,"given":"Kristin","family":"Suorsa","sequence":"first","affiliation":[{"name":"Department of Public Health University of Turku and Turku University Hospital  Turku Finland"},{"name":"Centre for Population Health Research University of Turku and Turku University Hospital  Turku Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomi","family":"Laitinen","sequence":"additional","affiliation":[{"name":"Centre for Population Health Research University of Turku and Turku University Hospital  Turku Finland"},{"name":"Research Centre of Applied and Preventive Cardiovascular Medicine University of Turku  Turku Finland"},{"name":"Paavo Nurmi Centre &amp; 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