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A 2-level linear regression was fitted to examine the relationship between each level of BP and independent variables. Our findings indicate that movement behaviors were not associated with BP levels, with the exception of sleep time, which demonstrated a positive association. However, after adjustment, this association was found to be nonsignificant. Our study\u2019s mediation analysis revealed that vitamin D mediates up to 12.9% of the association between physical activity and systolic BP. Vitamin D is inversely associated with BP in adolescents. In addition to mediating the physical activity and systolic BP association, engaging in physical activity, particularly outdoors, can provide a dual benefit for adolescents by increasing serum vitamin D levels and assisting in the control of BP levels.<\/jats:p>","DOI":"10.1123\/jpah.2022-0532","type":"journal-article","created":{"date-parts":[[2024,1,22]],"date-time":"2024-01-22T18:02:11Z","timestamp":1705946531000},"page":"333-340","source":"Crossref","is-referenced-by-count":0,"title":["Serum Vitamin D Levels Mediate the Association Between Physical Activity and Blood Pressure in Adolescents"],"prefix":"10.1123","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1022-1950","authenticated-orcid":true,"given":"Keisyanne","family":"Araujo-Moura","sequence":"first","affiliation":[{"name":"Department of Epidemiology, Graduate Program in Public Health and Graduate Program in Epidemiology, School of Public Health, University of Sao Paulo, Sao Paulo, SP, Brazil"},{"name":"YCARE (Youth\/Child and cArdiovascular Risk and Environmental) Research Group, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6344-1044","authenticated-orcid":true,"given":"Marcus Vinicius","family":"Nascimento-Ferreira","sequence":"additional","affiliation":[{"name":"YCARE (Youth\/Child and cArdiovascular Risk and Environmental) Research Group, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, SP, Brazil"},{"name":"HEALth, pHYsical Activity and Behavior ReseArch (HEALTHY-BRA) Group, Federal University of Tocantins, Campus Miracema, Miracema, TO, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2128-8387","authenticated-orcid":true,"given":"Beatriz","family":"Schaan","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Graduate Program in Cardiology and Cardiovascular Sciences, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil"},{"name":"Endocrine Division, Hospital de Cl\u00ednicas de Porto Alegre, Porto Alegre, RS, Brazil"},{"name":"Faculty of Medicine, Graduate Program in Endocrinology, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6992-3159","authenticated-orcid":true,"given":"K\u00e1tia","family":"Bloch","sequence":"additional","affiliation":[{"name":"Instituto de Estudos em Sa\u00fade Coletiva, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2799-1038","authenticated-orcid":true,"given":"K\u00eania","family":"de Carvalho","sequence":"additional","affiliation":[{"name":"Human Nutrition Program, Universidade de Bras\u00edlia, Brasilia, DF, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7255-9717","authenticated-orcid":true,"given":"Felipe","family":"Cureau","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Graduate Program in Cardiology and Cardiovascular Sciences, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5763-435X","authenticated-orcid":true,"given":"Augusto C\u00e9sar","family":"Ferreira De Moraes","sequence":"additional","affiliation":[{"name":"The University of Texas Health Science Center at Houston, School of Public Health in Austin, Department of Epidemiology, Michael & Susan Dell Center for Healthy Living, Austin, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"100","reference":[{"issue":"7","key":"r1","series-title":"J Clin Endocrinol Metab","doi-asserted-by":"publisher","first-page":"1911","DOI":"10.1210\/jc.2011-0385","article-title":"Evaluation, treatment, and prevention of vitamin D deficiency: an endocrine society clinical practice guideline","volume":"96","author":"Holick MF","year":"2011","unstructured":"Holick MF, Binkley NC, Bischoff-Ferrari HA, et\u00a0al. 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