{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T04:57:10Z","timestamp":1790053030234,"version":"4.0.1"},"reference-count":44,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"22","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2024,11,19]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">Pediatric hypertension is linked to environmental factors like neighborhood noise disrupting sleep, which is crucial for health. The specific interaction between noise and sleep health in causing hypertension still needs to be explored.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods and Results<\/jats:title>\n            <jats:p xml:lang=\"en\">We analyzed data from 3320 participants of the ABCD (Adolescent Brain Cognitive Development) study, recruited across 21 US cities and monitored from 2018 to 2020 through 2020 to 2022. Participants with complete data on Fitbit\u2010tracked sleep, blood pressure, height, neighborhood noise, and covariates (biological sex, race and ethnicity, pubertal stage, waist circumference) were included. Hypertension was defined as average blood pressure \u226595th percentile for age, sex, and height. Sleep health was categorized on the basis of daily duration: healthy (9\u201312 hours), moderately healthy (\u00b11 hour from optimal), and low (\u22651 hour deviation). Noise exposure was measured as median nighttime anthropogenic noise levels by zip code. The incidence of hypertension increased from 1.7% (95% CI, 1.4\u20132.1) in 2018 to 2020 to 2.9% (95% CI, 2.4\u20133.6) in 2020 to 2022. Adolescents with healthier sleep had a lower risk of developing hypertension (relative risk, 0.63 [95% CI, 0.25\u20130.82]), while no significant effects were found for neighborhood noise alone or in combination with sleep health.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">Adequate sleep significantly reduces the risk of hypertension in adolescents, independent of environmental noise exposure. These findings underscore the importance of promoting good sleep hygiene among youth to mitigate hypertension risk.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.124.037503","type":"journal-article","created":{"date-parts":[[2024,11,11]],"date-time":"2024-11-11T10:51:52Z","timestamp":1731322312000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Impact of Environmental Noise and Sleep Health on Pediatric Hypertension Incidence: ABCD Study"],"prefix":"10.1161","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5763-435X","authenticated-orcid":false,"given":"Augusto C\u00e9sar F.","family":"De Moraes","sequence":"first","affiliation":[{"name":"The University of Texas Health Science Center at Houston, School of Public Health Austin Campus, Department of Epidemiology, Michael &amp; Susan Dell Center for Healthy Living, Texas Physical Activity Research Collaborative Austin TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4928-2673","authenticated-orcid":false,"given":"Martin Y.","family":"Ma","sequence":"additional","affiliation":[{"name":"The University of Texas Health Science Center at Houston, School of Public Health Austin Campus, Department of Epidemiology, Michael &amp; Susan Dell Center for Healthy Living, Texas Physical Activity Research Collaborative Austin TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6344-1044","authenticated-orcid":false,"given":"Marcus V.","family":"Nascimento\u2010Ferreira","sequence":"additional","affiliation":[{"name":"Health, Physical Activity and Behavior Research (HEALTHY\u2010BRA) group Federal University of Tocantins, Miracema do Tocantins Miracema Brazil"},{"name":"YCARE (Youth\/Child and Cardiovascular Risk and Environmental) Research Group Faculdade de Medicina, Universidade de Sao Paulo Sao Paulo SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7350-7369","authenticated-orcid":false,"given":"Ethan H.","family":"Hunt","sequence":"additional","affiliation":[{"name":"The University of Texas Health Science Center at Houston School of Public Health in Austin, Department of Health Promotion and Behavioral Sciences, Michael &amp; Susan Dell Center for Healthy Living Austin TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0910-5031","authenticated-orcid":false,"given":"Deanna M.","family":"Hoelscher","sequence":"additional","affiliation":[{"name":"The University of Texas Health Science Center at Houston School of Public Health in Austin, Department of Health Promotion and Behavioral Sciences, Michael &amp; Susan Dell Center for Healthy Living Austin TX USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000000232"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/HYP.0000000000000228"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000001078"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2016.4086"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2023.01.010"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.1123\/jpah.2022-0468"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1037\/hea0001248"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmedr.2023.102327"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18157867"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.1093\/sleepadvances\/zpac001"},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.1289\/EHP10197"},{"key":"e_1_3_1_13_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCRESAHA.123.323584"},{"key":"e_1_3_1_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.dcn.2017.10.010"},{"key":"e_1_3_1_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.dcn.2018.04.004"},{"key":"e_1_3_1_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.dcn.2018.03.001"},{"key":"e_1_3_1_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.dcn.2018.03.004"},{"key":"e_1_3_1_18_2","first-page":"9","article-title":"Revising the declaration of Helsinki","volume":"158","author":"WMA WMA","year":"2000","unstructured":"WMA WMA . 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