{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T08:56:24Z","timestamp":1777712184730,"version":"3.51.4"},"reference-count":30,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2024,12,28]],"date-time":"2024-12-28T00:00:00Z","timestamp":1735344000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"FCT\u2014Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia, I.P.","award":["UIDB\/00617\/2020"],"award-info":[{"award-number":["UIDB\/00617\/2020"]}]},{"name":"FCT\u2014Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia, I.P.","award":["APQ-05247-23"],"award-info":[{"award-number":["APQ-05247-23"]}]},{"name":"Funda\u00e7\u00e3o de Amparo \u00e0 Pesquisa do Estado de Minas Gerais (FAPEMIG)","award":["UIDB\/00617\/2020"],"award-info":[{"award-number":["UIDB\/00617\/2020"]}]},{"name":"Funda\u00e7\u00e3o de Amparo \u00e0 Pesquisa do Estado de Minas Gerais (FAPEMIG)","award":["APQ-05247-23"],"award-info":[{"award-number":["APQ-05247-23"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>This study examined the associations between age, adiposity, physical activity, sedentary behavior, and elevated blood pressure (BP) in 2901 Portuguese children and adolescents aged 2\u201318. BP, body mass index (BMI), waist-to-height ratio (WHtR), physical activity, and sedentary behavior were measured. Elevated BP was defined as a BP above the 90th percentile for age, sex, and height. Multivariable analyses assessed the prevalence ratios (PR) of elevated BP across age groups, BMI, WHtR, physical activity, and sedentary behavior. Results showed that older age, especially among middle schoolers, was associated with a 1.8 times higher risk of elevated BP than preschoolers. Participants with a higher BMI (overweight\/obese) and a WHtR \u2265 0.50 had a 1.49- and 1.4-times higher risk of elevated BP, respectively. Those who did not meet the recommended 60 min of moderate-to-vigorous physical activity (MVPA) per day showed a 1.63 times higher risk of elevated BP, whereas the association between sedentary behavior and BP was not significant after adjustment. These findings highlight age, higher BMI, central obesity, and insufficient physical activity as key factors associated with elevated BP, underscoring the need for early monitoring and intervention to prevent hypertension in this population.<\/jats:p>","DOI":"10.3390\/ijerph22010020","type":"journal-article","created":{"date-parts":[[2024,12,31]],"date-time":"2024-12-31T07:51:57Z","timestamp":1735631517000},"page":"20","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Relationship Among Body Mass Index, Physical Activity, Sedentary Behavior, and Blood Pressure in Portuguese Children and Adolescents: A Cross-Sectional Study"],"prefix":"10.3390","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8182-8296","authenticated-orcid":false,"given":"Edmar","family":"Mendes","sequence":"first","affiliation":[{"name":"Department of Sports Sciences, Federal University of Tri\u00e2ngulo Mineiro, Uberaba 38025-350, MG, Brazil"},{"name":"Research Centre of Physical Activity, Health, and Leisure, Laboratory for Integrative and Translational Research in Population Health (ITR), Faculty of Sports, University of Porto, 4200-450 Porto, Portugal"}]},{"given":"Paulo","family":"Farinatti","sequence":"additional","affiliation":[{"name":"Research Centre of Physical Activity, Health, and Leisure, Laboratory for Integrative and Translational Research in Population Health (ITR), Faculty of Sports, University of Porto, 4200-450 Porto, Portugal"},{"name":"Laboratory of Physical Activity and Health Promotion, Institute of Physical Education and Sports, State University of Rio de Janeiro, Rio de Janeiro 20550-013, RJ, Brazil"}]},{"given":"Alynne","family":"Andaki","sequence":"additional","affiliation":[{"name":"Department of Sports Sciences, Federal University of Tri\u00e2ngulo Mineiro, Uberaba 38025-350, MG, Brazil"},{"name":"Research Centre of Physical Activity, Health, and Leisure, Laboratory for Integrative and Translational Research in Population Health (ITR), Faculty of Sports, University of Porto, 4200-450 Porto, Portugal"}]},{"given":"Andr\u00e9 Pereira dos","family":"Santos","sequence":"additional","affiliation":[{"name":"Research Centre of Physical Activity, Health, and Leisure, Laboratory for Integrative and Translational Research in Population Health (ITR), Faculty of Sports, University of Porto, 4200-450 Porto, Portugal"},{"name":"College of Nursing of Ribeir\u00e3o Preto, University of S\u00e3o Paulo, Ribeir\u00e3o Preto 14040-902, SP, Brazil"},{"name":"School of Physical Education and Sport of Ribeir\u00e3o Preto, University of S\u00e3o Paulo, Ribeir\u00e3o Preto 14040-900, SP, Brazil"},{"name":"Study and Research Group in Anthropometry, Training and Sport, (GEPEATE), University of S\u00e3o Paulo, Ribeir\u00e3o Preto 14040-900, SP, Brazil"},{"name":"Department of Child, Family and Population Health Nursing, University of Washington, Seattle, WA 351202, USA"}]},{"given":"J\u00e9ssica","family":"Cordeiro","sequence":"additional","affiliation":[{"name":"Research Centre of Physical Activity, Health, and Leisure, Laboratory for Integrative and Translational Research in Population Health (ITR), Faculty of Sports, University of Porto, 4200-450 Porto, Portugal"}]},{"given":"Susana","family":"Vale","sequence":"additional","affiliation":[{"name":"Research Centre of Physical Activity, Health, and Leisure, Laboratory for Integrative and Translational Research in Population Health (ITR), Faculty of Sports, University of Porto, 4200-450 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6518-5569","authenticated-orcid":false,"given":"Andreia","family":"Pizarro","sequence":"additional","affiliation":[{"name":"Research Centre of Physical Activity, Health, and Leisure, Laboratory for Integrative and Translational Research in Population Health (ITR), Faculty of Sports, University of Porto, 4200-450 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2182-9841","authenticated-orcid":false,"given":"Maria Paula","family":"Santos","sequence":"additional","affiliation":[{"name":"Research Centre of Physical Activity, Health, and Leisure, Laboratory for Integrative and Translational Research in Population Health (ITR), Faculty of Sports, University of Porto, 4200-450 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7571-9181","authenticated-orcid":false,"given":"Jorge","family":"Mota","sequence":"additional","affiliation":[{"name":"Research Centre of Physical Activity, Health, and Leisure, Laboratory for Integrative and Translational Research in Population Health (ITR), Faculty of Sports, University of Porto, 4200-450 Porto, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2024,12,28]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"e20171904","DOI":"10.1542\/peds.2017-1904","article-title":"Clinical Practice Guideline for Screening 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