title: Cross-sectional and longitudinal associations between physical activity and blood pressure in adolescence: birth cohort study.
abstract: OBJECTIVE
  To explore cross-sectional and longitudinal associations between self-reported and accelerometry-based physical activity (PA) and blood pressure (BP) between 11 and 14 years of age.
  
  
  METHODS
  Prospective birth cohort study in Pelotas, Brazil. Participants were 427 cohort members who were followed up with at 11, 12, and 14 years of age, and had questionnaire data on PA and BP at 11 and 14 years, as well as accelerometry and questionnaire data on PA at 12 years. Outcome measures were continuous systolic and diastolic BP at 14 years, and change in BP from 11 to 14 years.
  
  
  RESULTS
  PA was unrelated to systolic BP in any analyses. PA measured by accelerometry at 12 years, but not questionnaire-derived PA, was inversely associated with diastolic BP at 14 years of age in fully adjusted models. Those who exceeded the 300-minutes PA threshold at all 3 visits had a 2.6 mmHg lower mean increase in DBP from 11 to 14 years compared with those classified below the threshold in all visits.
  
  
  CONCLUSIONS
  Accelerometry-based PA was longitudinally inversely associated with diastolic BP. This finding was not evident when analyzing self-reported PA at a given age, suggesting a possible underestimation of the association when using subjective data.
authors: Post-graduate Program in Epidemiology, Federal University of Pelotas, Brazil.
authors: Pedro C
authors: PC
authors: Hallal
authors: Samuel Carvalho
authors: SC
authors: Dumith
authors: Felipe Fossati
authors: FF
authors: Reichert
authors: Ana M B
authors: AM
authors: Menezes
authors: Cora L
authors: CL
authors: Araújo
authors: Jonathan C K
authors: JC
authors: Wells
authors: Ulf
authors: U
authors: Ekelund
authors: Cesar G
authors: CG
authors: Victora
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