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Early cardiovascular risk indicators in school-aged children from inland Portugal: Elevated blood pressure at screening and the coexistence of underweight and excess weight

2026Artigo de investigação Acesso aberto
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datacite.subject.fosCiências Médicas::Ciências da Saúde
datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorCoelho, Patricia
dc.contributor.authorFigueiredo, Ana
dc.contributor.authorMateus, Sónia
dc.contributor.authorFurtado, Guilherme Eustáquio
dc.contributor.authorRodrigues, Francisco
dc.date.accessioned2026-03-18T16:00:44Z
dc.date.available2026-03-18T16:00:44Z
dc.date.issued2026
dc.date.updated2026-03-18T14:55:56Z
dc.description.abstractBackground: Cardiovascular risk factors may emerge early in life and track into adulthood. Local data from inland and socioeconomically vulnerable regions remain limited. This study aimed to describe cardiovascular risk indicators in school-aged children from inland Portugal, focusing on body mass index (BMI), blood pressure (BP), and physical activity patterns. Methods: A cross-sectional school-based screening study was conducted in 101 children and adolescents aged 10–15 years. Anthropometric measurements and BP were obtained using standardized procedures. BMI categories were classified according to age- and sex-specific WHO references. BP was classified using European pediatric percentiles. Because measurements were obtained during a single visit, results were interpreted as elevated BP at screening. Associations between variables were explored using chi-square or Fisher’s exact tests and Spearman’s correlation. Results: The prevalence of underweight, normal weight, and overweight/obesity was 25.7%, 67.3%, and 6.9%, respectively. Overall, 24.8% of participants presented elevated BP at screening. The BMI category was significantly associated with BP classification (p = 0.003), and BMI correlated positively with systolic BP (ρ = 0.32; p = 0.001). Most children reported only school-based physical education. Conclusions: This school-based screening suggests a high proportion of elevated BP measurements and an unexpectedly high prevalence of underweight children, indicating the coexistence of different nutritional vulnerabilities. Findings should be interpreted cautiously due to the small, single-school sample and single-occasion BP assessment but support the importance of early cardiovascular risk monitoring in vulnerable settings.eng
dc.description.sponsorshipSPRINT: Sport Physical Activity and Health Research & Innovation Center; Centro de Investigação & Inovação em Desporto Atividade Física e Saúde; Portugal; FCT: Fundação para a Ciência e a Tecnologia; Portuguese Foundation for Science and Technology; UID/06185/2025 (https://doi.org/10.54499/UID/06185/2025); UID/PRR/06185/2025 (https://doi.org/10.54499 /UID/PRR/06185/2025); UID/PRR2/06185/2025. The author, Guilherme Furtado, acknowledges the national funding from FCT: Foundation for Science and Technology, through the institutional scientific employment program (CEECINST/00077/2021).
dc.description.versionN/A
dc.identifier.citationCOELHO, Patrícia [et al.] (2026) - Early cardiovascular risk indicators in school-aged children from inland Portugal: Elevated blood pressure at screening and the coexistence of underweight and excess weight. Obesities. 6, 16. DOI: 10.3390/obesities6020016
dc.identifier.doi10.3390/obesities6020016en_US
dc.identifier.slugcv-prod-4884515
dc.identifier.urihttp://hdl.handle.net/10400.11/10732
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.relation28/CE-IPCB/2021en_US
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectPediatric hypertension
dc.subjectBody mass index
dc.subjectCardiovascular risk
dc.subjectPhysical activity
dc.subjectMalnutrition
dc.titleEarly cardiovascular risk indicators in school-aged children from inland Portugal: Elevated blood pressure at screening and the coexistence of underweight and excess weighteng
dc.typeresearch articleen_US
dspace.entity.typePublication
oaire.citation.titleObesitiesen_US
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameCoelho
person.familyNameRodrigues
person.givenNamePatricia
person.givenNameFrancisco
person.identifier2982790
person.identifier.ciencia-id231C-F92A-1BC2
person.identifier.ciencia-id7A18-045E-330C
person.identifier.orcid0000-0001-8405-4249
person.identifier.ridJTV-3288-2023
person.identifier.scopus-author-id57214122402
rcaap.cv.cienciaid7A18-045E-330C | Francisco José Barbas Rodrigues
rcaap.rightsopenAccessen_US
relation.isAuthorOfPublication30f36b8c-0bee-46cd-9ecf-be2a8dc33bd6
relation.isAuthorOfPublicationd496c83f-3a6b-424e-ba10-452ce609d597
relation.isAuthorOfPublication.latestForDiscoveryd496c83f-3a6b-424e-ba10-452ce609d597

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