Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo最新文献

{"title":"Associations between food deserts, food swamps, and ultra-processed food intake in childhood.","authors":"Ana Clara da Cruz Della Torre, Bianca Araujo Milbratz, Wellington Segheto, Maysa Helena de Aguiar Toloni, Daniela Braga Lima","doi":"10.1590/1984-0462/2026/44/2025107","DOIUrl":"10.1590/1984-0462/2026/44/2025107","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to evaluate the association between retail food environments and consumption of ultra-processed foods in children.</p><p><strong>Methods: </strong>A cross-sectional study was conducted with 206 children aged 6-36 months who were followed up in primary health care. Consumption of ultra-processed foods was investigated using the intake marker form. Food deserts and swamps were identified using the Brazilian methodology proposed by the Food and Nutrition Security Intersectoral Chamber, and the density of healthy and unhealthy food outlets per 10,000 inhabitants was calculated. The associations between food environments and consumption of ultra-processed foods were estimated using binary logistic regression, yielding odds ratios (OR) and respective 95% confidence intervals (95%CI) from a generalized estimating equations model.</p><p><strong>Results: </strong>Ultra-processed foods were part of the diet in 60.18% of the children, with sweetened beverages being the most prevalent (42.22%). Living in sectors classified as food swamps was positively and independently associated with consumption of instant noodles, packaged snacks, or crackers (OR 2.71; 95%CI 1.19-6.16) and stuffed cookies/sweets/candies (OR 2.50; 95%CI 1.03-6.12).</p><p><strong>Conclusions: </strong>Children living in food swamps were more likely to consume ultra-processed foods. The results indicate the need to promote environments that favor healthy food choices among families and children through adequate nutrition, nutrition education, and policies that regulate access to and the advertising of unhealthy foods.</p>","PeriodicalId":74721,"journal":{"name":"Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo","volume":"44 ","pages":"e2025107"},"PeriodicalIF":2.0,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13167067/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147950191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physical aggression victimization among Brazilian adolescents: Associated factors and the role of school policies based on 2015 PeNSE data.","authors":"Rinelly Pazinato Dutra, Yasmin Marques Castro, Andressa Munhoz Sá, Cleonice Santos do Amaral Bilharva, Michael Pereira da Silva","doi":"10.1590/1984-0462/2026/44/2025237","DOIUrl":"10.1590/1984-0462/2026/44/2025237","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to analyze the prevalence, associated factors, and the relationship between the existence of school violence prevention policies and physical aggression victimization among Brazilian adolescents.</p><p><strong>Methods: </strong>Cross-sectional study based on data from the 2015 National School Health Survey (PeNSE). The sample included 15,954 adolescents aged 11-19 years, enrolled in public and private schools across all regions of Brazil. Victimization was measured through self-reported experiences of physical aggression in the past 12 months. Sociodemographic, behavioral, relational, and schoolrelated variables were analyzed. The association between these variables and victimization was estimated using Poisson regression with robust variance.</p><p><strong>Results: </strong>The prevalence of physical aggression victimization was 17.1%. Factors associated with higher prevalence included male sex, Black or other non-White ethnicities, reports of bullying, alcohol and cigarette use, high screen time, and being physically active. In contrast, older age and having a larger number of friends were protective factors. The presence of integrated actions with primary health care was associated with a lower likelihood of victimization (PR 0.82; 95%CI 0.74-0.90; p<0.001), whereas formal school policies showed no significant association.</p><p><strong>Conclusions: </strong>Physical aggression victimization among adolescents is a relevant and multifactorial problem. Intersectoral actions between health and education have the potential to reduce school violence, whereas isolated policies are ineffective without community engagement and a contextualized approach.</p>","PeriodicalId":74721,"journal":{"name":"Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo","volume":"44 ","pages":"e2025237"},"PeriodicalIF":2.0,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13160557/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147950220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The triglyceride-glucose index can indicate lipid and atherogenic alterations in adolescents, regardless of excess weight.","authors":"Monique de Freitas Mota, Carla Soraya Costa Maia, Géssica de Souza Martins, Thaynan Dos Santos Dias, Luis Felipe Nunes de Oliveira, Antônio Ciro de Holanda Neto, Ribanna Aparecida Marques Braga, Eric Wenda Ribeiro Lourenço, Lara Pereira Saraiva Leão Borges, Maria Dinara de Araújo Nogueira","doi":"10.1590/1984-0462/2026/44/2025215","DOIUrl":"10.1590/1984-0462/2026/44/2025215","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to evaluate the role of the triglyceride-glucose (TyG) index in identifying changes in lipid profile and atherogenic risk in adolescents, according to the presence or absence of excess weight.</p><p><strong>Methods: </strong>This cross-sectional study included 823 students aged 10-18 years, classified as having or not having excess weight based on body mass index. Lipid profile was assessed and classified according to the guidelines of the Brazilian Society of Cardiology. Atherogenic risk was evaluated using the Castelli I and II indices, the Atherogenic Index of Plasma, and the atherogenic coefficient. The TyG index was assessed in tertiles. The association between TyG and lipid and atherogenic outcomes was analyzed using logistic and linear regression, stratified by excess weight status.</p><p><strong>Results: </strong>Elevated TyG was associated with altered total cholesterol (TC), high-density lipoproteincholesterol (HDL-c), low-density lipoprotein-cholesterol (LDL-c), and non-HDL-c in adolescents without excess weight (p<0.001), whereas in those with excess weight, this association was found only in TC and non-HDL-c. All atherogenic indices were positively associated with elevated TyG (p<0.001).</p><p><strong>Conclusions: </strong>Adolescents without excess weight showed clearer associations between TyG and lipid profile; however, atherogenic risk was directly associated with elevated TyG, regardless of the presence or absence of excess weight.</p>","PeriodicalId":74721,"journal":{"name":"Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo","volume":"44 ","pages":"e2025215"},"PeriodicalIF":2.0,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13160556/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147950209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ERRATUM: Granulomatous perioral dermatitis with extra-facial involvement in childhood: good therapeutic response with oral azithromycin.","authors":"","doi":"10.1590/1984-0462/2026/44/2017139-ERRATUM","DOIUrl":"10.1590/1984-0462/2026/44/2017139-ERRATUM","url":null,"abstract":"<p><p>[This corrects the article doi: 10.1590/1984-0462/;2018;36;4;00004] [This corrects the article doi: 10.1590/1984-0462/;2018;36;4;00004].</p>","PeriodicalId":74721,"journal":{"name":"Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo","volume":"44 ","pages":"e2017139ER"},"PeriodicalIF":2.0,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13108584/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147791766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"NutriRisKids-ICU: Development and content validation of a nutritional risk screening tool for critically ill children and adolescents.","authors":"Verônica Ramos Souza, Vanessa Camargo Trida, Beatriz Polisel Mazzoni, Adriana Servilha Gandolfo, Werther Brunow de Carvalho, Artur Figueiredo Delgado, Patrícia Zamberlan","doi":"10.1590/1984-0462/2026/44/2025246","DOIUrl":"10.1590/1984-0462/2026/44/2025246","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to develop and validate the content of a nutritional risk screening tool for critically ill children and adolescents in pediatric intensive care units (PICUs).</p><p><strong>Methods: </strong>Care-convergent study for the development and content validation of an instrument for assessing nutritional risk in children admitted to the PICU. The initial development was based on a literature review and the clinical experience of the authors. Content validation was conducted using the Delphi technique in two successive rounds with intentionally selected experts, each with a minimum of 5 years of experience in pediatric intensive nutritional therapy (NT). Consensus analysis was performed using the content validity index (CVI), with minimum values of 0.70 for individual items and 0.90 for the overall instrument.</p><p><strong>Results: </strong>Validation occurred in two rounds. In the first round, 18 experts suggested adjustments, and the revised version was reassessed by 12 experts in the second round. The final tool achieved an overall CVI of 0.958. The validated version included age subgroups, presence of chronic diseases, length of prior hospitalization, subjective impression of malnutrition risk, type of NT at admission, and C-reactive protein (CRP) levels.</p><p><strong>Conclusions: </strong>The nutritional risk screening tool for critically ill pediatric patients, named NutriRisKids-ICU, was developed, and its content was validated by expert consensus. The tool combines theoretical evidence and clinical expertise, showing potential for application in PICUs. However, further studies are needed to assess its applicability, sensitivity, and specificity.</p>","PeriodicalId":74721,"journal":{"name":"Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo","volume":"44 ","pages":"e2025246"},"PeriodicalIF":2.0,"publicationDate":"2026-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13053041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pediatric urinary tract infection: antimicrobial susceptibility profile and resistance-associated factors in a pediatric hospital in São Paulo, Brazil.","authors":"Paola Romani Ferreira Suhet, Leticia Correa Marins, Edina Mariko Koga da Silva, Maria Cristina de Andrade","doi":"10.1590/1984-0462/2026/44/2025173","DOIUrl":"10.1590/1984-0462/2026/44/2025173","url":null,"abstract":"<p><strong>Objective: </strong>Urinary tract infections (UTIs) are among the most common bacterial infections in childhood and a frequent cause of morbidity and antibiotic use. The aim of this study was to identify urinary pathogens in children and adolescents, assess antimicrobial resistance patterns, and analyze their correlation with clinical factors.</p><p><strong>Methods: </strong>This observational and retrospective study was conducted in a pediatric hospital from January 1 to December 31, 2022, including patients with positive urine cultures.</p><p><strong>Results: </strong>A total of 894 cases were analyzed, mostly children aged 1 to 5 years (58.6%) and female (67.9%). Escherichia coli was the main pathogen (63.1%), followed by Proteus mirabilis (11.1%) and Pseudomonas aeruginosa (6.4%). E. coli showed high resistance to ampicillin (38.9%) and trimethoprim/sulfamethoxazole (14.5%), maintaining high susceptibility to second- and third-generation cephalosporins and aminoglycosides. Extended-spectrum beta-lactamase was detected in 2.8% of samples. Previous history of UTI was the only factor significantly associated with antimicrobial resistance.</p><p><strong>Conclusions: </strong>The findings underscore the importance of continuous epidemiological surveillance to guide empirical treatment and rational antibiotic use in children.</p>","PeriodicalId":74721,"journal":{"name":"Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo","volume":"44 ","pages":"e2025173"},"PeriodicalIF":2.0,"publicationDate":"2026-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13053040/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of ondansetron on QTc interval prolongation in healthy pediatric patients: a systematic review and meta-analysis.","authors":"Isabela Maurício Costa Carneiro, Paulo Eduardo Souza Castelo Branco, Adriane Helena Silva Franco, Amanda Prates de Oliveira, Agatha Marcela Andrade de Aguiar","doi":"10.1590/1984-0462/2026/44/2025134","DOIUrl":"10.1590/1984-0462/2026/44/2025134","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to describe electrocardiographic changes in healthy pediatric patients receiving low-dose ondansetron and to determine whether these changes are associated with the occurrence of cardiac dysrhythmias.</p><p><strong>Data source: </strong>The search was conducted in PubMed, EMBASE, LILACS, SciELO, and the Cochrane databases, selecting articles published until September 2024. The primary outcome was the mean change in the corrected QT interval (QTc) interval. The mean variation of the Tp-e interval and the incidence of significant QTc prolongation were assessed as secondary outcomes.</p><p><strong>Data synthesis: </strong>Four studies were included in this review, including 231 healthy pediatric patients who received ondansetron (IV or oral). Most were male, aged 0.6-18 years. The mean IV ondansetron dose ranged from 0.1 to 0.2 mg/kg, while the mean oral dose was 0.18 mg/kg, with a maximum dose of 8 mg. The mean change in the QTc interval was 4.7 ms (95% confidence interval [CI] 1.48.1), and in the Tp-e interval was 7.7 ms (95%CI 2.0-13.5). The risk of a significant QTc prolongation was 2.5% (95%CI -0.009-0.059). No dysrhythmia was observed in the studies.</p><p><strong>Conclusions: </strong>There was a statistically significant increase in QTc and Tp-e intervals following ondansetron administration in healthy pediatric patients. However, it is highly unlikely that these changes result in cardiac dysrhythmia, suggesting no relationship between low-dose ondansetron use and an increased risk of dysrhythmia in healthy pediatric patients.</p>","PeriodicalId":74721,"journal":{"name":"Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo","volume":"44 ","pages":"e2025134"},"PeriodicalIF":2.0,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13008241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147517321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of congenital anomalies on infant mortality in the 14th Health Region of Paraná, from 2010 to 2019.","authors":"Nitza Ferreira Muniz, Ayoade Desmond Babalola, Maria Antonia Ramos Costa, Lavinia Schuler-Faccini","doi":"10.1590/1984-0462/2026/44/2025182","DOIUrl":"10.1590/1984-0462/2026/44/2025182","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to describe congenital anomaly (CA) notifications at birth, evaluating their impact on infant mortality in northwest Paraná.</p><p><strong>Methods: </strong>This is a cross-sectional study using linked data on births with CA and deaths due to these conditions in the 14th Health Region of Paraná, Brazil (2010-2019), obtained through the linkage of data from the Live Birth Information System (Sinasc) and the Mortality Information System (SIM).</p><p><strong>Results: </strong>A total of 216 live births (LBs) with CAs were identified in Sinasc (57.7/10,000 LBs), of which 71.8% were isolated anomalies and 28.2% were multiple anomalies, totaling 331 reported anomalies. Limb and musculoskeletal defects were the most frequent (25.7%). After linking Sinasc and SIM, congenital heart defects (CHDs), initially ranked seventh, became the second most prevalent CA. A total of 115 infant deaths due to CA were identified, resulting in an infant mortality rate (IMR) of 30.7/10,000 LBs, with CHDs and neural tube defects (NTDs) as the leading causes. The data linkage revealed 55 deaths with CAs not recorded in Sinasc, increasing prevalence to 72.4/10,000 LBs (+25.5%).</p><p><strong>Conclusions: </strong>IMR for CAs in the region exceeded the national average (28.0/10,000 LBs), highlighting the importance of linking data to strengthen epidemiological surveillance of these conditions. CHDs and NTDs were the most frequent causes of infant deaths associated with CAs, reinforcing the need to improve early detection and the recording of these cases to reduce infant mortality due to CAs across different regions of Brazil.</p>","PeriodicalId":74721,"journal":{"name":"Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo","volume":"44 ","pages":"e2025182"},"PeriodicalIF":2.0,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13008039/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147517444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors associated with meeting the recommendations for physical activity, sedentary behavior, and sleep in adolescents: a cross-sectional study.","authors":"Karoline Barreto da Silva Rocha, Samanta Barbosa Feitosa, Rildo de Souza Wanderley Junior, André Dos Santos Costa, Valter Cordeiro Barbosa Filho, Mauro Virgílio Gomes de Barros, Carla Menêses Hardman, Daniel da Rocha Queiroz","doi":"10.1590/1984-0462/2026/44/2025027","DOIUrl":"10.1590/1984-0462/2026/44/2025027","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the association between the Social Ecological Model and meeting the physical activity, sedentary behavior, and sleep recommendations in a combined and integrated manner among adolescents.</p><p><strong>Methods: </strong>This is a cross-sectional study conducted in public schools in the Metropolitan Region of Recife, state of Pernambuco, Brazil, with adolescents aged 14 to 17 years. An adapted version of the Global School-based Student Health Survey was used as the instrument. Robust Poisson regressions were performed.</p><p><strong>Results: </strong>Approximately 1.8% of the 576 adolescents met all three recommendations simultaneously. Enjoying physical activity (prevalence ratio [PR] 11.62; 95% confidence interval [CI] 1.50-89.75) was associated with the combined adherence to the physical activity and sedentary behavior recommendations. Having two or more friends (PR 0.38; 95%CI 0.18-0.76) and participating in one (PR 0.39; 95%CI 0.20-0.78) or two physical education classes per week (PR 0.43; 95%CI 0.20-0.92) were associated with lower probabilities of non-compliance with these recommendations. Self-rated sleep quality as good (PR 2.49; 95%CI 1.09-5.67) was associated with higher prevalence of meeting the combined recommendations for sedentary behavior and sleep. Being male (PR 0.48; 95%CI 0.23-0.97) and participating in one physical education class per week (PR 0.40; 95%CI 0.16- 0.99) were associated with lower prevalence of not meeting the recommendations for sedentary behavior and sleep. Self-reported sleep quality as good (PR 3.11; 95%CI 1.36-7.10) as well as being male (PR 2.10; 95%CI 1.14-3.87) were associated with a higher likelihood of meeting the combined recommendations for physical activity and sleep. Actively commuting to school (PR 0.48; 95%CI 0.27-0.83) was associated with a lower likelihood of not meeting these recommendations.</p><p><strong>Conclusions: </strong>Intrapersonal, interpersonal, and community factors are associated with adherence to physical activity, sedentary behavior, and sleep recommendations in adolescents.</p>","PeriodicalId":74721,"journal":{"name":"Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo","volume":"44 ","pages":"e2025027"},"PeriodicalIF":2.0,"publicationDate":"2026-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12853359/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146088164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Combined association between physical activity and sedentary behavior on the cardiometabolic risk score in students.","authors":"Lidyane Ferreira Zambrin, Julio Cesar da Costa, Vinícius Muller Reis Weber, Maria Raquel de Oliveira Bueno, Marcelo Romanzini, Enio Ricardo Vaz Ronque","doi":"10.1590/1984-0462/2026/44/2025033","DOIUrl":"10.1590/1984-0462/2026/44/2025033","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to verify the combined association of moderate-to-vigorous physical activity (MVPA) with sedentary behavior (SB) on the cardiometabolic risk factors (CMR) of adolescents.</p><p><strong>Methods: </strong>A cross-sectional study was performed in Londrina/Paraná/Brazil between October 2015 and May 2017 with a representative sample of adolescents of both sexes from the sixth year of primary public schools. The participants consisted of 367 adolescents, with a mean age of 11.8±0.6 years. For the cardiometabolic risk score, the following measures were used: waist circumference (WC), systolic and diastolic blood pressure, and cardiorespiratory fitness (CRF). MVPA and SB were measured through accelerometry. Multiple linear regression controlled for chronological age was used, adopting p<0.05.</p><p><strong>Results: </strong>For boys, the \"High MVPA/Low SB\" group compared to the \"Low MVPA/High SB\" group had significantly lower WC and CMR z-score. For CRF, the \"High MVPA/Low SB\" group presented better values when compared to \"Low MVPA/Low SB\" and \"Low MVPA/High SB\" groups. Adjusted analyses by chronological age show positive association between \"High MVPA/Low SB\" and \"Low MVPA/High SB\", demonstrating that the \"High MVPA/Low SB\" group has lower WC and lower CMR. Negative association in CRF was also observed between \"High MVPA/Low SB\" and both \"Low MVPA\" groups, regardless of SB.</p><p><strong>Conclusions: </strong>Being physically active is associated with lower cardiometabolic risk score regardless of SB, especially in boys. The current study suggests that adolescents should be encouraged to increase physical activity and reach MVPA recommendations.</p>","PeriodicalId":74721,"journal":{"name":"Revista paulista de pediatria : orgao oficial da Sociedade de Pediatria de Sao Paulo","volume":"44 ","pages":"e2025033"},"PeriodicalIF":2.0,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12815412/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146013786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}