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"Although the increase in blood pressure is not clinically significant for an individual child, because blood pressure generally follows an upward trajectory throughout an individual's life, it may increase more quickly to a point of clinical significance during adulthood, especially if paired with other risk factors such as obesity or inactivity," she said

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After excluding participants with missing data on sex, age and current smokeless tobacco use, and those aged 16 years, a total of 1,039,249 adolescents aged 1216 years between 1999 and 2019 were included in the data analyses