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Changes in ideal cardiovascular health among Iranian adolescents: 2007-2008 to 2015-2017.

BMC Pediatr · 2022 · PMC9316362 · PMID 35883048

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an adverse trendno p-value reported
Among Chinese adolescents, an adverse trend in iCVH from 2004 to 2014 was observed, particularly among girls and younger age groups.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.