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To determine whether clustering of biological cardiovascular disease (CVD) risk factors exists and to investigate the longitudinal relationship between lifestyle parameters (dietary intake, physical activity and smoking behaviour) and clustering of biological CVD risk factors, which was defined as belonging to one or more sex-specific 'high-risk' quartiles for the ratio between levels of total serum cholesterol and high-density lipoprotein cholesterol, diastolic blood pressure, body fatness (sum of four skinfolds) and cardiopulmonary fitness (number of laps accomplished on a 20 m shuttle-run test).

european journal of cardiovascular prevention and rehabilitation

Clustering of Biological Risk Factors for Cardiovascular Disease and the Longitudinal Relationship with Lifestyle of an Adolescent Population: The Northern Ireland Young Hearts Project