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9 in black girls; 17% of white girls and 23% of black girls had low cardiovascular health (score less then 8) by early young adulthood. We identified five cardiovascular health trajectories high-stable (14% of participants), high-to-moderate (48%), high-to-low (20%), moderate-stable (10%), and moderate-to-low (8%). Exceeding 14 h per week of television in early adolescence and teen pregnancy were associated with higher odds of being in several less healthy trajectory groups. In conclusion, cardiovascular health declines during adolescen
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