Association of Blood Pressure with Metabolic Factors, Stress Levels, Physical Activity, and Nutrient Intake in Overweight or Obese Ecuadorian University Students: A Study Based on Mediation Analysis

This suggests that severe stress and sex at birth not only affect BP directly, but also do so through their effect on weight. Thus, both pathways contribute to understanding the relationship between stress, sex at birth, and diastolic and systolic blood pressure. Nevertheless, the results of this study provide empirical knowledge to design evidence-based prevention and treatment strategies.