Supplementary Appendix S2. Details about the assessment of blood pressure, cortisol, and physical activity.
Blood PressureWe included a measure of blood pressure as a potential physiological indicator of stress or arousal. Blood pressure has strong input from the sympathetic nervous system, which has shown hypoactivity in externalizing problems (for review, see Hastings et al., 2011). The participant's blood pressure was assessed during a lab visit at age 15 by certified personnel (for more information, see Sabol & Hoyt, 2017). Participants rested at least two minutes prior to getting their blood pressure taken. Blood pressure was taken from the nondominant arm via a blood pressure cuff while participants were seated. Five blood pressure readings were taken at 1minute intervals. The last three available readings were used to calculate average blood pressure, consistent with prior work (Sabol & Hoyt, 2017). If fewer than three readings were taken, blood pressure was coded as missing. In the present study, blood pressure was operationalized as mean arterial pressure (mm Hg), which is the average blood pressure during a single heartbeat. Mean arterial pressure is an aggregate of systolic and diastolic blood pressure and is time-weighted to account for the fact that systole occupies ∼⅓ and diastole occupies ∼⅔ of a cardiac cycle. Mean arterial pressure is thus calculated as: (Sesso et al., 2000). Mean arterial pressure is a strong predictor of cardiovascular disease (Sesso et al., 2000), and has been shown to be related to externalizing problems (Hastings et al., 2011).
CortisolWe included a measure of cortisol as another physiological indicator of stress or arousal.Cortisol levels have been shown to be inversely related to externalizing problems, which may