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Hypertension in young adults--an under-estimated problem
1Medical Classification Centre, Ministry of Defence, 3 Depot Road #03-17, Singapore 109680. 383838@starhub.net.sg
Singapore Medical Journal
|January 27, 2004
Summary
Hypertension prevalence in young Asian males is low but early detection is key. Obesity is a significant risk factor, highlighting the need for targeted screening and ambulatory blood pressure monitoring to differentiate conditions.
Area of Science:
- Cardiology
- Public Health
- Epidemiology
Background:
- Hypertension prevalence and risk factors in young adult Asian males are not well-established.
- Early detection of hypertension is crucial for mitigating long-term cardiovascular risks.
Purpose of the Study:
- To determine the prevalence of hypertension and "white coat hypertension" in young adult Asian males.
- To identify risk factors associated with hypertension in this demographic.
Main Methods:
- Population-based descriptive analysis of 3,352 Singapore military conscripts.
- Case-control study utilizing 24-hour ambulatory blood pressure monitoring and detailed interviews.
- Statistical analysis to determine prevalence rates and identify associated variables.
Main Results:
- Prevalence of hypertension was 1.6% and "white coat hypertension" was 2.0%.
- Obesity (Body Mass Index) showed a strong association with hypertension (adjusted odds ratio: 1.19).
- Parental history of hypertension, Malay ethnicity, and low socioeconomic status were noted but not significantly correlated in the regression model.
Conclusions:
- Population-based data on hypertension in young Asian adults are provided.
- Ambulatory blood pressure monitoring is essential for differentiating true hypertension from "white coat hypertension".
- Targeted screening for high-risk groups, especially the obese, is recommended for early detection and prevention of cardiovascular risks.
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