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Blood pressure in young adulthood and later disability pension. A population-based study on 867 672 men from Sweden

Malin Kark1, Nina Karnehed, Finn Rasmussen

  • 1Child and Adolescent Public Health Epidemiology Group, Department of Public Health Sciences, Karolinska Institute, Sweden. malin.kark@ki.se

Blood Pressure
|September 14, 2007
PubMed

Insights

Hypertension in young adulthood significantly elevates the risk of receiving a disability pension later in life. Early detection and management of high blood pressure are crucial for long-term health and economic well-being.

Area of Science:

  • Cardiovascular Health
  • Public Health
  • Epidemiology

Background:

  • Hypertension is a prevalent chronic condition with substantial societal economic costs.
  • These costs stem from treatment expenses and productivity losses due to hypertension-related disabilities and comorbidities.
  • Understanding the long-term consequences of early-onset hypertension is vital for public health strategies.

Purpose of the Study:

  • To determine the extent to which moderate/severe hypertension in young adulthood predicts future disability pension.
  • To assess the association between mild hypertension in young adulthood and later-life disability.

Main Methods:

  • A cohort study of Swedish men born 1951-1970 was conducted.
  • Systolic blood pressure was measured during compulsory military conscription at ages 18-19.
  • Participants were followed from 1990 to 2001 for disability pension awards, with adjustments for confounding factors.

Main Results:

  • Moderate/severe hypertension in young adulthood was associated with a 1.33-fold increased hazard of disability pension.
  • Mild hypertension also showed an increased hazard ratio (1.09) for disability pension.
  • These associations persisted after adjusting for BMI, conscription center, and socio-economic status.

Conclusions:

  • Hypertension during young adulthood is a significant risk factor for disability pension later in life.
  • Early identification and intervention for hypertension may mitigate long-term disability and economic burden.
  • This highlights the importance of addressing hypertension in youth for sustained societal health and economic productivity.

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