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Published on: June 6, 2025
Suboptimal control status of young hypertensive population
Donghun Shin1, JungMin Choi2, Hae-Young Lee3,4
1Seoul National University College of Medicine, Seoul, Republic of Korea.
Insights
Hypertension in young adults (18-39) poses significant cardiovascular risks due to low awareness and poor treatment adherence. Addressing lifestyle factors is crucial for better blood pressure control in this demographic.
Area of Science:
- Cardiology
- Public Health
Background:
- Hypertension (HT) affects 3.7%–8.6% of young adults (18–39 years) globally.
- Young adults with HT face a substantially increased risk of cardiovascular events and long-term organ damage.
- Awareness and treatment adherence for HT are notably lower in young adults compared to older populations.
Purpose of the Study:
- To highlight the suboptimal blood pressure control in young hypertensive individuals.
- To identify key challenges hindering effective hypertension management in this age group.
- To propose actionable strategies for improving hypertension control among young adults.
Main Methods:
- This study is a review of existing literature on hypertension in young adults.
- Analysis of prevalence data, risk factors, and treatment adherence challenges.
- Synthesis of information to propose improvement strategies.
Main Results:
- Young adults with hypertension exhibit low awareness and poor adherence to treatment.
- Factors like alcohol consumption, smoking, obesity, and stress impede HT control.
- Suboptimal control status is prevalent in the young hypertensive population.
Conclusions:
- Effective strategies are needed to improve hypertension awareness and management in young adults.
- Addressing lifestyle risk factors is essential for long-term cardiovascular health.
- Targeted interventions can enhance treatment adherence and control blood pressure in this demographic.
Abstract:
The prevalence of hypertension (HT) among young adults aged 18 to 39 years is estimated to be 3.7% to 8.6% worldwide. Although the prevalence of HT in young adults is lower than that of the overall population, those with HT are at substantially increased risk of cardiovascular events compared to those without HT. HT in young adults should be taken with even more caution as longer exposure to higher blood pressure leads to a higher lifetime risk of HT-mediated organ damage. However, young patients with HT show low awareness of HT compared to older patients. Also, they are more prone to show low treatment adherence despite the good efficacy of the treatment. Other risk factors that hinder HT control among young adults include alcohol intake, smoking, low physical activity, emotional stress, job stress, metabolic syndrome, and obesity. This review aimed to illustrate the suboptimal control status of the young hypertensive population and to propose strategies for improvement.
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