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Blood Pressure in Young Adults in Iowa
Esra'a I Khader1, Linnea A Polgreen1
1Department of Pharmacy Practice and Science, University of Iowa, Iowa City, Iowa, USA.
Journal of Clinical Hypertension (Greenwich, Conn.)
|August 22, 2025
Summary
Young adults with high blood pressure (HBP) are frequently undiagnosed for hypertension (HTN). Only 17.4% of eligible young adults received an HTN diagnosis, highlighting a critical gap in early detection and cardiovascular event prevention.
Area of Science:
- Cardiology
- Public Health
- Epidemiology
Background:
- Hypertension (HTN) is prevalent in young adults but often remains undiagnosed.
- Early detection and management of HTN are vital for preventing cardiovascular complications.
- Young adults exhibit lower awareness and diagnosis rates for HTN compared to older populations.
Purpose of the Study:
- To identify young adults (18-40) in Iowa with high blood pressure (HBP).
- To determine the percentage of these young adults diagnosed with HTN within two years.
- To identify risk factors associated with delayed HTN diagnosis in this demographic.
Main Methods:
- Retrospective observational study analyzing electronic health records from 2016-2022.
- Inclusion criteria: adults aged 18-40 with at least three elevated blood pressure readings (≥140/90 mmHg).
- Follow-up for two years to ascertain HTN diagnosis; Cox regression used for time-to-diagnosis analysis.
Main Results:
- Out of 22,299 adults with HBP, 7,523 (33.7%) were young adults (18-40).
- Only 17.4% of young adults with HBP received an HTN diagnosis within two years.
- Young adults experienced a longer time to diagnosis compared to older individuals; specific risk factors like male sex, minority ethnicity, and comorbidities shortened this time.
Conclusions:
- A significant proportion of young adults with HBP remain undiagnosed, posing a risk for future cardiovascular events.
- The low diagnosis rate underscores the need for enhanced screening protocols and targeted interventions for young adults.
- Addressing age-related underdiagnosis is crucial for mitigating long-term health consequences of untreated hypertension.
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