アイオワ州 の 若者 の 血圧
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
まとめ
高血圧 (HBP) の若い成人は,しばしば高血圧 (HTN) の診断を受けない. 早期発見と心血管疾患の予防における重大なギャップを強調しています.
科学分野:
- 心臓病科
- 公衆衛生
- 流行病学
背景:
- 高血圧 (HTN) は若い成人に多く見られるが,しばしば診断されないままである.
- 早期発見と治療は 心血管疾患の合併症を予防するために不可欠です
- 若い成人では,高齢者と比較してHTNに対する認識と診断率が低い.
研究 の 目的:
- アイオワ州で高血圧 (HBP) を患っている若い成人 (18~40歳) を特定するためです.
- 2年以内にHTNと診断された若い成人の割合を決定する.
- この集団で遅れたHTN診断に関連した危険因子を特定する.
主な方法:
- 2016年から2022年にかけての電子医療記録を分析した遡及的観察研究.
- 含有基準:少なくとも3回の高血圧値 (≥140/ 90 mmHg) を有する18~40歳の成人.
- HTNの診断を確かめるために2年間の追跡調査;診断までの時間分析に使用されたコックス回帰.
主要な成果:
- HBPを患った22,299人の成人のうち,7,523人 (33. 7%) は若い成人 (18~40歳) であった.
- 2年以内にHTNの診断を受けたのは,HBPを患った若者のわずか17. 4%でした.
- 若い成人では,高齢者と比較して診断までの時間が長くなりましたが,男性性,少数民族性,併発性などの特定のリスク要因は,この期間を短縮しました.
結論:
- HBPを患っている若者の有意な割合は未診断であり,将来の心血管疾患のリスクを伴う.
- 診断率の低さは,若い成人のための強化されたスクリーニングプロトコルと標的型介入の必要性を強調しています.
- 治療されていない高血圧の 長期的な健康被害を軽減するために 年齢に起因する診断不足に対処することが重要です
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