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February 8, 2026Journal of Hypertension

Prevalence and cardiometabolic risk of suspected and untreated hypertension in middle-aged Lithuanian men: insights from a cardiovascular disease prevention programme

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Key result

Undiagnosed hypertension affects ~27% of hypertensive middle-aged men and is linked to higher cardiometabolic risk.

Why the study?

The current prevalence and associated cardiometabolic risk profiles of suspected and diagnosed untreated hypertension in middle-aged Lithuanian men needed to be estimated.

What is the prevalence and cardiometabolic risk profile of suspected and untreated hypertension in middle-aged Lithuanian men?

Population

52 012 male participants aged 40–54 years in the LitHiR Primary Prevention Programme

Comparison

Normotensive vs suspected hypertensive vs diagnosed untreated hypertensive groups

Design

Cross-sectional study

Authors

VŠVaida ŠileikienėFPFrancesco PeroneJBJ. Badariene

Discussion

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Overview

Undiagnosed/untreated hypertension clusters with high cardiometabolic risk in middle-aged Lithuanian men; leaves open whether targeted screening improves outcomes.

Key Points

  • To estimate the prevalence of untreated hypertension and its associated cardiometabolic risk in Lithuanian men aged 40-54 years.
  • Conducted a cross-sectional analysis of data from 52,012 male participants.
  • Analyzed prevalence of cardiovascular risk factors among normotensive, suspected hypertensive, and untreated hypertensive groups.
  • Data collected between 2009 and 2019 as part of the LitHiR Primary Prevention Programme.
  • Dyslipidaemia was the most prevalent risk factor among suspected and untreated hypertensive individuals (91.20% and 93.40%).
  • Higher cardiometabolic parameters were observed in hypertensive groups compared to normotensive individuals.
  • 26.84% of men with elevated blood pressure had no prior diagnosis, and 18.57% of diagnosed were untreated.

Structured PICO

What is the prevalence and cardiometabolic risk profile of suspected and untreated hypertension in middle-aged Lithuanian men?

P
Population
52,012 male participants aged 40-54 years who participated in the Lithuanian High Cardiovascular Risk (LitHiR) Primary Prevention Programme
C
Comparator
Normotensive individuals
O
Outcome
Prevalence of suspected and diagnosed untreated hypertension, and prevalence of cardiometabolic risk factors (dyslipidaemia, diabetes mellitus, smoking, family history of CVD, overweight, obesity, metabolic syndrome)

A significant proportion of middle-aged men in Lithuania have undiagnosed or untreated hypertension, which is strongly associated with other cardiometabolic risk factors like dyslipidemia.

Cite This Study

Šileikienė et al. (2026) studied this question. 26.84% of middle-aged Lithuanian men with hypertensive BP are undiagnosed and 18.57% of diagnosed men remain untreated, with higher cardiometabolic risk in these groups.

synapsesocial.com/papers/698828cb0fc35cd7a88488echttps://doi.org/10.1097/hjh.0000000000004241
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