Key result
Diabetes linked to ~559% higher odds of poor BP control in young hypertensive adults.
Why the study?
Hypertension prevalence is increasing among young adults along with cardiovascular risk, motivating an investigation into the prevalence and factors associated with poor blood pressure control in this population.
What are the prevalence and factors associated with poor blood pressure control in young urban adults with hypertension?
Cross-Sectional (n=191)
No
What are the prevalence and factors associated with poor blood pressure control in young urban adults with hypertension?
Poor blood pressure control is highly prevalent (78.0%) among young urban adults with hypertension in Malaysia, with comorbid diabetes mellitus being a strong independent risk factor.
May warrant closer BP monitoring in young hypertensive adults with diabetes; leaves open causal pathways and intervention targets.
The prevalence of hypertension among young adults is increasing and with it the risk of cardiovascular events. Thus, this study was conducted to determine the prevalence and factors that are associated with poor BP control in young adults (18–39 years old) in a government primary healthcare centre in Klang Valley, Malaysia. This cross-sectional study analysed 191 hypertensive patients from the Tele-Primary Care (TPC) registry (Dec 2019–Dec 2020). BP control was defined using the Malaysian Clinical Practice Guidelines (CPG) 2018. The median (IQR) age of the patients were 36 (5) years and most of them were Malay (77.5%), married (41.9%) and employed (67.5%). Almost all had essential hypertension (98.4%). The prevalence of poor BP control was 78.0% with most having uncontrolled diastolic BP (67.0%). The median (IQR) BMI was 31.35 kg/m2 with half the patients in obesity class 1 (50.3%) category. Most common comorbidity was dyslipidemia (72.0%) and diabetes mellitus (DM) (47.6%). Through multivariate logistic regression, having DM was independently associated with poor BP control (AOR = 6.591, 95% CI = 2.373, 18.306, p < 0.001). Poor BP control was worryingly high in young adults with hypertension, especially those with DM. Aggressive screening and stricter adherence to risk-stratified BP targets are essential.
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Ibrahim et al. (2026) conducted a cross-sectional in Hypertension (n=191). Diabetes mellitus (risk factor) vs. No diabetes mellitus was evaluated on Poor BP control (AOR 6.591, 95% CI 2.373-18.306, p=< 0.001). Having diabetes mellitus was independently associated with poor blood pressure control in young adults with hypertension (AOR 6.591; 95% CI 2.373-18.306; p < 0.001).
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