Key result
Treated young adults with hypertension achieve BP control matching older populations despite low overall awareness.
Why the study?
Young adults with hypertension face increased cardiovascular risk and longer exposure to elevated blood pressure, yet demonstrate low awareness and low treatment adherence alongside multiple risk factors hindering control.
Despite low awareness and treatment rates, young adults with hypertension face substantial lifetime cardiovascular risks, highlighting the critical need for targeted screening, lifestyle interventions, and early pharmacological treatment.
Supports targeted screening to raise awareness in young adults; extends control-rate data but leaves optimal interventions open.
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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Shin et al. (2023) conducted a review in Hypertension. Young adults with hypertension exhibit low awareness and treatment rates, yet those who receive treatment achieve blood pressure control rates comparable to or higher than older populations.
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