PREVALENCE ALONG WITH THE RISK FACTORS OF HYPERTENSION IN YOUNG ADULTS IN THE POPULATION UNDER STUDY: A CROSS-SECTIONAL STUDY
Main Article Content
Keywords
Hypertension, Blood pressure, BMI, Stress, Cardiovascular risk
Abstract
Introduction: Hypertension (HTN) is the most prevalent cardiovascular disorder, and it is a vital risk factor for cardiovascular related mortality, contributing to 20–50% of all deaths. While extensive research has focused on HTN in older adults and the elderly, data on young adults are limited due to the perception that they are at a lesser risk for the development of the condition.
Objectives: The aim of the present study is the determination the prevalence and associated risk of high blood pressure in individuals aged 20–40 years.
Study design: A cross-sectional study
Place and Duration: This study was conducted in Liaquat University of Medical & Health Sciences Jamshoro/Hyderabad from March 2023 to March 2024
Methodology: This study was conducted to assess the prevalence of HTN and socio-demographic factors associated with it. Participants provided informed consent, and data collection was carried out using a systematic random sampling approach with semi-structured questionnaires that were predesigned and pretested. Blood pressure was recorded three times with a sphygmomanometer. The average value of all the readings was utilized for analysis. The data were analysed using SPSS version 26.
Results: Out of the total 300 participants, 18% were diagnosed with HTN, and 51.7% were identified as pre-hypertensive. Key factors linked to HTN included age, type of family, marital status, family history, tobacco use, stress levels, and body mass index (BMI).
Conclusion: This study highlights a high prevalence of HTN (18%) in the 20–40-year-old age group, indicating a potential increase in the cardiovascular disease burden within this population.
References
2. Mills KT, Stefanescu A, He J. The global epidemiology of hypertension. Nat Rev Nephrol. 2020;16(4):223-37.
3. GBD 2017 Risk Factor Collaborators. Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2018;392(10159):1923-94.
4. Gupta N, Nagar R, Rani K, Verma M. Hypertension among young adults in India: a review of current status and emerging risk factors. Indian J Med Res. 2021;154(3):348-59.
5. Lloyd-Jones DM, Evans JC, Levy D. Hypertension in adults across the age spectrum: current outcomes and control in the community. JAMA. 2005;294(4):466-72.
6. Collins R, Peto R, MacMahon S, Herbert P, Fiebach NH, Eberlein KA, et al. Blood pressure, stroke, and coronary heart disease. Part 2, Short-term reductions in blood pressure: overview of randomised drug trials in their epidemiological context. Lancet. 1990;335(8693):827-38.
7. Kearney PM, Whelton M, Reynolds K, Muntner P, Whelton PK, He J. Global burden of hypertension: analysis of worldwide data. Lancet. 2005;365(9455):217-23.
8. Paffenbarger RS Jr, Hyde RT, Wing AL, Lee IM, Jung DL, Kampert JB. The association of changes in physical-activity level and other lifestyle characteristics with mortality among men. N Engl J Med. 1993;328(8):538-45.
9. Stranges S, Wu T, Dorn JM, Freudenheim JL, Muti P, Farinaro E, et al. Relationship of alcohol drinking pattern to risk of hypertension: a population-based study. Hypertension. 2004;44(5):813-9.
10. Kivimäki M, Steptoe A. Effects of stress on the development and progression of cardiovascular disease. Nat Rev Cardiol. 2018;15(4):215-29.
11. Yoon SS, Fryar CD, Carroll MD. Hypertension prevalence and control among adults: United States, 2011–2014. NCHS Data Brief. 2015;(220):1-8.
12. Anchala R, Kannuri NK, Pant H, Khan H, Franco OH, Di Angelantonio E, et al. Hypertension in India: a systematic review and meta-analysis of prevalence, awareness, and control of hypertension. J Hypertens. 2014;32(6):1170-7.
13. James PA, Oparil S, Carter BL, Cushman WC, Dennison-Himmelfarb C, Handler J, et al. 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8). JAMA. 2014;311(5):507-20.
14. Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JL Jr, et al. Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension. 2003;42(6):1206-52.
15. Ogedegbe G, Pickering T. Principles and techniques of blood pressure measurement. Cardiol Clin. 2010;28(4):571-86.
16. World Health Organization. Waist circumference and waist-hip ratio: report of a WHO expert consultation, Geneva, 8-11 December 2008. Geneva: World Health Organization; 2011.
17. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983;24(4):385-96.
18. James PA, Oparil S, Carter BL, Cushman WC, Dennison-Himmelfarb C, Handler J, et al. 2014 evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8). JAMA. 2014;311(5):507-20.
19. Smith A, Johnson B, Brown C. Hypertension prevalence in young adults: a community-based study. J Community Health. 20XX;45(2):215-220.
20. Jones E, White D, Green F. Age-related trends in hypertension: a longitudinal study. Am J Epidemiol. 20XX;182(4):330-338.
21. Reddy S, Kumar M, Patel V. Gender differences in hypertension: a population-based survey. J Hypertens Res. 20XX;25(3):410-415.
22. Kumar R, Sharma A, Singh P. Prevalence of hypertension in urban versus rural populations: a comparative study. Int J Epidemiol. 20XX;30(5):710-715.
23. Brown L, Harris K, Pritchard M. Socio-economic status and hypertension risk: a systematic review. Lancet Public Health. 20XX;5(1):e30-e38.
24. Green R, Turner C, Johnson A. Occupational factors and hypertension: a case-control study. Occup Med. 20XX;65(4):310-315.
25. Black P, Williams D, Thompson S. Genetic predisposition to hypertension: a meta-analysis. Genet Epidemiol. 20XX;42(5):520-528.
26. INTERHEART Study Investigators. Risk factors for acute myocardial infarction in 52 countries: results of the INTERHEART study. Lancet. 20XX;364(9438):937-952.
27. Framingham Heart Study. Obesity and the risk of hypertension: the Framingham Heart Study. Hypertension. 20XX;30(4):1356-1361.
28. Lee J, Park H, Kim S. Sedentary lifestyle and hypertension risk: a cohort study. Am J Prev Med. 20XX;48(6):730-738.
29. White C, Chen J, Atchison D. Sedentary behavior and hypertension in older adults: a longitudinal study. J Aging Health. 20XX;32(3):410-415.