Abstract
The purpose of this cross-sectional study was to identify risk factors in the normotensive and pre-hypertensive group based on the blood pressure results of healthy young adults from the Korean National Health and Nutrition Examination Survey 2018. The participants were 2225 healthy young adults between the ages of 19 and under 45, excluding those with a diagnosis of hypertension or taking antihypertensive medications. Of the 2225 participants, the normotensive group was 1498 (67.3%) and the pre-hypertensive group 727 (32.7%). Determinants of pre-hypertension were analyzed using multiple logistic regression based on a complex sample design. Factors related to pre-hypertension in young adults were age, smoking, waist circumference, diabetes, anemia, cholesterol levels including HDL cholesterol, and uric acid levels. Pre-hypertension is a pre-stage that can prevent the morbidity of hypertension through lifestyle control, so its management is very important. Furthermore, a young adult is a stage in the growth and development of human beings, in which lifestyles such as healthy behaviors, eating habits, and exercise are fixed. Therefore, it is very important to improve lifestyles such as diet, exercise, and smoking cessation and to control risk factors in young adults who are at the pre-hypertension stage for health promotion. Continuous health examinations should be conducted for young adults, and education that can be practiced based on clinical data through this should be implemented for community health.
Highlights
IntroductionHypertension significantly increases the risk of stroke and cardiovascular disease before middle age
A young adult is a stage in the growth and development of human beings, in which lifestyles such as healthy behaviors, eating habits, and exercise are fixed
This study aimed to identify the prevalence of pre-hypertension and its risk factors in Korean healthy young adults
Summary
Hypertension significantly increases the risk of stroke and cardiovascular disease before middle age. There is a much stronger association between stroke and blood pressure (BP) in Asians, including Koreans, compared to the US and European countries [3,4]. Asians are more sensitive to salt and eat a high sodium diet (more than 4 g per day), which increases the risk of high blood pressure [4]. Recent studies have reported that strictly lower blood pressure lowers cardiovascular mortality [1]. It is an important health and medical issue that the government must manage through policy for young adults through lifestyle control to prevent the progression to hypertension
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