Bruno Rosa Maria, Pucci Giacomo, Rosticci Martina, Guarino Laura, Guglielmo Chiara, Agabiti Rosei Claudia, Monticone Silvia, Giavarini Alessandra, Lonati Chiara, Torlasco Camilla, Fedecostante Massimiliano, Manzi Maria Virginia, Pezzutto Francesca, Di Pilla Marina, Artom Nathan, Battistoni Allegra, Pignatelli Giulia, Sanga Viola, Pengo Martino Francesco
Department of Clinical and Experimental Medicine, University of Pisa, Via Roma 67, 56123, Pisa, Italy.
Department of Medicine, University of Perugia, Perugia, Italy.
High Blood Press Cardiovasc Prev. 2016 Mar;23(1):31-40. doi: 10.1007/s40292-016-0135-6. Epub 2016 Feb 24.
The prevalence of systemic arterial hypertension in young adults is increasing worldwide in association with modifiable risk factors.
To assess the prevalence of high blood pressure (BP) in young adults participating to a screening campaign during the World Hypertension Day (17/05/2014), and to determine the possible association with lifestyle factors.
493 individuals aged 18-35 years were selected in 13 Italian cities. All participants underwent BP measurement together with the administration of a questionnaire exploring: medical and drug history; traditional cardiovascular risk factors and diseases; dietary pattern; salt intake; sleep habits; mood disorders.
High BP (≥140/90 mmHg) was found in 54 individuals, with a prevalence of 11% and awareness of 28%. Those with high BP values were more frequently men, reported a higher BMI and a greater use of corticosteroids and non-steroidal anti-inflammatory drugs, and had a lower anxiety score. Concerning dietary habits, they were more likely to eat cheese/cold cuts ≥3 times/week, to have their meals out ≥1/day and to eat in fast foods ≥1/week. In the multiple logistic regression analysis, male sex [OR 3.19, 95% CI (1.33-7.63)], BMI [OR 1.14 95% CI (1.04-1.25)], eating in fast foods [OR 3.10 95% CI (1.21-7.95)], and anxiety [OR 0.85 95% CI (0.75-0.97)], were independently associated with high BP.
High BP values were found in 11 % young adults. Male sex, adiposity and alimentary habits were the main determinants of high BP values, indicating that young men are a suitable target for healthy lifestyle interventions.
在全球范围内，与可改变的风险因素相关的年轻成年人系统性动脉高血压患病率正在上升。
评估在世界高血压日（2014年5月17日）参加筛查活动的年轻成年人中高血压（BP）的患病率，并确定其与生活方式因素的可能关联。
在意大利的13个城市中选取了493名年龄在18至35岁之间的个体。所有参与者均接受了血压测量，并填写了一份调查问卷，内容包括：病史和用药史；传统心血管危险因素和疾病；饮食模式；盐摄入量；睡眠习惯；情绪障碍。
54名个体被发现患有高血压（≥140/90 mmHg），患病率为11%，知晓率为28%。高血压患者中男性更为常见，报告的BMI更高，使用皮质类固醇和非甾体抗炎药的频率更高，焦虑评分更低。关于饮食习惯，他们更有可能每周吃奶酪/冷切肉≥3次，每天在外就餐≥1次，每周吃快餐≥1次。在多元逻辑回归分析中，男性[比值比（OR）3.19，95%置信区间（CI）（1.33 - 7.63）]、BMI[OR 1.14，95% CI（1.04 - 1.25）]、吃快餐[OR 3.10，95% CI（1.21 - 7.95）]和焦虑[OR 0.85，95% CI（0.75 - 0.97）]与高血压独立相关。
11%的年轻成年人存在高血压值。男性、肥胖和饮食习惯是高血压值的主要决定因素，表明年轻男性是健康生活方式干预的合适目标人群。
