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With the increasing prevalence of hypertension among young individuals, the risk of cardiovascular events is also on the rise.
This study was conducted at a government primary healthcare facility in the Klang Valley, Malaysia, to determine the prevalence and associated factors variables of poor blood pressure management in young adults. people (18–39 years old).
From December 2019 to December 2020, hypertensive patients between 18–39 years old who were listed in the hypertension and diabetes registry were included in this cross-sectional study. 191 patients' clinical, sociodemographic, and management rial profiles were taken from the Tele-Primary Care (TPC) system.
The majority of patients were Malay (77.5%), married (41.9%), and employed (67.5%), with a median (IQR) age of 36 (5) years. Nearly all (98.4%) had essential hypertension. 78.0% had poor blood pressure control, and the majority had uncontrolled diastolic blood pressure (67.0%). Half of the patients fell into the obesity class 1 (50.3%) group, with a median (IQR) BMI of 31.35 (7) kg/m2. Diabetes mellitus (DM) (47.6%) and dyslipidemia (72.0%) were the most prevalent comorbidities. Patients with DM were nearly 7 times more likely to have poor blood pressure control compared to those without (AOR= 6.688, 95% CI= 1.517, 28.479, p= 0.010).
Poor blood pressure control was alarmingly common in young adults with hypertension, with diastolic pressure being the most common uncontrolled parameter. DM was significantly associated with poor blood pressure control, thus. More aggressive hypertension screening and therapy in young adults with diabetes should be implemented
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