Prevalence of hypertension among young men: fifteen-year trends

Objective. The aim of the study was to assess the changes in the prevalence of hypertension (HTN) among young men according to two screenings of independent samples of an open urban population.

Design and methods. The study is based on two cross-sectional studies, over a fifteen year range, among males in the Central Administrative District of Tyumen. Representative samples were formed according to a single protocol from electoral lists among men 25–64 years old by the method of “random numbers” — 1000 people each (250 people each in four decades of life), the response was 79,5 % and 85,0 %, respectively, in the first and second screening. As part of cardiac screenings, the prevalence of HTN, mean values and percentile distribution for systolic and diastolic blood pressure (SBP, DBP) were determined in two groups of young age 25–34 and 35–44 years.

Results. Young men of an open population of a moderately urbanized city of Western Siberia have high blood pressure (BP) levels with a significant increase in average levels and percentile distribution of SBP and DBP in the age range from the third to the fourth decade of life. According to the results of two cross-sectional studies in the range of fifteen years, we found a tendency towards a decrease in SBP and the prevalence of HTN in men in the third decade of life in an open population of a moderately urbanized city of Western Siberia. At the same time, the levels of SBP, DBP and the prevalence of HTN in the fourth decade of life remain stable.

Conclusions. We found high levels of BP and the prevalence of HTN among young men in a medium-urbanized city of Western Siberia and a positive fifteen-year dynamics in reduced prevalence of HTN in young people. The latter is a favorable factor and opens up opportunities for targeted impact on other conventional and non-conventional cardiovascular risk factors in this age group.

1. Oganov RG, Gerasimenko NF, Pogosova GV, Koltunov IE. Cardiovascular prevention: development strategies. Kardiovaskulyarnaya Terapiya i Profilaktika = Cardiovascular Therapy and Prevention. 2011;10(3):5–7. doi:10.15829/1728-8800-2011-3-5-7 In Russian.

2. Yusuf S, Hawken S, Ounpuu S, Dans T, Avezum A, Lanas F et al. Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study). Lancet. 2004;364(9438):937–952. doi:10.1016/j.accreview.2004.11.072

3. Shalnova SA, Deev AD, Oganov RG, Shestov DB. The role of systolic and diastolic blood pressure in predicting mortality from cardiovascular disease. Kardiovaskulyarnaya Terapiya i Profilaktika = Cardiovascular Therapy and Prevention. 2002;1:10–15. In Russian.

4. Mills KT, Bundy JD, Tanica NK, Reed E, Kearney PM, Reynolds K et al. Global disparities of hypertension prevalence and control: a systematic analysis of population-based measurement studies from 90 countries. Circulation. 2016;134(6):441–450. doi:10.1161/CIRCULATIONAHA.115.018912

5. Gafarov VV, Akimova EV. Prevalence of major risk factors for coronary heart disease in men employed expeditionary form of shift work on oil production complex of Western Siberia. Ther Arch. 1995;67(1):22–25. In Russian.

6. Gafarov VV, Gafarova AV, Gagulin IV. Blood pressure, coronary artery disease and psychosocial factors (epidemiological study based program WHO MONICA-psychosocial). Arterial’naya Gipertenziya = Arterial Hypertension. 2010;16(6):608–612. In Russian.

7. Muromtseva GA, Kontsevaya AV, Konstantinov VV, Artamonova GV, Gatagonova TM, Duplyakov DV et al. The prevalence of non-infectious diseases risk factors in Russian population in 2012–2013 years. the results of ECVD-RF. Kardiovaskulyarnaya Terapiya i Profilaktika = Cardiovascular Therapy and Prevention. 2014;13(6):4–11. doi:10.15829/1728-8800-2014-6-4-11. In Russian.

8. Balanova YuA, Shalnova SA, Imaeva AE, Kapustina AV, Muromtseva GA, Evstifeeva SE et al. on benalf of ESSE-RF-2 researchers. Prevalence, awareness, treatment and control of hypertension in Russian Federation (Data of Observational ESSE-RF-2 Study). Ratsional’naya Farmakoterapiya v Kardiologii = Rational Pharmacotherapy in Cardiology. 2019;15(4):450–466. doi:10.20996/1819-6446-2019-15-4-450-466 In Russian.

9. Efanov AYu, Storojok MA, Sholomov IF, Medvedeva IV, Shalaev SV. The specifics of hypertension prevalence in Tyumenskaya region and its treatment efficacy among inhabitants of 25–64 year old. Kardiovaskulyarnaya terapiya i profilaktika = Cardiovascular Therapy and Prevention. 2014;13(6):4–11. doi:10.15829/1728-8800-2017-1-27-33 In Russian.

10. Akimov AV. A 15-year overview of changes in attitude towards disease prevention among men in an open urban population. Int Heart Vasc Dis J. 2020;27(8):14–20. doi:10.15829/2311-1623-8-27 In Russian.

11. Naja S, El Din Makhlouf MM, Chebab MAH. An ageing world of the 21 st century: a literature review. Int J Community Med Public Health. 2017;4(12):4363–4369. doi:10.18203/2394-6040.ijcmph20175306

12. Chazova LV, Baubinene AV, Glazunov IS. Cooperative research on multifactorial prevention of coronary artery disease and its development into an integral program. Ther Arch. 1985;11:44–47. In Russian.

13. Petri A, Sabin K. Visual statistics in medicine. М.: GEOTAR-MED, 2003. 143 p. In Russian.

14. Akimov AM. Parameters of stressful events at a young age (data of cross-sectional epidemiological studies). Russian Journal of Cardiology. 2020;25(6):61–67. doi:10.15829/1560-4071-2020-3660 In Russian.

15. Akimova ЕV, Gafarov VV, Kuznetsov VA. Five-year trends in main risk of coronary heart disease among open population of Tyumen. Ther Arch. 2005;77(9):31–5. In Russian.

16. Akimov AV. The attitude of men to health: educational. Izvestiya vysshikh uchebnykh zavedeniy. Sotsiologiya. Ekonomika. Politika. = News of higher educational institutions. Sociology. Economy. Policy. 2013;4:50–52. In Russian.