1. Association Between Lifestyle and Systemic Arterial Hypertension in Young Adults: A National, Survey-Based, Cross-Sectional Study.
- Author
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Bruno RM, Pucci G, Rosticci M, Guarino L, Guglielmo C, Agabiti Rosei C, Monticone S, Giavarini A, Lonati C, Torlasco C, Fedecostante M, Manzi MV, Pezzutto F, Di Pilla M, Artom N, Battistoni A, Pignatelli G, Sanga V, and Pengo MF
- Subjects
- Adiposity, Adolescent, Adrenal Cortex Hormones therapeutic use, Adult, Age Distribution, Age Factors, Anti-Inflammatory Agents, Non-Steroidal therapeutic use, Anxiety epidemiology, Body Mass Index, Chi-Square Distribution, Cross-Sectional Studies, Fast Foods adverse effects, Feeding Behavior, Female, Health Surveys, Humans, Hypertension diagnosis, Hypertension physiopathology, Hypertension prevention & control, Italy epidemiology, Logistic Models, Male, Multivariate Analysis, Obesity diagnosis, Obesity epidemiology, Odds Ratio, Prevalence, Risk Factors, Risk Reduction Behavior, Sex Distribution, Sex Factors, Young Adult, Arterial Pressure, Hypertension epidemiology, Life Style
- Abstract
Introduction: The prevalence of systemic arterial hypertension in young adults is increasing worldwide in association with modifiable risk factors., Aim: 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., Methods: 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., Results: 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., Conclusions: 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.
- Published
- 2016
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