The course of primary arterial hypertension in adolescents according to long-term observation data
DOI:
https://doi.org/10.14739/2409-2932.2025.3.338571Keywords:
hypertension, children, adolescents, medical students, physicians, follow-upAbstract
The aim of the work was to investigate the clinical course of adolescent arterial hypertension detected at the age of 17 based on a 15-year follow-up in order to clarify the frequency and conditions under which adult hypertension develops.
Materials and methods. The observation began at 2009. First-year medical students were involved who were diagnosed with stable or labile arterial hypertension or state of high normal blood pressure at the age of 17. Over 15 years the follow-up data were collected from 37 doctors of various specialties who reached this moment the age of 32–33.
Results. In the long-term follow-up (15 years later), blood pressure levels were assessed in men and women participating in the study, their complaints were analyzed, and the need for treatment tailored to the characteristics of arterial hypertension that had originated in adolescence was emphasized. Hypertensive disease developed in 38.7 % of respondents in the follow-up study. Males with stable and labile adolescent arterial hypertension in the past predominated.
Conclusions. The highest risk of chronic hypertension is in young men with stable (54.5 %) and labile (41.7 %) juvenile hypertension. This occurs at the age of 30–40 in the form of hypertension. The risk of developing hypertension in adulthood for male adolescents with “high blood pressure” is 21.4 %. The implementation of physical rehabilitation programs is an effective factor in forming adherence to a healthy lifestyle and controlling blood pressure. There is a need to further improve clinical and diagnostic approaches to juvenile hypertension with the development of a single concept of diagnosis in adolescence and young adulthood.
References
Guideline for the pharmacological treatment of hypertension in adults. Geneva: World Health Organization; 2021. Licence: CC BY-NC-SA 3.0 IGO. Available from: https://iris.who.int/server/api/core/bitstreams/f062769d-f075-4a00-87af-0a2106e0bd04/content
Martin SS, Aday AW, Almarzooq ZI, Anderson CA, Arora P, Avery CL, et al. 2024 Heart Disease and Stroke Statistics: A Report of US and Global Data From the American Heart Association. Circulation. 2024;149(8):e347-e913. doi: https://doi.org/10.1161/CIR.0000000000001209. Erratum in: Circulation. 2024;149(19):e1164. doi: https://doi.org/10.1161/CIR.0000000000001247. Erratum in: Circulation. 2025;151(25):e1095. doi: https://doi.org/10.1161/CIR.0000000000001344
Ministry of Health of Ukraine. Unifikovanyi klinichnyi protokol pervynnoi ta spetsializovanoi medychnoi dopomohy hipertonichna khvoroba (aptepialna hipertenziia) [Unified clinical protocol for primary and specialized medical care for hypertension (arterial hypertension)]. Order dated 2024 Sep 12, no. 1581. Available from: https://www.dec.gov.ua/wp-content/uploads/2024/09/ykpmd_1581_12092024_dod.pdf
Tovma AV. [Improvement of diagnosis and prediction of the development of left ventricular remodeling in adolescents with primary hypertension] [dissertation on the Internet]. Zaporizhzhia: Zaporizhzhia State Medical University; 2020 [cited 2025 Sep 11]. Available from: https://nrat.ukrintei.ua/en/searchdoc/0420U101372/
Koreniev MM, Bohmat LF, Nikonova VV, Nosova, EM. Likuvannia ta profilaktyka formuvannia uskladnen u pidlitkiv iz arterialnoiu hipertenziieiu (Metodychni rekomendatsii) [Treatment and prevention of complications in adolescents with arterial hypertension (methodological recommendations)]. Kyiv; 2009. Ukrainian.
Maidannyk VH, Khaitovych MV. Arterialna hipertenziia u ditei: diahnostyka ta likuvannia [Arterial hypertension in children: diagnosis and treatment]. Vnutrishnia medytsyna. 2008;(3):13-20. Ukrainian. Available from: http://www.mif-ua.com/archive/article/4672
Flynn JT, Kaelber DC, Baker-Smith CM, Blowey D, Carroll AE, Daniels SR, et al. Clinical Practice Guideline for Screening and Management of High Blood Pressure in Children and Adolescents. Pediatrics. 2017;140(3):e20171904. doi: https://doi.org/10.1542/peds.2017-1904. Erratum in: Pediatrics. 2017;140(6):e20173035. doi: https://doi.org/10.1542/peds.2017-3035. Erratum in: Pediatrics. 2018;142(3):e20181739. doi: https://doi.org/10.1542/peds.2018-1739
Zhang Y, Moran AE. Trends in the Prevalence, Awareness, Treatment, and Control of Hypertension Among Young Adults in the United States, 1999 to 2014. Hypertension. 2017;70(4):736-42. doi: https://doi.org/10.1161/HYPERTENSIONAHA.117.09801
Ostchega Y, Fryar CD, Nwankwo T, Nguyen DT. Hypertension Prevalence Among Adults Aged 18 and Over: United States, 2017-2018. NCHS Data Brief. 2020;(364):1-8.
Downloads
Additional Files
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 O. H. Ivanko, M. V. Patsera, O. V. Solianyk
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
