| Abstract [eng] |
Aim. Prevalence of arterial hypertension in adults is 33% in the world and 48% in Lithuania, with 10.8 million lost lives in 2019. The aim of this paper is to overview the prevalence tendencies of arterial hypertension and its clinical forms across middle-aged Lithuanians as well as to evaluate risk profiles of different groups.¬ Methods. For this retrospective research, data were gathered from 112,170 Lithuanian patients. The study population consisted of women aged 50-64 years and men aged 40-54 years who participated in the Lithuanian High Cardiovascular Risk program during 2009-2019. Results. Of the 112,170 participants, 57.8% women and 46.8% were men with arterial hypertension. The prevalence of arterial hypertension decreased in both gender groups between 2009 and 2019 (p<0,001). Prior to the visit, 7.3% women and 12.5% men were unaware of their diagnosis. Additionally, 7.6% of women and 3% of men had resistant arterial hypertension. In the resistant arterial hypertension group obesity, unhealthy diet and lack of physical activity and diabetes were more prevalent (p<0,001), while dyslipidaemia was most prevalent risk factor among all groups. Smoking was widespread among hypertensive untreated women (14.5%), and the high prevalence among newly diagnosed and previously diagnosed untreated hypertensive men showed no significant difference (44.2% and 45.4%, p=0,216). Conclusions. Nearly half of middle-aged women and men had arterial hypertension with the prevalence decreasing over 2009-2019. The highest arterial blood pressure was measured among middle-aged adults with untreated and resistant hypertension. However, the majority of cardiovascular risk factors were most prevalent in over 50% of resistant hypertension cases, with dyslipidaemia being the most common risk factor in the entire population. |
