| Abstract [eng] |
This dissertation examines the prevalence of arterial hypertension (AH), the level of blood pressure control, and associations with cardiometabolic risk factors among Lithuanian adults aged 40–65, based on the national primary cardiovascular prevention programme data collected between 2009 and 2022 (n = 171,819). The study differentiates treated, apparently resistant, and controlled AH groups, with a focus on sex- and age-specific differences. Key risk factors assessed include dyslipidaemia, metabolic syndrome, abdominal obesity, obesity (BMI ≥30 kg/m²), impaired glucose metabolism, smoking, and lifestyle indicators. Logistic regression models demonstrated that apparently resistant hypertension is characterised by a significantly higher burden of cardiometabolic risk factors and poorer blood pressure control. The findings highlight substantial disparities in AH control in Lithuania, underscoring the need to strengthen primary prevention, treatment intensification, and targeted follow-up of high-risk individuals. |