Korean Circ J.  2021 Jul;51(7):598-606. 10.4070/kcj.2020.0542.

Suboptimal Management Status of Younger Hypertensive Population in Korea

Affiliations
  • 1Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea
  • 2Department of Internal Medicine, Seoul St. Mary's Hospital, Catholic University of Korea, Seoul, Korea
  • 3Department of Internal Medicine, Kyung Hee University School of Medicine, Seoul, Korea
  • 4Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
  • 5Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea
  • 6Department of Internal Medicine, Ewha Womans University, Seoul, Korea
  • 7Department of Internal Medicine, College of Medicine, Chungbuk National University, Cheongju, Korea

Abstract

Background and Objectives
Hypertension (HTN) is the most contributable risk factor for cardiovascular disease. May Measurement Month (MMM) is a global initiative to raise awareness of HTN and act as a temporary solution to the lack of screening programs worldwide.
Methods
An opportunistic cross-sectional survey of participants aged ≥18 was carried out in May 2019. Over 10,000 participants were recruited in the MMM 2019 Korea, with a slogan of “A simple measure to save lives – #checkyourpressure.”
Results
A total of 9,950 participants with valid clinical blood pressure (BP) data were used for analysis. All participants were Korean in ethnicity. The mean age was 57.2±21.2 years, 57.8% were females, and the mean body mass index was 23.4±3.3 kg/m 2 . Among the enrolled population, 20.1% were less than 30 years old, and 5.0% were 30–39 years old. 37.0% of the participants reported a previous diagnosis of HTN, and 91.3% of those diagnosed were on antihypertensive medications. Notably, more than 20% of the participants had not measured their BP during the last 12 months, and the awareness rate in the young hypertensive participants (aged <40) was less than 10%. Among hypertensive participants, the treatment rate was 69.3%, and the control rate among those taking medications was 61.2%.
Conclusion
MMM 2019 Korea campaign reported high BP control rates in individuals with HTN, reaching 60%. However, the awareness rate in young hypertensive participants was less than 10% along with suboptimal management status. The MMM 2019 Korea again raised the importance of regular BP measurement in the younger population.

Keyword

Hypertension; Awareness; Therapeutics; Young adult

Figure

  • Figure 1 Flow chart of MMM 2019 Korea analysis.HTN = hypertension; BP = blood pressure; DM = diabetes mellitus; HTN = hypertension; KSH = Korean Society of Hypertension; MMM = May Measurement Month.*Only systolic or diastolic values available, values in single digits, systolic BP higher than diastolic BP.

  • Figure 2 Blood pressures according to age and sex.(A) Mean systolic and diastolic blood pressure according to age and sex. (B) Prevalence of isolated systolic hypertension and isolated diastolic hypertension according to age group.DBP = diastolic blood pressure; HTN = hypertension; IDH = isolated diastolic hypertension; ISH = isolated systolic hypertension; SBP, systolic blood pressure.

  • Figure 3 Awareness and control rate of hypertension according to age and sex.(A) Awareness rate of hypertension according to age and sex. (B) Control rate of hypertension according to age and sex.


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