Ben-Gurion University of the Negev (BGU) researchers reveal in a new, large-scale study that "normal" blood pressure at age 17 can still predict hypertension at early adulthood and that teenage boys are three to four times more likely to develop high blood pressure in early adulthood than girls.
According to the study published in Hypertension: Journal of the American Heart Association, the research team assessed how teenage boys and girls with normal blood pressure might progress into becoming young adults with hypertension. Currently, systolic blood pressures of 100 to 110 and even up to 120 are considered within the normal range for adolescents. Other traits like weight, height and body mass index (BMI) have a range of distribution that is considered "normal."
"Frequently called the 'silent killer,' hypertension is a major risk factor for heart disease and vascular diseases like stroke," explains researcher Dr. Assaf Rudich, an associate professor in the Department of Clinical Biochemistry at BGU. "It is increasing along with the obesity epidemic, but regrettably, young adults who are otherwise healthy frequently are not screened for becoming hypertensive."
The BGU researchers examined the development of blood pressure from adolescence to young adulthood in 23,191 boys and 3,789 girls from ages 17 to 42 by taking regular readings of their blood pressure and BMI of Israel Defense Forces personnel who were not hypertensive at age 17 in their initial evaluation before recruitment.
The study revealed two substantive findings:
The study also confirmed several known observations:
During a follow-up period with these adolescents, 14 percent or 3,810 people developed hypertension.
"Collectively, the study suggests that pediatricians caring for adolescents and physicians caring for young adults should be more aware of the need to monitor weight and blood pressure even when they are considered "normal," explains Dr. Iris Shai, an associate professor in the Department of Epidemiology in the Faculty of Health and Sciences. "For the individual person, a 'normal value' may still be associated with a significant elevated risk of disease when the BMI and sex of the patient is also considered."
Participants were part of the Metabolic, Lifestyle and Nutrition Assessment in Young Adults (MELANY) Study conducted by the Israel Defense Forces.
The Talpiot Medical Leadership Program, Chaim Sheba Medical Center, Tel-Hashomer Israel and the Israel Defense Forces Medical Corps funded the study.
Materials provided by American Associates, Ben-Gurion University of the Negev. Note: Content may be edited for style and length.
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