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Risk Factors and Comorbidities in Young Indian Patients with Hypertension: REAL YOUNG (Hypertension) Study

Authors Desai N, Unni G, Agarwala R, Salagre S, Godbole S, Dengra A, Abhyankar MV, Revankar S

Received 17 July 2020

Accepted for publication 29 October 2020

Published 26 February 2021 Volume 2021:14 Pages 31—41


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 3

Editor who approved publication: Professor Turgay Celik

Nagaraj Desai,1 Govindan Unni,2 Rajeev Agarwala,3 Santosh Salagre,4 Sanjay Godbole,5 Ashish Dengra,6 Mahesh V Abhyankar,7 Santosh Revankar7

1Namana Medical Center. Bangalore, Karnataka, India; 2Jubilee Mission Medical College and Research Institute, Thrissur, Kerala, India; 3Jaswant Rai Speciality Hospital, Meerut, UP, India; 4KEM Hospital, Mumbai, Maharashtra, India; 5Sharman Clinic, Girgaum, Mumbai, Maharashtra, India; 6Mahi Diabetes Thyroid Care and Research Center, Jabalpur, Madhya Pradesh, India; 7Scientific Services, USV Pvt Ltd, Mumbai, India

Correspondence: Mahesh V Abhyankar
Scientific Services, USV Pvt Ltd, BSD Marg, Station Road, Deonar, Govandi East, Mumbai, Maharashtra, 400088, India
Tel/Fax +91 98204 50986
Email [email protected]

Purpose: To analyze the risk factors and comorbidities among the young Indian adults with hypertension.
Patients and Methods: This was a retrospective, multicentric real-world study which included patients diagnosed with and receiving treatment for hypertension. Data were collected from the medical records of clinics/hospitals across 623 study sites in India. Patients of either sex and aged 18– 45 years were included. Demographic details (age, sex, anthropometric measurement), medical and family history, sedentary lifestyle, smoking status and alcohol consumption data were extracted. Descriptive and comparative analysis (Mann–Whitney U and chi-squared test) was done.
Results: Out of 15,006 young patients diagnosed with hypertension (men=63.6%), 65.7% belonged to the age group of > 35– 45 years. The median body mass index was 27.0 kg/m2. Patients diagnosed with only hypertension were 29.1% while other predominant comorbidities with hypertension were diabetes mellitus (42.4%) and dyslipidemia (7.8%). Hypertension with diabetes mellitus were prevalent in the age group of > 35– 45 years (43.8%). More than half of the patients with hypertension (n=7656) had a sedentary lifestyle. Overall, 35.6%, 47.3%, and 56.7% of the patients were alcoholic, smokers (present and former), and had a family history of hypertension, respectively.
Conclusion: The results showed that among the young population, hypertension was common in the age group of > 35– 45 years and diabetes mellitus and dyslipidemia were common comorbidities. Family history, sedentary lifestyle, smoking, alcohol consumption, and body mass index may also contribute to hypertension.

Keywords: diabetes mellitus, dyslipidemia, prevalence, young population

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