Stress coping strategies — novel markers in the diagnosis of masked hypertension in young people

Q3 Social Sciences

Cardiovascular Therapy and Prevention Pub Date : 2024-01-29 DOI:10.15829/1728-8800-2024-3866

A. O. Shevchenko, Y. Yufereva, Yu. A. Gerasimova, R. G. Timofeev, R. A. Faradzhov

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Abstract

Aim. To establish the prevalence and markers of masked hypertension (HTN) in apparently healthy young people.Material and methods. The cross-sectional study included young people (20-30 years old) with health group I or II, with clinical blood pressure (BP) <140/90 mm Hg. All participants underwent 24-hour blood pressure monitoring, assessment of traditional cardiovascular risk factors and ways of coping with stress.Results. A total of 347 participants were included (mean age, 22 (21-23) years; male, 101 (29,1%)). After 24-hour blood pressure monitoring, masked HTN was detected in 46 (13,3%) participants. Multivariate analysis found following markers of masked HTN: office systolic blood pressure (adjusted odds ratio (AOR) 1,109; p<0,001), resting heart rate (AOR 1,051; p=0,021), body mass index ≥25 kg/m2 (AOR 2,345; p=0,039), two models of coping with stress — distancing (AOR 1,071; p=0,001) and self-control (AOR 0,951; p=0,012). These parameters are included in the formula for calculating the masked HTN probability.Conclusion. Masked HTN occurs in 13,3% of apparently healthy young people. Associations of masked HTN with strategies for coping with stress have been established, which allows them to be regarded as novel markers of masked HTN. The method described in the article makes it possible to identify masked HTN with a high probability in young people.

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压力应对策略--诊断青少年假性高血压的新标记

目的确定表面健康的年轻人中隐匿性高血压（HTN）的患病率和标志物。这项横断面研究纳入了健康组别 I 或 II、临床血压（BP）<140/90 mm Hg 的年轻人（20-30 岁）。所有参与者均接受了 24 小时血压监测、传统心血管风险因素评估和压力应对方法。共有 347 名参与者（平均年龄 22（21-23）岁；男性 101（29.1%））接受了 24 小时血压监测。经过 24 小时血压监测，发现 46 名参与者（13.3%）存在假性高血压。多变量分析发现了以下掩蔽性高血压的标志物：办公室收缩压（调整比值比（AOR）1,109；P<0,001）、静息心率（AOR 1,051；P=0,021）、体重指数≥25 kg/m2（AOR 2,345；P=0,039）、应对压力的两种模式--疏远（AOR 1,071；P=0,001）和自我控制（AOR 0,951；P=0,012）。这些参数都包含在掩蔽性高血压的概率计算公式中。在表面健康的年轻人中，有 13.3% 的人患有被掩盖的高血压。蒙蔽性高血压与应对压力的策略之间的关联已经确定，这使得它们可以被视为蒙蔽性高血压的新标记。文章中描述的方法使得在年轻人中识别被掩盖的高血压成为可能。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Cardiovascular Therapy and Prevention Medicine-Cardiology and Cardiovascular Medicine

CiteScore

1.70

自引率

0.00%

发文量

155

审稿时长

6-12 weeks

期刊介绍： The most important objectives of the journal are: the generalization of scientific and practical achievements in the field of cardiology, increasing scientific and practical skills of cardiologists. The scientific concept of publication does the publication of modern achievements in the field of epidemiology, prevention and treatment of cardiovascular diseases, the results of research, national and international clinical trials. For publication in the journal are invited both domestic and foreign scientists and clinicians working in the field of cardiology, as well as doctors of other specialties. The magazine covers various issues in cardiology and related specialties. Each issue is prepared by Executive editor of the issue, a respected specialist in the field of epidemiology, prevention and treatment of cardiovascular diseases. The main focus of the publication — scientific articles on original research, the pharmacotherapy of cardiovascular disease, new diagnostic methods. All members of the group of authors should meet all four criteria of authorship set forth in the ICMJE recommendations: 1) concept and design development or data analysis and interpretation, and 2) manuscript justification or verification of critical intellectual content, and 3) final approval for publication of the manuscript, and 4) consent to be responsible for all aspects of the work, and assume that issues relating to the thoroughness and diligent execution of any part of the study submitted are duly investigated and resolved. Great importance the editors attached to the preparation of scientific papers by groups of authors at a high level, literacy, authors, and their ownership information, availability of research results not only to colleagues in Russia, but also abroad.