Hypertension Serious in Young Men
High blood pressure is more common in younger men, and should be taken just as serious as in their older counterparts.
Younger vs. Older Men With High Blood Pressure
Younger men with high blood pressure typically have high diastolic pressure
while older men have high systolic pressure. "In young men, the diastolic
pressure rises because the heart is pumping harder," says Lackland. "In older
men, the systolic pressure rises and stiffens arteries.
"Part of the problem with young men is increased body mass. Ten years ago we
wouldn't have seen hypertension in the teens and 20s, but now it's increasing
along with rising obesity rates. We're seeing the increase in particular in
African-American men, but it affects men of all races."
Lackland, who is professor of epidemiology and medicine at the Medical
University of South Carolina in Charleston, says that as with older men,
treatment for younger men follows JNC 7 guidelines for lifestyle changes and
The JNC 7 recommends the following lifestyle modifications for people with
prehypertension as well as hypertension:
Weight reduction. Maintain a normal weight with a target
body mass index (BMI) of 18.5 to 24.9.
This can result in an approximate reduction in systolic blood pressure of
5-20 points per 10 kilograms of weight loss, according to the JNC 7.
DASH (Dietary Approaches to Stop Hypertension) eating plan.
Adopt a diet rich in fruits, vegetables, and low-fat dairy products. Reduce
saturated and total fat. This can be expected to drop systolic blood pressure
by 8-14 points.
Lower salt intake. Reduce dietary sodium to less than 2,400
milligrams or about 1 teaspoon a day. According to the JNC 7, a 1,600-milligram
sodium DASH eating plan has effects similar to a single drug therapy. The
approximate reduction in systolic blood pressure would be 2-8 points.
Aerobic physical activity. Engage in regular physical
activity, such as brisk walking, at least 30 minutes per day most days of the
week. This can decrease systolic blood pressure by 4-9 points.
Moderation of alcohol consumption. Men should limit alcohol
to no more than two drinks per day. A standard drink is defined by the type of
alcohol. For example, a standard drink, such as a 12-ounce bottle of beer, a
5-ounce glass of wine, or 1.5-ounce shot of 80-proof distilled spirits, has
between 11 and 14 grams of alcohol. Limiting the amount of alcohol to this
quantity is expected to result in a reduction in systolic blood pressure by 2-4
When medications are indicated for younger men, one question is what will be
the long-term effect? "We've had medications around since the 1970s, but with
newer ARBs (angiotensin receptor blockers), we don't know," says Lackland. "But
the benefit of keeping blood pressure to goal is so great. Without treatment, a
man at [age] 30 could be facing end-stage renal disease, stroke, or heart