Age and chronic non-communicable diseases focus on arterial hypertension and obesity

Elevated systolic blood pressure (BP) ≥ 140 mm Hg and/or diastolic BP ≥ 90 mm Hg are common risk factors for cardiovascular complications. The prevalence of arterial hypertension (AH) and chronic non-communicable diseases (NCDs) increases with age. The combination of AH and obesity in young people poses a significant burden on healthcare systems. Currently, there are approximately 1.5 billion people with AH worldwide, with symptomatic AH accounting for about 20-30% of cases. In young patients, AH often begins with latent kidney pathology, which can lead to the development of nephroangiosclerosis. In older age groups, AH complicated by kidney pathology becomes resistant to treatment, is accompanied by frequent nocturnal BP surges, and can result in acute left ventricular heart failure. A body mass index over 30.0 kg/m² is a risk factor for NCDs and worsens prognosis. More than 1 billion people worldwide suffer from obesity, and the combination of AH and obesity significantly increases the risk of death from NCDs and raises diagnostic and treatment costs. This article examines the clinical and social aspects of AH and obesity in young individuals. Clinical examples of young men with AH, obesity, and erectile dysfunction are presented. For young patients with AH and obesity, implementing an electronic health passport is recommended to reduce complication risks and improve the effectiveness of therapeutic and preventive measures, thereby enhancing patients' quality of life.