Aspects of arterial hypertension in young adults with obesity

The global prevalence of hypertension and obesity continues to rise, affecting increasingly young people. Obesity causes hypertension through a variety of mechanisms, including sympathetic nervous system activation, renin angiotensin aldosterone system, fluid and electrolyte dysregulation, inflammation, and adipokine imbalance. In turn, arterial hypertension can exacerbate obesity by altering metabolic pathways and increasing appetite. The pathophysiological features of hypertension are different between young overweight women and men. We performed a non-systematic literature review to thoroughly investigate mechanisms of pathogenetic interaction and mutual aggravation of high blood pressure and body mass index. The literature was reviewed from 2004 to the present in Russian and English using the PubMed Central, ScienceDirect, Google Scholar platforms, as well as a search in the archives of the journals Circulation and Cardiovascular Therapy and Prevention using the keywords listed below.