Objectives: This study aims to examine the general characteristics and physical activity characteristics of young and middle-aged individuals with hypertension, with the goal of identifying key influencing factors and providing public health policy recommendations. Methods: Participants in this study used data from the 2021 Community Health Survey. The study participants include 5,511 individuals diagnosed with hypertension in the young and middle-aged group (aged 19 to 49). The collected data were analyzed using SPSS 26.0. Results: Model 1 is the influencing factors of young and middle-aged hypertensive patients according to general characteristics. The explanatory power is R2= .065. The influencing factors are as follows. Economic activity (β= -.219, p <.001), breakfast per week (β= .117, p <.001), gender (β= .090, p <.001), subjective health status (β= .073, p <.001), and education level (β= .069, p <.001). Model 2 is the influencing factors of young and middle-aged hypertensive patients, including physical activity characteristics. The explanatory power is R2= .076. The influencing factors are as follows. Strength exercises (β= -4.791, p <.001), the walking activity (β= -2.694, p <.01), and the high-intensity physical activity (β= -2.629, p <.01). Conclusion: The active management of young and middle-aged hypertension is essential to prevent progression to serious disease. To prevent hypertension in young and middle-aged people, health education is needed to develop and utilize health promotion programs that take into account general characteristics and physical activity characteristics.