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. Author manuscript; available in PMC: 2017 Feb 1.
Published in final edited form as: J Hypertens. 2016 Feb;34(2):235–243. doi: 10.1097/HJH.0000000000000791

Table 2.

Prevalence, Kappa statistic and overall agreement for classification of daytime hypertension, nighttime hypertension, non-dipping status, and magnitude of dipping blood pressure categories using times derived from self-report, fixed-time periods and actigraphy from ambulatory blood pressure monitoring period 1 (n = 330).

Overall (%) No No Yes Yes Kappa Statistic (95% confidence interval) Overall percent agreement (95% confidence interval)
No (%) Yes (%) No (%) Yes (%)

Daytime hypertension

 Self-reported 17.9 80.0 2.1 1.2 16.7 0.89 (0.82 – 0.95) 0.97 (0.95 – 0.99)
 Fixed-time 18.8

 Self-reported 17.9 82.1 0.0 0.0 17.9 1.00 (0.98 – 1.00) 1.00 (0.99 – 1.00)
 Actigraphy 17.9

 Fixed-time 18.8 80.0 1.2 2.1 16.7 0.89 (0.82 – 0.95) 0.97 (0.95 – 0.99)
 Actigraphy 17.9

Nighttime hypertension

 Self-reported 30.0 65.8 4.2 2.1 27.9 0.85 (0.79 – 0.91) 0.94 (0.91 – 0.96)
 Fixed-time 32.1

 Self-reported 30.0** 69.7 0.3 3.3 26.7 0.91 (0.86 – 0.96) 0.96 (0.94 – 0.98)
 Actigraphy 27.0

 Fixed-time 32.1** 67.3 0.6 5.8 26.4 0.85 (0.79 – 0.91) 0.94 (0.91 – 0.96)
 Actigraphy 27.0

Non-dipping status (2-groups)

 Self-reported 37.6 57.3 5.2 5.8 31.8 0.72 (0.64 – 0.91) 0.89 (0.86 – 0.92)
 Fixed-time 37.0

 Self-reported 37.6* 60.6 1.8 5.2 32.4 0.85 (0.79 – 0.91) 0.93 (0.90 – 0.96)
 Actigraphy 34.2

 Fixed-time 37.0 57.9 5.2 7.9 29.1 0.77 (0.69 – 0.84) 0.87 (0.83 – 0.91)
 Actigraphy 34.2

Magnitude of dipping status (4-groups)

Extreme dipping

 Self-reported 5.8** 89.1 5.2 1.5 4.2 0.53 (0.35 – 0.70) 0.93 (0.91 – 0.96)
 Fixed-time 9.4

 Self-reported 5.8 93.9 0.3 0.3 5.5 0.94 (0.87 – 1.00) 0.99 (0.99 – 1.00)
 Actigraphy 5.8

 Fixed-time 9.4** 89.1 1.5 5.2 4.2 0.53 (0.35 – 0.70) 0.93 (0.91 – 0.96)
 Actigraphy 5.8

Dipping

 Self-reported 56.7 36.1 7.3 10.3 46.4 0.65 (0.56 – 0.73) 0.82 (0.78 – 0.87)
 Fixed-time 53.6

 Self-reported 56.7* 38.2 5.2 1.8 54.9 0.86 (0.80 – 0.91) 0.93 (0.90 – 0.96)
 Actigraphy 60.0

 Fixed-time 53.6** 33.6 12.7 6.4 47.3 0.61 (0.53 – 0.70) 0.81 (0.77 – 0.85)
 Actigraphy 60.6

Non-dipping

 Self-reported 34.6 60.0 5.5 8.5 26.1 0.69 (0.60 – 0.77) 0.86 (0.82 – 0.90)
 Fixed-time 31.5

 Self-reported 34.6 63.0 2.4 5.2 29.4 0.83 (0.77 – 0.89) 0.92 (0.90 – 0.95)
 Actigraphy 31.8

 Fixed-time 31.5 61.5 7.0 6.7 24.9 0.68 (0.60 – 0.77) 0.86 (0.83 – 0.90)
 Actigraphy 31.8

Reverse dipping

 Self-reported 3.0* 93.3 3.6 1.2 1.8 0.41 (0.17 – 0.64) 0.95 (0.93 – 0.97)
 Fixed-time 5.5

 Self-reported 3.0 96.7 0.3 0.9 2.1 0.77 (0.55 – 0.99) 0.99 (0.98 – 1.00)
 Actigraphy 2.4

 Fixed-time 5.5** 93.9 0.6 3.6 1.8 0.44 (0.20 – 0.68) 0.96 (0.94 – 0.98)
 Actigraphy 2.4

Daytime hypertension is defined as daytime systolic or diastolic blood pressure ≥135 or ≥85 mmHg at ambulatory blood pressure monitoring period 1.

Nighttime hypertension is defined as a nighttime systolic or diastolic blood pressure ≥120 or ≥70 mmHg at ambulatory blood pressure monitoring periods 1.

Non-dipping status defined as night-day BP ratio is >0.90 at ambulatory blood pressure monitoring periods 1.

Magnitude of dipping defined as 4 categories (must be present at ambulatory blood pressure monitoring periods 1: extreme dipper (mean night-day BP ratio ≤0.80), dipper (mean night-day BP ratio >0.80 and ≤0.90), non-dipper (mean night-day BP ratio >0.90 and ≤1.00), and reverse dipper (mean night-day BP ratio >1.00).

*

Indicates p-value ≤0.05 using McNemar’s chi-square test for paired proportions.

**

Indicates p-value ≤0.01 using McNemar’s chi-square test for paired proportions.

Using the definition of the International Database of Ambulatory Blood Pressure in relation to Cardiovascular Outcome (IDACO) for Europeans (nighttime: 00:00 to 06:00; daytime: 10:00 to 20:00).