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).