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. 2022 Feb 9;24(3):263–270. doi: 10.1111/jch.14418

TABLE 2.

Estimated prevalence and number of US adults with systolic blood pressure ≥130 mm Hg or diastolic blood pressure ≥80 mm Hg when blood pressure was measured following the NHANES protocol and when it is measured with bias

US adults not taking antihypertensive medication US adults taking antihypertensive medication
BP measured following protocol BP measured following protocol
Yes No – BP measured with bias Difference (95% CI) Yes No – BP measured with bias Difference (95% CI)
Bias 5 mm Hg in SBP and 3.5 mm Hg in DBP 5 mm Hg in SBP and 3.5 mm Hg in DBP
NHANES estimate Higher BP NHANES estimate Higher BP

Prevalence (95% CI), %

32.0 (29.6, 34.4) 44.4 (42.6, 46.2) 12.4 (10.6, 14.5) 60.6 (57.2, 63.9) 71.8 (68.3, 75.0) 11.2 (9.0, 13.8)
N (95% CI), millions 60.8 (54.6, 61.7) 84.4 (77.7, 91.1) 23.6 (19.5, 27.6) 34.5 (29.8, 39.2) 40.9 (35.5, 46.3) 6.4 (4.8, 7.9)
NHANES estimate Lower BP NHANES estimate Lower BP

Prevalence (95% CI), %

32.0 (29.6, 34.4) 21.9 (19.5, 24.4) ‐10.1 (‐11.4, ‐8.9) 60.6 (57.2, 63.9) 48.4 (44.6, 52.2) ‐12.2 (‐15.1, ‐9.8)
N (95% CI), millions 60.8 (54.6, 61.7) 41.6 (35.9, 47.3) ‐19.2 (‐21.7, ‐16.7) 34.5 (29.8, 39.2) 27.6 (23.5, 31.6) ‐6.9 (‐8.7, ‐5.2)
Bias 10 mm Hg in SBP and 7 mm Hg in DBP 10 mm Hg in SBP and 7 mm Hg in DBP
NHANES estimate Higher BP NHANES estimate Higher BP

Prevalence (95% CI), %

32.0 (29.6, 34.4) 61.0 (59.0, 62.9) 29.0 (26.7, 31.4) 60.6 (57.2, 63.9) 82.7 (79.4, 85.6) 22.1 (19.3, 25.2)
N (95% CI), millions 60.8 (54.6, 61.7) 116.0 (105.5, 126.5) 55.2 (48.2, 62.2) 34.5 (29.8, 39.2) 47.1 (40.6, 53.6) 12.6 (10.0, 15.2)
NHANES estimate Lower BP NHANES estimate Lower BP

Prevalence (95% CI), %

32.0 (29.6, 34.4) 15.4 (13.4, 17.6) ‐16.6 (‐18.7, ‐14.6) 60.6 (57.2, 63.9) 38.3 (35.2, 41.5) ‐22.3 (‐24.5, ‐20.2)
N (95% CI), millions 60.8 (54.6, 61.7) 29.3 (25.1, 33.5) ‐31.5 (‐36.3, ‐26.7) 34.5 (29.8, 39.2) 21.8 (18.7, 24.9) ‐12.7 (‐14.8, ‐10.6)

Abbreviations: CI, Confidence interval; BP, Blood pressure; NHANES, National Health and Nutrition Examination Survey; SBP, Systolic blood pressure; DBP, Diastolic blood pressure.