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The NHANES program was initiated in the early 1960s and beginning in 1999 has been conducted continuously, in two-year cycles. The protocols for each cycle were approved by the NCHS Institutional Review Board. Written informed consent was obtained from each participant.

Usage

nhanes_data

Format

An object of class data.table (inherits from data.frame) with 59799 rows and 111 columns.

Details

NHANES data include in-home interviews and study examinations conducted at mobile examination centers. The interview included questions about demographics, health behaviors, prior diagnoses, medication use, and medical history. During the interview, the labels of medications that participants reported taking in the preceding 30 days were recorded. During the study examination, height and weight were measured, blood samples were used to measure cholesterol, glycated hemoglobin and serum creatinine, and a spot urine sample was used to measure albumin and creatinine and to conduct a pregnancy test.

Currently, two sub-populations are included in nhanes_data:

  • blood pressure and hypertension (n = 56,017)

  • lipids and cholesterol (n = 25,151)

To access a sub-population, simply filter nhanes_data to contain rows where the corresponding sub-population indicator is equal to 1, e.g.,

# for blood pressure and hypertension sub-population
nhanes_data[svy_subpop_htn == 1]

# for lipids and cholesterol sub-population
nhanes_data[svy_subpop_chol == 1]

Survey variables

In each NHANES cycle, potential participants were identified using a multi-stage sampling process. The variables below are based on this process.

svy_id

  • Label: Participant identifier

  • Description: NHANES participant unique identifier.

svy_psu

  • Label: Primary sampling unit

  • Description: Population sampling unit. This variable is used to account for the non-random selection of study participants for NHANES

svy_strata

  • Label: Strata

  • Description: Population stratification. This variable is used to account for the non-random selection of study participants for NHANES

svy_weight_mec

  • Label: Mobile examination center weights

  • Description: Weight applied to produce statistical estimates for the non-institutionalized US population. This weight is used for calculating means and proportions.

svy_subpop_htn

  • Label: Subpopulation for hypertension

  • Description: This indicates that the person has data needed to be included in the analysis of blood pressure or hypertension data (i.e., they had at least one systolic and diastolic blood pressure measurement and they had information on self-reported antihypertensive medication use).

svy_year

  • Label: NHANES cycle

  • Description: NHANES survey cycle: 1999-2000, 2001-2002, 2003-2004, 2005-2006, 2007-2008, 2009-2010, 2011-2012, 2013-2014, 2015-2016, 2017-2020. Each cycle is 2 years in length, apart from 2017-2020, which covers 2017 through March of 2020 (approximately 3.2 years)

Demographics variables

The NHANES in-home interview included questions about participant demographics, including age, sex, race/ethnicity, and pregnancy status

demo_age_cat

  • Label: Age category, years

  • Description: Age grouping: 18-44, 45-64, 65-74, >= 75 years

  • Number of observed values: 56,017 (100%)

  • Counts of observed values

    • 18 to 44: 26,096 (46.6%)

    • 45 to 64: 17,155 (30.6%)

    • 65 to 74: 7,013 (12.5%)

    • 75+: 5,753 (10.3%)

  • Number of missing values: 0 (0.00%)

demo_race

  • Label: Race/ethnicity

  • Description: Self-reported race/ethnicity. From 1999-2000 through 2009-2010 this was available as non-Hispanic White, non-Hispanic Black, Hispanic and other. From 2011-2012 through 2017-2020 this was available as non-Hispanic White, non-Hispanic Black, non-Hispanic Asian, Hispanic and other.

  • Number of observed values: 56,017 (100%)

  • Counts of observed values

    • Non-Hispanic White: 23,980 (42.8%)

    • Non-Hispanic Black: 12,355 (22.1%)

    • Non-Hispanic Asian: 2,946 (5.26%)

    • Hispanic: 14,520 (25.9%)

    • Other: 2,216 (3.96%)

  • Number of missing values: 0 (0.00%)

demo_age_years

  • Label: Age, years

  • Description: Participant age in years. Participants > 80 years of age are given an age of 80 years. This top-coding was changed from 85 years to 80 with the 2007-2008 cycle (prior to then, was top-coded at 85).

  • Number of observed values: 56,017 (100%)

  • Mean (standard deviation): 47.41 (19.02)

  • Median (25th, 75th percentile): 31.00 (47.00, 63.00)

  • Number of missing values: 0 (0.00%)

demo_pregnant

  • Label: Pregnant

  • Description: Pregnancy status. This is defined by either self-report of being pregnant or a positive pregnancy test conducted during the study visit.

  • Number of observed values: 55,597 (99.3%)

  • Counts of observed values

    • No: 54,084 (97.3%)

    • Yes: 1,513 (2.72%)

  • Number of missing values: 420 (0.75%)

demo_gender

  • Label: Gender

  • Description: Self-reported gender

  • Number of observed values: 56,017 (100%)

  • Counts of observed values

    • Men: 27,242 (48.6%)

    • Women: 28,775 (51.4%)

  • Number of missing values: 0 (0.00%)

Blood pressure variables

Systolic and diastolic BP (SBP and DBP, respectively) were measured three times by trained and certified physicians. BP was measured using a mercury sphygmomanometer from 1999-2000 through 2015-2016 and using an oscillometric device in 2017-2020. The oscillometric SBP and DBP values were calibrated to the mercury device. Mean SBP and DBP levels were computed over all available

bp_sys_mean

  • Label: Systolic blood pressure (SBP), mm Hg

  • Description: Mean systolic blood pressure in mm Hg. This is based on the average of up to 3 readings. Participants were required to have at least one reading. Overall, >95% of participants with at least one systolic blood pressure reading had three readings. From 1999-2000 through 2015-2016, systolic blood pressure was measured using a mercury sphygmomanometer. In 2017-2020, systolic blood pressure was measured using an oscillometric device. The systolic blood pressure in 2017-2020 was calibrated to the mercury device by adding 1.5 mm Hg to the mean measured oscillometric value.

  • Number of observed values: 56,017 (100%)

  • Mean (standard deviation): 124.06 (19.34)

  • Median (25th, 75th percentile): 110.67 (120.67, 134.00)

  • Number of missing values: 0 (0.00%)

bp_dia_mean

  • Label: Diastolic blood pressure (DBP), mm Hg

  • Description: Mean diastolic blood pressure in mm Hg. This is based on the average of up to 3 readings. Participants were required to have at least one reading. Overall, >95% of participants with at least one diastolic blood pressure reading had three readings. From 1999-2000 through 2015-2016, diastolic blood pressure was measured using a mercury sphygmomanometer. In 2017-2020, diastolic blood pressure was measured using an oscillometric device. The diastolic blood pressure in 2017-2020 was calibrated to the mercury device by subtracting 1.3 mm Hg to the mean measured oscillometric value.

  • Number of observed values: 56,017 (100%)

  • Mean (standard deviation): 70.34 (12.10)

  • Median (25th, 75th percentile): 62.67 (70.37, 78.00)

  • Number of missing values: 0 (0.00%)

bp_cat_meds_excluded

  • Label: Blood pressure category

  • Description: Systolic/diastolic blood pressure <120/80, 120-129/<80, 130-139/80-89, 140-159/90-99, >= 160/100. All participants were placed in the category associated with a higher blood pressure (e.g., someone with systolic blood pressure of 150 mm Hg and diastolic blood pressure of 76 mm Hg was placed in the 140-159/90-99 mm Hg category)

  • Number of observed values: 56,017 (100%)

  • Counts of observed values

    • SBP <120 and DBP <80 mm Hg: 25,278 (45.1%)

    • SBP of 120 to <130 and DBP <80 mm Hg: 8,962 (16.0%)

    • SBP of 130 to <140 or DBP 80 to <90 mm Hg: 10,854 (19.4%)

    • SBP of 140 to <160 or DBP 90 to <100 mm Hg: 7,617 (13.6%)

    • SBP 160+ or DBP 100+ mm Hg: 3,306 (5.90%)

  • Number of missing values: 0 (0.00%)

bp_cat_meds_included

  • Label: Blood pressure category including antihypertensive medication use as a group

  • Description: Systolic/diastolic blood pressure <120/80, 120-129/<80, 130-139/80-89, 140-159/90-99, >= 160/100. Participants taking antihypertensive medication were placed in a separate category. Participants were placed in the category associated with higher blood pressure (e.g., someone with systolic blood pressure of 150 mm Hg and diastolic blood pressure of 76 mm Hg was placed in the 140-159/90-99 mm Hg category)

  • Number of observed values: 56,017 (100%)

  • Counts of observed values

    • SBP <120 and DBP <80 mm Hg: 22,359 (39.9%)

    • SBP of 120 to <130 and DBP < 80 mm Hg: 6,702 (12.0%)

    • SBP of 130 to <140 or DBP 80 to <90 mm Hg: 7,579 (13.5%)

    • SBP of 140 to <160 or DBP 90 to <100 mm Hg: 4,122 (7.36%)

    • SBP 160+ or DBP 100+ mm Hg: 1,508 (2.69%)

    • taking antihypertensive medications: 13,747 (24.5%)

  • Number of missing values: 0 (0.00%)

bp_control_jnc7

  • Label: Blood pressure control defined by the JNC7 guideline

  • Description: Systolic and diastolic blood pressure controlled to the levels recommended in the JNC7 guideline, systolic blood pressure < 140 mm Hg and diastolic blood pressure < 90 mm Hg except for those with diabetes or chronic kidney disease, where blood pressure control was defined by systolic blood pressure < 130 mm Hg and diastolic blood pressure < 80 mm Hg.

  • Number of observed values: 56,017 (100%)

  • Counts of observed values

    • No: 13,867 (24.8%)

    • Yes: 42,150 (75.2%)

  • Number of missing values: 0 (0.00%)

bp_control_accaha

  • Label: Blood pressure control defined by the 2017 ACC/AHA BP guideline

  • Description: Systolic and diastolic blood pressure controlled to the levels recommended in the 2017 ACC/AHA BP guideline, systolic blood pressure < 130 mm Hg and diastolic blood pressure < 80 mm Hg except for those >= 65 years of age without diabetes, chronic kidney disease, history of cardiovascular disease or 10-year predicted ASCVD risk >= 10% estimated using the Pooled Cohort risk equations. For this group, blood pressure control was defined as systolic blood pressure < 130 mm Hg

  • Number of observed values: 56,017 (100%)

  • Counts of observed values

    • No: 21,740 (38.8%)

    • Yes: 34,277 (61.2%)

  • Number of missing values: 0 (0.00%)

bp_control_escesh_1

  • Label: Blood pressure control defined by the 2018 ESC/ESH arterial hypertension guideline; first goal

  • Description: Systolic and diastolic blood pressure controlled to the levels recommended in the 2018 ESC/ESH arterial hypertension guideline; first goal, systolic blood pressure < 140 mm Hg and diastolic blood pressure < 90 mm Hg.

  • Number of observed values: 56,017 (100%)

  • Counts of observed values

    • No: 10,923 (19.5%)

    • Yes: 45,094 (80.5%)

  • Number of missing values: 0 (0.00%)

bp_control_escesh_2

  • Label: Blood pressure control defined by the 2018 ESC/ESH arterial hypertension guideline; second goal

  • Description: Systolic and diastolic blood pressure controlled to the levels recommended in the 2018 ESC/ESH arterial hypertension guideline; second goal, systolic blood pressure < 130 mm Hg and diastolic blood pressure < 80 mm Hg for those < 65 years of age except those with chronic kidney disease and those age >= 65 years. For those with chronic kidney disease < 65 years and those age >= 65 years, blood pressure control was defined as systolic blood pressure < 140 and diastolic blood pressure < 80 mm Hg.

  • Number of observed values: 56,017 (100%)

  • Counts of observed values

    • No: 19,152 (34.2%)

    • Yes: 36,865 (65.8%)

  • Number of missing values: 0 (0.00%)

bp_control_140_90

  • Label: Blood pressure control (SBP < 140 mm Hg and DBP < 90 mm Hg)

  • Description: Systolic blood pressure < 140 mm Hg and diastolic blood pressure < 90 mm Hg

  • Number of observed values: 56,017 (100%)

  • Counts of observed values

    • No: 10,923 (19.5%)

    • Yes: 45,094 (80.5%)

  • Number of missing values: 0 (0.00%)

bp_control_130_80

  • Label: Blood pressure control (SBP < 130 mm Hg and DBP < 80 mm Hg)

  • Description: Systolic blood pressure < 130 mm Hg and diastolic blood pressure < 80 mm Hg

  • Number of observed values: 56,017 (100%)

  • Counts of observed values

    • No: 21,777 (38.9%)

    • Yes: 34,240 (61.1%)

  • Number of missing values: 0 (0.00%)

bp_uncontrolled_jnc7

  • Label: Uncontrolled blood pressure defined by the JNC7 guideline

  • Description: Systolic blood pressure >= 140 mm Hg or diastolic blood pressure >= 90 mm Hg for those without diabetes and without chronic kidney disease; Systolic blood pressure >= 130 mm Hg or diastolic blood pressure >= 80 mm Hg for those with diabetes or chronic kidney disease

  • Number of observed values: 56,017 (100%)

  • Counts of observed values

    • No: 42,150 (75.2%)

    • Yes: 13,867 (24.8%)

  • Number of missing values: 0 (0.00%)

bp_uncontrolled_accaha

  • Label: Uncontrolled blood pressure defined by the 2017 ACC/AHA BP guideline

  • Description: Systolic blood pressure >= 130 mm Hg or diastolic blood pressure >= 80 mm Hg except for adults >= 65 years of age without diabetes, chronic kidney disease, history of cardiovascular disease or 10-year predicted ASCVD risk >= 10%. For this group, uncontrolled blood pressure was defined as systolic blood pressure >= 130 mm Hg.

  • Number of observed values: 56,017 (100%)

  • Counts of observed values

    • No: 34,277 (61.2%)

    • Yes: 21,740 (38.8%)

  • Number of missing values: 0 (0.00%)

bp_uncontrolled_escesh_1

  • Label: Uncontrolled blood pressure control defined by the 2018 ESC/ESH arterial hypertension guideline; first goal

  • Description: Systolic blood pressure >= 140 mm Hg or diastolic blood pressure >= 90 mm Hg

  • Number of observed values: 56,017 (100%)

  • Counts of observed values

    • No: 45,094 (80.5%)

    • Yes: 10,923 (19.5%)

  • Number of missing values: 0 (0.00%)

bp_uncontrolled_escesh_2

  • Label: Uncontrolled blood pressure control defined by the 2018 ESC/ESH arterial hypertension guideline; second goal

  • Description: Systolic blood pressure >= 130 mm Hg or diastolic blood pressure >= 80 mm Hg except for those < 65 years of age with chronic kidney disease and those age >= 65 years. For those < 65 years of age with chronic kidney disease and those age >= 65 years, uncontrolled blood pressure was defined as systolic blood pressure >= 140 and diastolic blood pressure >= 80 mm Hg.

  • Number of observed values: 56,017 (100%)

  • Counts of observed values

    • No: 36,865 (65.8%)

    • Yes: 19,152 (34.2%)

  • Number of missing values: 0 (0.00%)

bp_uncontrolled_140_90

  • Label: Uncontrolled blood pressure (SBP >= 140 mm Hg or DBP >= 90 mm Hg)

  • Description: Systolic blood pressure >= 140 mm Hg or diastolic blood pressure >= 90 mm Hg

  • Number of observed values: 56,017 (100%)

  • Counts of observed values

    • No: 45,094 (80.5%)

    • Yes: 10,923 (19.5%)

  • Number of missing values: 0 (0.00%)

bp_uncontrolled_130_80

  • Label: Uncontrolled blood pressure (SBP >= 130 mm Hg or DBP >= 80 mm Hg)

  • Description: Systolic blood pressure >= 130 mm Hg or diastolic blood pressure >= 80 mm Hg

  • Number of observed values: 56,017 (100%)

  • Counts of observed values

    • No: 34,240 (61.1%)

    • Yes: 21,777 (38.9%)

  • Number of missing values: 0 (0.00%)

Hypertension variables

These variables are derived according to the 2017 American College of Cardiology/American Heart Association (ACC/AHA) BP guideline and the Seventh Joint National Committee (JNC7) BP guideline.

htn_jnc7

  • Label: Hypertension defined by the JNC7 guideline

  • Description: Hypertension defined by the JNC7 guideline, systolic blood pressure >= 140 mm Hg, diastolic blood pressure >= 90 mm Hg or self-reported antihypertensive medication use.

  • Number of observed values: 56,017 (100%)

  • Counts of observed values

    • No: 36,640 (65.4%)

    • Yes: 19,377 (34.6%)

  • Number of missing values: 0 (0.00%)

htn_accaha

  • Label: Hypertension defined by the 2017 ACC/AHA BP guideline

  • Description: Hypertension defined by the 2017 ACC/AHA blood pressure guideline, systolic blood pressure >= 130 mm Hg, diastolic blood pressure >= 80 mm Hg or self-reported antihypertensive medication use.

  • Number of observed values: 56,017 (100%)

  • Counts of observed values

    • No: 29,061 (51.9%)

    • Yes: 26,956 (48.1%)

  • Number of missing values: 0 (0.00%)

htn_escesh

  • Label: Hypertension defined by the 2018 ESC/ESH arterial hypertension guideline

  • Description: Hypertension defined by the 2018 ESC/ESH arterial hypertension guideline Hypertension defined by the 2018 ESC/ESH arterial hypertension guideline, systolic blood pressure >= 140 mm Hg, diastolic blood pressure >= 90 mm Hg, or self-reported antihypertensive medication.

  • Number of observed values: 56,017 (100%)

  • Counts of observed values

    • No: 36,640 (65.4%)

    • Yes: 19,377 (34.6%)

  • Number of missing values: 0 (0.00%)

htn_aware

  • Label: Awareness of hypertension

  • Description: Self-report of a prior diagnosis of antihypertensive medication.

  • Number of observed values: 56,017 (100%)

  • Counts of observed values

    • No: 37,597 (67.1%)

    • Yes: 18,420 (32.9%)

  • Number of missing values: 0 (0.00%)

htn_resistant_jnc7

  • Label: Apparent resistant hypertension defined by the JNC7 guideline

  • Description: Taking 4 or more classes of antihypertensive medication, systolic blood pressure >= 140 mm Hg or diastolic blood pressure >= 90 mm Hg with the use of 3 classes of antihypertensive medication, or systolic blood pressure >= 130 mm Hg or diastolic blood pressure >= 80 mm Hg with the use of 3 classes of antihypertensive medication for those with diabetes or chronic kidney disease.

  • Number of observed values: 56,017 (100%)

  • Counts of observed values

    • No: 53,626 (95.7%)

    • Yes: 2,391 (4.27%)

  • Number of missing values: 0 (0.00%)

htn_resistant_accaha

  • Label: Apparent resistant hypertension defined by the 2017 ACC/AHA BP guideline

  • Description: Taking 4 or more classes of antihypertensive medication; systolic blood pressure >= 130 mm Hg or diastolic blood pressure >= 80 mm Hg with the use of 3 classes of antihypertensive medication for those < 65 years of age and those >= 65 years of age with diabetes, chronic kidney disease, history of cardiovascular disease or 10-year predicted ASCVD risk >= 10%; Systolic blood pressure >= 130 mm Hg with the use of 3 classes of antihypertensive medication for those >= 65 years of age without diabetes, chronic kidney disease, history of cardiovascular disease or 10-year predicted ASCVD risk >= 10%.

  • Number of observed values: 56,017 (100%)

  • Counts of observed values

    • No: 53,390 (95.3%)

    • Yes: 2,627 (4.69%)

  • Number of missing values: 0 (0.00%)

htn_resistant_accaha_thz

  • Label: Apparent resistant hypertension defined by the JNC7 guideline, requires thiazide diuretic

  • Description: Taking 4 or more classes of antihypertensive medication; systolic blood pressure >= 130 mm Hg or diastolic blood pressure >= 80 mm Hg with the use of 3 classes of antihypertensive medication for those < 65 years of age and those >= 65 years of age with diabetes, chronic kidney disease, history of cardiovascular disease or 10-year predicted ASCVD risk >= 10%; Systolic blood pressure >= 130 mm Hg with the use of 3 classes of antihypertensive medication for those >= 65 years of age without diabetes, chronic kidney disease, history of cardiovascular disease or 10-year predicted ASCVD risk >= 10%. To meet this definition of resistant hypertension, the participant had to be taking a thiazide diuretic.

  • Number of observed values: 56,017 (100%)

  • Counts of observed values

    • No: 54,484 (97.3%)

    • Yes: 1,533 (2.74%)

  • Number of missing values: 0 (0.00%)

htn_resistant_jnc7_thz

  • Label: Apparent resistant hypertension defined by the 2017 ACC/AHA BP guideline, requires thiazide diuretic

  • Description: Taking 4 or more classes of antihypertensive medication, systolic blood pressure >= 140 mm Hg or diastolic blood pressure >= 90 mm Hg with the use of 3 classes of antihypertensive medication, or systolic blood pressure >= 130 mm Hg or diastolic blood pressure >= 80 mm Hg with the use of 3 classes of antihypertensive medication for those with diabetes or chronic kidney disease. To meet this definition of resistant hypertension, the participant had to be taking a thiazide diuretic.

  • Number of observed values: 56,017 (100%)

  • Counts of observed values

    • No: 54,647 (97.6%)

    • Yes: 1,370 (2.45%)

  • Number of missing values: 0 (0.00%)

Antihypertensive medication variables

During the interview, the labels of medications that participants reported taking in the preceding 30 days were recorded.

bp_med_use

  • Label: Self-reported antihypertensive medication use

  • Description: Self-reported use of antihypertensive medication

  • Number of observed values: 56,017 (100%)

  • Counts of observed values

    • No: 42,270 (75.5%)

    • Yes: 13,747 (24.5%)

  • Number of missing values: 0 (0.00%)

  • Label: Antihypertensive medication use recommended by the JNC7 guideline

  • Description: Systolic blood pressure >= 140 mm Hg or diastolic blood pressure >= 90 mm Hg; Systolic blood pressure >= 130 mm Hg or diastolic blood pressure >= 80 mm Hg for those with chronic kidney disease or diabetes. Those taking antihypertensive medications were considered to be recommended treatment.

  • Number of observed values: 56,017 (100%)

  • Counts of observed values

    • No: 35,266 (63.0%)

    • Yes: 20,751 (37.0%)

  • Number of missing values: 0 (0.00%)

  • Label: Antihypertensive medication use recommended by the 2017 ACC/AHA BP guideline

  • Description: Systolic blood pressure >= 130 mm Hg or diastolic blood pressure >= 80 mm Hg; Systolic blood pressure >= 130 mm Hg for those age >= 65 years without diabetes, chronic kidney disease, history of cardiovascular disease, or 10-year predicted atherosclerotic cardiovascular disease risk >= 10% by the pooled cohort risk equations. Those taking antihypertensive medications were considered to be recommended treatment.

  • Number of observed values: 56,017 (100%)

  • Counts of observed values

    • No: 34,003 (60.7%)

    • Yes: 22,014 (39.3%)

  • Number of missing values: 0 (0.00%)

  • Label: Antihypertensive medication use recommended by the 2018 ESC/ESH arterial hypertension guideline

  • Description: Systolic blood pressure >= 140 mm Hg or diastolic blood pressure >= 90 mm Hg. Those taking antihypertensive medications were considered to be recommended treatment.

  • Number of observed values: 56,017 (100%)

  • Counts of observed values

    • No: 36,640 (65.4%)

    • Yes: 19,377 (34.6%)

  • Number of missing values: 0 (0.00%)

bp_med_n_class

  • Label: Number of antihypertensive medication classes

  • Description: Number of antihypertensive medication classes being taken based on the pill bottle review.

  • Number of observed values: 55,600 (99.3%)

  • Counts of observed values

    • None: 39,489 (71.0%)

    • One: 6,885 (12.4%)

    • Two: 5,349 (9.62%)

    • Three: 2,710 (4.87%)

    • Four or more: 1,167 (2.10%)

  • Number of missing values: 417 (0.74%)

bp_med_n_pills

  • Label: Number of antihypertensive medication pills

  • Description: Number of antihypertensive medication pills being taken based on the medication inventory.

  • Number of observed values: 55,600 (99.3%)

  • Counts of observed values

    • None: 39,489 (71.0%)

    • One: 8,432 (15.2%)

    • Two: 4,820 (8.67%)

    • Three: 2,050 (3.69%)

    • Four or more: 809 (1.46%)

  • Number of missing values: 417 (0.74%)

bp_med_combination

  • Label: Combination therapy

  • Description: Taking a single pill with two classes of antihypertensive medication.

  • Number of observed values: 55,600 (99.3%)

  • Counts of observed values

    • No: 52,523 (94.5%)

    • Yes: 3,077 (5.53%)

  • Number of missing values: 417 (0.74%)

bp_med_pills_gteq_2

  • Label: Taking two or more antihypertensive medication pills

  • Description: Taking >= 2 antihypertensive medication pills based on the medication inventory.

  • Number of observed values: 56,017 (100%)

  • Counts of observed values

    • No: 48,338 (86.3%)

    • Yes: 7,679 (13.7%)

  • Number of missing values: 0 (0.00%)

bp_med_ace

  • Label: ACE inhibitors

  • Description: Taking an angiotensin converting enzyme inhibitor, defined using the pill bottle review. Drugs in this class included benazepril, captopril, enalapril, fosinopril, lisinopril, moexipril, perindopril, quinapril, ramipril, trandolapril

  • Number of observed values: 55,600 (99.3%)

  • Counts of observed values

    • No: 48,967 (88.1%)

    • Yes: 6,633 (11.9%)

  • Number of missing values: 417 (0.74%)

bp_med_aldo

  • Label: Aldosterone antagonists

  • Description: Taking an aldosterone antagonist, defined using the pill bottle review. Drugs in this class included eplerenone, spironolactone.

  • Number of observed values: 55,600 (99.3%)

  • Counts of observed values

    • No: 55,186 (99.3%)

    • Yes: 414 (0.74%)

  • Number of missing values: 417 (0.74%)

bp_med_alpha

  • Label: Alpha-1 blockers

  • Description: Taking an alpha blocker, defined using the pill bottle review. Drugs in this class included doxazosin, prazosin, terazosin.

  • Number of observed values: 55,600 (99.3%)

  • Counts of observed values

    • No: 54,831 (98.6%)

    • Yes: 769 (1.38%)

  • Number of missing values: 417 (0.74%)

bp_med_angioten

  • Label: Angiotensin receptor blockers

  • Description: Taking an angiotensin receptor blocker, defined using the pill bottle review. Drugs in this class included azilsartan, candesartan, eprosartan, irbesartan, losartan, olmesartan, telmisartan, valsartan.

  • Number of observed values: 55,600 (99.3%)

  • Counts of observed values

    • No: 52,083 (93.7%)

    • Yes: 3,517 (6.33%)

  • Number of missing values: 417 (0.74%)

bp_med_beta

  • Label: Beta blockers

  • Description: Taking a beta blocker. Drugs in this class included acebutolol, atenolol, betaxolol, bisoprolol, carvedilol, labetalol, metoprolol, nadolol, nebivolol, pindolol, penbutolol, propranolol, timolol.

  • Number of observed values: 55,600 (99.3%)

  • Counts of observed values

    • No: 49,527 (89.1%)

    • Yes: 6,073 (10.9%)

  • Number of missing values: 417 (0.74%)

bp_med_ccb

  • Label: Calcium channel blockers

  • Description: Taking a calcium channel blocker, defined using the pill bottle review. Drugs in this class included amlodipine, diltiazem, felodipine, isradipine, nicardipine, nifedipine, nisoldipine, verapamil.

  • Number of observed values: 55,600 (99.3%)

  • Counts of observed values

    • No: 50,738 (91.3%)

    • Yes: 4,862 (8.74%)

  • Number of missing values: 417 (0.74%)

bp_med_ccb_dh

  • Label: Dihydropyridine calcium channel blockers

  • Description: Taking a dihydropyridine calcium channel blocker, defined using the medication inventory. Drugs in this class included amlodipine, felodipine, isradipine, nicardipine, nifedipine, and nisoldipine.

  • Number of observed values: 55,600 (99.3%)

  • Counts of observed values

    • No: 51,782 (93.1%)

    • Yes: 3,818 (6.87%)

  • Number of missing values: 417 (0.74%)

bp_med_ccb_ndh

  • Label: Non-dihydropyridine calcium channel blockers

  • Description: Taking a dihydropyridine calcium channel blocker, defined using the medication inventory. Drugs in this class included diltiazem, verapamil.

  • Number of observed values: 55,600 (99.3%)

  • Counts of observed values

    • No: 54,535 (98.1%)

    • Yes: 1,065 (1.92%)

  • Number of missing values: 417 (0.74%)

bp_med_central

  • Label: Central alpha1 agonist and other centrally acting agents

  • Description: Taking a centrally acting agents, defined using the pill bottle review. Drugs in this class included clonidine, guanabenz, guanadrel, guanethidine, guanfacine, methyldopa, reserpine.

  • Number of observed values: 55,600 (99.3%)

  • Counts of observed values

    • No: 55,135 (99.2%)

    • Yes: 465 (0.84%)

  • Number of missing values: 417 (0.74%)

bp_med_renin_inhibitors

  • Label: Direct renin inhibitors

  • Description: Taking a renin inhibitor, defined using the pill bottle review. Drugs in this class included aliskiren.

  • Number of observed values: 55,600 (99.3%)

  • Counts of observed values

    • No: 55,577 (100%)

    • Yes: 23 (0.04%)

  • Number of missing values: 417 (0.74%)

bp_med_vasod

  • Label: Direct vasodilators

  • Description: Taking a vasodilator, defined using the pill bottle review. Drugs in this class included hydralazine, minoxidil.

  • Number of observed values: 55,600 (99.3%)

  • Counts of observed values

    • No: 55,331 (99.5%)

    • Yes: 269 (0.48%)

  • Number of missing values: 417 (0.74%)

bp_med_diur_loop

  • Label: Loop diuretics

  • Description: Taking a loop diuretic, defined using the pill bottle review. Drugs in this class included bumetanide, furosemide, torsemide, ethacrynic acid.

  • Number of observed values: 55,600 (99.3%)

  • Counts of observed values

    • No: 53,757 (96.7%)

    • Yes: 1,843 (3.31%)

  • Number of missing values: 417 (0.74%)

bp_med_diur_Ksparing

  • Label: Potassium sparing diuretics

  • Description: Taking a potassium-sparing diuretic, defined using the pill bottle review. Drugs in this class included amiloride, triamterene.

  • Number of observed values: 55,600 (99.3%)

  • Counts of observed values

    • No: 54,804 (98.6%)

    • Yes: 796 (1.43%)

  • Number of missing values: 417 (0.74%)

bp_med_diur_thz

  • Label: Thiazide or thiazide-type diuretics

  • Description: Taking a thiazide diuretic, defined using the pill bottle review. Drugs in this class included bendroflumethiazide, chlorthalidone, chlorothiazide, hydrochlorothiazide, hydroflumethiazide, indapamide, metolazone, methyclothiazide, trichlormethiazide.

  • Number of observed values: 55,600 (99.3%)

  • Counts of observed values

    • No: 50,592 (91.0%)

    • Yes: 5,008 (9.01%)

  • Number of missing values: 417 (0.74%)

Comorbidities variables

These variables describe comorbid conditions.

cc_smoke

  • Label: Smoking status

  • Description: Self-reported current cigarette smoking

  • Number of observed values: 53,077 (94.8%)

  • Counts of observed values

    • Never: 29,261 (55.1%)

    • Former: 12,912 (24.3%)

    • Current: 10,904 (20.5%)

  • Number of missing values: 2,940 (5.25%)

cc_bmi

  • Label: Body mass index, kg/m2

  • Description: Body mass index in kg/m2, estimated using the height and weight measured during the study examination.

  • Number of observed values: 54,862 (97.9%)

  • Counts of observed values

    • <25: 17,284 (31.5%)

    • 25 to <30: 18,005 (32.8%)

    • 30 to <35: 10,916 (19.9%)

    • 35+: 8,657 (15.8%)

  • Number of missing values: 1,155 (2.06%)

cc_diabetes

  • Label: Prevalent diabetes

  • Description: HbA1c >= 6.5% or self-report of a prior diagnosis of diabetes with self-reported use of insulin or oral glucose-lowering medications.

  • Number of observed values: 56,017 (100%)

  • Counts of observed values

    • No: 48,778 (87.1%)

    • Yes: 7,239 (12.9%)

  • Number of missing values: 0 (0.00%)

cc_ckd

  • Label: Prevalent chronic kidney disease

  • Description: Estimated glomerular filtration rate < 60 ml/min/1.73 m2 or albumin-to-creatinine > 30 mg/g. Estimated glomerular filtration rate was calculated using the 2021 serum creatinine-based equation.

  • Number of observed values: 56,017 (100%)

  • Counts of observed values

    • No: 46,806 (83.6%)

    • Yes: 9,211 (16.4%)

  • Number of missing values: 0 (0.00%)

cc_cvd_mi

  • Label: History of myocardial infarction

  • Description: Self-reported history of myocardial infarction

  • Number of observed values: 52,087 (93.0%)

  • Counts of observed values

    • No: 49,829 (95.7%)

    • Yes: 2,258 (4.34%)

  • Number of missing values: 3,930 (7.02%)

cc_cvd_chd

  • Label: History of coronary heart disease

  • Description: Self-reported history of myocardial infarction or coronary heart disease

  • Number of observed values: 52,084 (93.0%)

  • Counts of observed values

    • No: 48,771 (93.6%)

    • Yes: 3,313 (6.36%)

  • Number of missing values: 3,933 (7.02%)

cc_cvd_stroke

  • Label: History of stroke

  • Description: Self-reported history of stroke

  • Number of observed values: 52,099 (93.0%)

  • Counts of observed values

    • No: 50,081 (96.1%)

    • Yes: 2,018 (3.87%)

  • Number of missing values: 3,918 (6.99%)

cc_cvd_ascvd

  • Label: History of ASCVD

  • Description: Self-reported history of coronary heart disease, myocardial infarction or stroke

  • Number of observed values: 56,017 (100%)

  • Counts of observed values

    • No: 51,268 (91.5%)

    • Yes: 4,749 (8.48%)

  • Number of missing values: 0 (0.00%)

cc_cvd_hf

  • Label: History of heart failure

  • Description: Self-reported history of heart failure

  • Number of observed values: 52,013 (92.9%)

  • Counts of observed values

    • No: 50,301 (96.7%)

    • Yes: 1,712 (3.29%)

  • Number of missing values: 4,004 (7.15%)

cc_cvd_any

  • Label: History of CVD

  • Description: Self-reported history of coronary heart disease, myocardial infarction, stroke or heart failure

  • Number of observed values: 56,017 (100%)

  • Counts of observed values

    • No: 50,646 (90.4%)

    • Yes: 5,371 (9.59%)

  • Number of missing values: 0 (0.00%)