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ular wellness. These findings suggest the American Heart Association/American College of Cardiology PCEs are accurate at estimating the probability of 10-year ASCVD risk regardless of LTPA level. The addition of self-reported LTPA to PCEs does not appear to be associated with improvement in risk prediction model performance. To examine the associations between urbanization and hypertension, stage II hypertension, and hypertension control. Data on 16,360 U.S. adults aged 18 years or older from the 2013-2018 National Health and Nutrition