Institute of Healthy Geography, College of Geography and Tourism, Shaanxi Normal University, Xi'an, Shaanxi, China.
Baoji University of Arts and Sciences, Baoji, Shaanxi, China.
Cancer Med. 2019 Aug;8(9):4465-4474. doi: 10.1002/cam4.2176. Epub 2019 Jun 14.
This study aims to explore the Cancer antigen 724 (CA724) reference values spatial distribution characteristics in healthy Chinese adults. The study can provide regional reference for medical diagnosis.
The relationship between CA724 and 25 geographical environmental factors was analyzed firstly. Artificial neural network simulation training was used to construct the prediction model. The national forecast distribution map of the CA724 reference values was obtained by the geostatistical mapping method. Analyzing and exploring the influence mechanism of geographical environment factors on CA724 reference values.
Collecting 34470 cases from more than 106 cities healthy adults CA724 reference values via several paper databases in 10 recent years. Correlation analysis, RBF artificial neural networks and trend surface analysis were applied to explore if there was any tendency of spatial variation. The Kriging interpolation of geostatistical analysis was developed to reveal the spatial distribution characteristics of the CA724 reference values.
The distribution of CA724 reference values of Chinese healthy adults shows a downward trend from south to north. CA724 reference values have negative correlations with latitude, annual sunshine duration and topsoil cation exchange capacity in clay. CA724 have positive correlations with annual mean air temperature, annual mean relative humidity, and annual precipitation amount. High temperature and high humidity environment will reduce gastrointestinal function and breeze various mold bacteria. Lack of sunshine can easily lead to vitamin C deficiency in the body. These will increase the incidence of gastrointestinal diseases and gastric cancer, then increase the CA724 value.
CA724 reference values show spatial autocorrelation and regional variation. There are some geographical environment factors effected Chinese healthy adults CA724 reference values. Geographic factors such as sunshine, temperature, and humidity have effects on CA724 reference values can provide new ideas and directions of prevention and clinical diagnosis in the future.
本研究旨在探讨健康中国成年人中癌抗原 724(CA724)参考值的空间分布特征。该研究可为医学诊断提供区域性参考。
首先分析 CA724 与 25 个地理环境因素的关系,采用人工神经网络模拟训练构建预测模型,通过地质统计制图方法获得 CA724 参考值的全国预测分布图,分析探讨地理环境因素对 CA724 参考值的影响机制。
收集近 10 年来多个纸质数据库中 106 多个城市健康成年人的 34470 例 CA724 参考值。采用相关分析、RBF 人工神经网络和趋势面分析方法,探讨是否存在空间变化趋势。采用地质统计分析的克里金插值法揭示 CA724 参考值的空间分布特征。
中国健康成年人 CA724 参考值的分布呈现由南向北逐渐下降的趋势。CA724 参考值与纬度、年日照时间和粘土地表阳离子交换量呈负相关,与年平均气温、年平均相对湿度和年降水量呈正相关。高温高湿环境会降低胃肠道功能,滋生各种霉菌细菌。日照不足容易导致体内维生素 C 缺乏。这些都会增加胃肠道疾病和胃癌的发病率,从而导致 CA724 值升高。
CA724 参考值表现出空间自相关和区域变化。地理环境因素对中国健康成年人 CA724 参考值有一定影响。阳光、温度和湿度等地理因素对 CA724 参考值的影响,可以为今后的预防和临床诊断提供新的思路和方向。