Department of Hypertension Research, Beijing Anzhen Hospital, Capital Medical University and Beijing Institute of Herat Lung and Blood Vessel Diseases, Beijing, People's Republic of China.
Beijing Lab for Cardiovascular Precision Medicine, Beijing, People's Republic of China.
Int J Med Sci. 2019 Jun 2;16(6):793-799. doi: 10.7150/ijms.33967. eCollection 2019.
: Essential hypertension (EH) is a chronic disease of universal high prevalence and a well-established independent risk factor for cardiovascular and cerebrovascular events. The regulation of blood pressure is crucial for improving life quality and prognoses in patients with EH. Therefore, it is of important clinical significance to develop prediction models to recognize individuals with high risk for EH. : In total, 965 subjects were recruited. Clinical parameters and genetic information, namely EH related SNPs were collected for each individual. Traditional statistic methods such as t-test, chi-square test and multi-variable logistic regression were applied to analyze baseline information. A machine learning method, mainly support vector machine (SVM), was adopted for the development of the present prediction models for EH. : Two models were constructed for prediction of systolic blood pressure (SBP) and diastolic blood pressure (DBP), respectively. The model for SBP consists of 6 environmental factors (age, BMI, waist circumference, exercise [times per week], parental history of hypertension [either or both]) and 1 SNP (rs7305099); model for DBP consists of 6 environmental factors (weight, drinking, exercise [times per week], TG, parental history of hypertension [either and both]) and 3 SNPs (rs5193, rs7305099, rs3889728). AUC are 0.673 and 0.817 for SBP and DBP model, respectively. : The present study identified environmental and genetic risk factors for EH in northern Han Chinese population and constructed prediction models for SBP and DBP.
: 原发性高血压(EH)是一种普遍高发的慢性疾病,也是心血管和脑血管事件的一个明确的独立危险因素。血压的调节对于改善 EH 患者的生活质量和预后至关重要。因此,开发预测模型以识别 EH 高危个体具有重要的临床意义。: 共招募了 965 名受试者。收集了每个个体的临床参数和遗传信息,即与 EH 相关的 SNP。应用传统的统计方法,如 t 检验、卡方检验和多变量逻辑回归,对基线信息进行分析。采用机器学习方法,主要是支持向量机(SVM),建立了目前用于 EH 的预测模型。: 构建了两个模型,分别用于预测收缩压(SBP)和舒张压(DBP)。SBP 模型由 6 个环境因素(年龄、BMI、腰围、每周运动次数、父母高血压史[任一方或双方])和 1 个 SNP(rs7305099)组成;DBP 模型由 6 个环境因素(体重、饮酒、每周运动次数、TG、父母高血压史[任一方或双方])和 3 个 SNP(rs5193、rs7305099、rs3889728)组成。SBP 和 DBP 模型的 AUC 分别为 0.673 和 0.817。: 本研究在北方汉族人群中确定了 EH 的环境和遗传危险因素,并构建了 SBP 和 DBP 的预测模型。