Department of Infectious Diseases, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, China.
Gene Hospital of Henan Province; Precision Medicine Center, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052, China.
Sci Rep. 2020 Jun 30;10(1):10615. doi: 10.1038/s41598-020-64980-8.
Hypertension is a global public health issue and leading risk for death and disability. It is urgent to search novel methods predicting hypertension. Herein, we chose 73158 samples of physical examiners in central China from June 2008 to June 2018. After strict exclusion processes, 33570 participants with hypertension and 35410 healthy controls were included. We randomly chose 70% samples as the train set and the remaining 30% as the test set. Clinical parameters including age, gender, height, weight, body mass index, triglyceride, total cholesterol, low-density lipoprotein, blood urea nitrogen, uric acid, and creatinine were significantly increased, while high-density lipoprotein was decreased in the hypertension group versus controls. Nine optimal markers were identified by a logistic regression model, and achieved AUC value of 76.52% in the train set and 75.81% in the test set for hypertension. In conclusions, this study is the first to establish predicted models for hypertension using the logistic regression model in Central China, which provide risk factors and novel prediction method to predict and prevent hypertension.
高血压是一个全球性的公共卫生问题,也是导致死亡和残疾的主要风险因素。迫切需要寻找新的方法来预测高血压。在此,我们选择了 2008 年 6 月至 2018 年 6 月中国中部地区的 73158 名体检者的样本。经过严格的排除过程,共有 33570 名高血压患者和 35410 名健康对照者纳入研究。我们随机选择 70%的样本作为训练集,其余 30%作为测试集。与对照组相比,高血压组的临床参数(年龄、性别、身高、体重、体重指数、甘油三酯、总胆固醇、低密度脂蛋白、血尿素氮、尿酸和肌酐)显著增加,而高密度脂蛋白则降低。通过逻辑回归模型确定了 9 个最佳标志物,在训练集中的 AUC 值为 76.52%,在测试集中的 AUC 值为 75.81%。总之,这项研究首次在华中地区建立了使用逻辑回归模型预测高血压的模型,为预测和预防高血压提供了危险因素和新的预测方法。