Advanced Search

CN 34-1304/RISSN 1674-3679

Volume 26 Issue 7
Jul.  2022
Turn off MathJax
Article Contents
WU Wen-wen, TAN Xiao-dong, SUN Dong-han, LI Li. Application of Logistic regression and decision tree analysis in early warning indicators of hypertension and diabetes comorbidity[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2022, 26(7): 827-833. doi: 10.16462/j.cnki.zhjbkz.2022.07.014
Citation: WU Wen-wen, TAN Xiao-dong, SUN Dong-han, LI Li. Application of Logistic regression and decision tree analysis in early warning indicators of hypertension and diabetes comorbidity[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2022, 26(7): 827-833. doi: 10.16462/j.cnki.zhjbkz.2022.07.014

Application of Logistic regression and decision tree analysis in early warning indicators of hypertension and diabetes comorbidity

doi: 10.16462/j.cnki.zhjbkz.2022.07.014
Funds:

Natural Science Foundation of Hubei Provincial Department of Education Q20202104

Cultivating Project for Young Scholar at Hubei University of Medicine 2020QDJRW003

More Information
  • Corresponding author: LI Li, E-mail: lilirenyi@sohu.com
  • Received Date: 2021-07-21
  • Rev Recd Date: 2022-01-18
  • Available Online: 2022-07-19
  • Publish Date: 2022-07-10
  •   Objective  To study the status and warning indicators of hypertension-diabetes comorbidity (HDC) among adults in Hubei Province, so as to provide a scientific basis for the prevention and control of HDC.  Methods  A cross-sectional survey was conducted by using the multi-stage stratified random sampling method among residents aged ≥18 years from 11 districts of Hubei Province. Logistic regression model and decision tree model were used to analyze the warning indicators of HDC. Receiver operating characteristic (ROC) curve was used to evaluate the prediction effects of the two models.  Results  Both Logistic regression model and decision tree model showed that work intensity, smoking, marriage, gender, BMI and age were the warning indicators of HDC (all P < 0.05). The area under ROC curve of Logistic regression model was larger than that of decision tree model (0.967 vs. 0.933, Z=9.199, P < 0.001).  Conclusions  The predictive ability of the Logistic regression model is better than that of the decision tree model. However, it is essential to combine these two different methods to describe the warning indicators of HDC. Firstly, significant main effect of warning indicators should be screened out through Logistic regression. Then, the interaction between indicators should be further analyzed by using the decision tree model, so as to provide reference for the prevention and control of HDC.
  • loading
  • [1]
    Liu J, Zhao D, Liu J, et al. Prevalence of diabetes mellitus in outpatients with essential hypertension in China: a cross-sectional study[J]. BMJ Open, 2013, 3(11): e003798. DOI: 10.1136/bmjopen-2013-003798.
    [2]
    Chobanian AV, Bakris GL, Black HR, et al. Seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure[J]. Hypertension, 2003, 42(6): 1206-1252. DOI: 10.1016/S1062-1458(03)00270-8.
    [3]
    王冬燕. Logistic回归与决策树分类效能的ROC曲线比较[J]. 智能计算机与应用, 2014, 4(5): 34-36. DOI: 10.3969/j.issn.2095-2163.2014.05.010.

    Wang DY. The ROC curves comparing of classification performance between Logistic regression and decision tree[J]. Intelligent Computer and Applications, 2014, 4(5): 34-36. DOI: 10.3969/j.issn.2095-2163.2014.05.010.
    [4]
    李现文, 李春玉, Kim M, 等. 决策树与Logistic回归在高血压患者健康素养预测中的应用[J]. 护士进修杂志, 2012, 27(13): 1157-1159. DOI: 10.3969/j.issn.1002-6975.2012.13.002.

    Li XW, Li CY, Kim M, et al. Application of decision tree and Logistic regression on the health literacy prediction of hypertension patients[J]. J Nurs Train, 2012, 27(13): 1157-1159. DOI: 10.3969/j.issn.1002-6975.2012.13.002.
    [5]
    Zhang FL, Guo ZN, Wu YH, et al. Prevalence of stroke and associated risk factors: a population based cross sectional study from northeast China[J]. BMJ Open, 2017, 7(9): e015758. DOI: 10.1136/bmjopen-2016-015758.
    [6]
    范雷, 李少芳, 韩冰, 等. 河南省15~74岁人群高血压合并糖尿病流行特征分析[J]. 当代医学, 2015, 21(3): 161-163. DOI: 10.3969/j.issn.1009-4393.2015.3.106.

    Fan L, Li SF, Han B, et al. Analysis on the epidemiological characteristics of hypertension complicated with diabetes among people aged 15-74 years in Henan province[J]. Contemp Med, 2015, 21(3): 161-163. DOI: 10.3969/j.issn.1009-4393.2015.3.106.
    [7]
    Wang J, Yang Y, Zhu J, et al. Overweight is associated with improved survival and outcomes in patients with atrial fibrillation[J]. Clin Res Cardiol, 2014, 103(7): 533-542. DOI: 10.1007/s00392-014-0681-7.
    [8]
    中华医学会糖尿病学分会. 中国2型糖尿病防治指南(2013年版)[J]. 中华糖尿病杂志, 2014, 30(8): 893-942. DOI: 10.3760/cma.j.issn.1000-6699.2014.10.020.

    Diabetes Society of Chinese Medical Association. Guidelines for the prevention and treatment of type 2 diabetes in China (2013 edition)[J]. Chin J Diabetes Mellitus, 2014, 30(8): 893-942. DOI: 10.3760/cma.j.issn.1000-6699.2014.10.020.
    [9]
    中国高血压防治指南修订委员会, 中国高血压联盟, 中华医学会心血管病学分会中国医师协会高血压专业委员会, 等. 中国高血压防治指南(2018年修订版)[J]. 中国心血管杂志, 2019, 24(1): 24-56. DOI: 10.3969/j.issn.1007-5410.2019.01.002.

    Writing Group of Chinese Guidelines for the Management of Hypertension, Chinese Hypertension League, Chinese Society of Cardiology, Chinese Medical Doctor Association Hypertension Committee, et al. 2018 Chinese guidelines for the management of hypertension[J]. Chin J Cardiovasc Med, 2019, 24(1): 24-56. DOI: 10.3969/j.issn.1007-5410.2019.01.002.
    [10]
    佟明坤, 满塞丽麦, 金成, 等. 千万例体检人群高血压患病率、知晓率、治疗率和控制率的调查[J]. 中国循环杂志, 2020, 35(9): 866-872. DOI: 10.3969/j.issn.1000-3614.2020.09.004.

    Tong MK, Man SLM, Jin C, et al. Prevalence, awareness, treatment and control of hypertension in China: survey on a 10 million health check-up population[J]. Chin Circul J, 2020, 35(9): 866-872. DOI: 10.3969/j.issn.1000-3614.2020.09.004.
    [11]
    张杜丹, 唐迅, 靳丹瑶, 等. 中国成年人糖尿病患病率Meta分析[J]. 中华流行病学杂志, 2018, 39(6): 852-857. DOI: 10.3760/cma.j.issn.0254-6450.2018.06.030.

    Zhang DD, Tang X, Jin DY, et al. Prevalence of diabetes in Chinese adults: a Meta-analysis[J]. Chin J Epidemiol, 2018, 39(6): 852-857. DOI: 10.3760/cma.j.issn.0254-6450.2018.06.030.
    [12]
    Cohen S, Janicki-Deverts D, Miller GE. Psychological stress and disease[J]. JAMA, 2007, 298(14): 1685-1687. DOI: 10.1001/jama.298.14.1685
    [13]
    Chen C, Tu YQ, Yang P, et al. Assessing the impact of cigarette smoking on β-cell function and risk for type 2 diabetes in a non-diabetic Chinese cohort[J]. Am J Transl Res, 2018, 10(7): 2164-2174.
    [14]
    Gullu H, Caliskan M, Ciftci O, et al. Light cigarette smoking impairs coronary microvascular functions as severely as smoking regular cigarettes[J]. Heart, 2007, 93(10): 1274-1277. DOI: 10.1136/hrt.2006.100255.
    [15]
    王午喜, 屈宗杰, 朱爱冬. 重庆市社区10 932名普通居民糖尿病流行病学调查分析[J]. 重庆医学, 2013, 42(26): 3149-3150. DOI: 10.3969/j.issn.1671-8348.2013.26.027.

    Wang WX, Qu ZJ, Zhu AD. Epidemiologic analysis of diabetes among 10 932 common residents in Chongqing communities[J]. Chongqing Medicine, 2013, 42(26): 3149-3150. DOI: 10.3969/j.issn.1671-8348.2013.26.027.
    [16]
    Larsen CM, Faulenbach M, Vaag A, et al. Interleukin-1-receptor antagonist in type 2 diabetes mellitus[J]. N Engl J Med, 2007, 356(15): 1517-1526. DOI: 10.1056/nejmc071324.
    [17]
    李影, 闫鹏, 董平栓. 胰岛素抵抗的分子学机制[J]. 医学综述, 2014, 20(17): 3122-3124. DOI: 10.3969/j.issn.1006-2084.2014.17.019.

    Li Y, Yan P, Dong PS. Molecular mechanism of insulin resistance[J]. Medical Recapitulate, 2014, 20(17): 3122-3124. DOI: 10.3969/j.issn.1006-2084.2014.17.019.
    [18]
    苏健, 吕淑荣, 杨婕, 等. 江苏省成人脂质蓄积指数与高血压和糖尿病患病风险关系的研究[J]. 中华疾病控制杂志, 2018, 22(3): 217-221. DOI: 10.16462/j.cnki.zhjbkz.2018.03.002.

    Su J, Lv SR, Yang J, et al. Relationship between lipid accumulation product and the risk of hypertension and diabetes in adults of Jiangsu Province[J]. Chin J Dis Control Prev, 2018, 22(3): 217-221. DOI: 10.16462/j.cnki.zhjbkz.2018.03.002.
    [19]
    帅健, 李丽萍, 陈业群. 决策树模型与Logistic回归模型在伤害发生影响因素分析中的作用[J]. 中华疾病控制杂志, 2015, 19(2): 185-189. DOI: 10.16462/j.cnki.zhjbkz.2015.02.021.

    Shuai J, Li LP, Chen YQ, et al. The role of Decision tree model and Logistic regression in injury influencing factors analysis[J]. Chin J Dis Control Prev, 2015, 19(2): 185-189. DOI: 10.16462/j.cnki.zhjbkz.2015.02.021.
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(2)  / Tables(2)

    Article Metrics

    Article views (388) PDF downloads(87) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return