Korean Journal of Health Education and Promotion (보건교육건강증진학회지)

Korean Society for Health Education and Promotion (한국보건교육건강증진학회)
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Development of Hypertension Predictive Model

고혈압 발생 예측 모형 개발

  • Published : 2006.12.30
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Abstract

Objectives: This study used the characteristics of the knowledge discovery and data mining algorithms to develop hypertension predictive model for hypertension management using the Korea National Health Insurance Corporation database(the insureds' screening and health care benefit data). Methods: This study validated the predictive power of data mining algorithms by comparing the performance of logistic regression, decision tree, and ensemble technique. On the basis of internal and external validation, it was found that the model performance of logistic regression method was the best among the above three techniques. Results: Major results of logistic regression analysis suggested that the probability of hypertension was: - lower for the female(compared with the male)(OR=0.834) - higher for the persons whose ages were 60 or above(compared with below 40)(OR=4.628) - higher for obese persons(compared with normal persons)(OR= 2.103) - higher for the persons with high level of glucose(compared with normal persons)(OR=1.086) - higher for the persons who had family history of hypertension(compared with the persons who had not)(OR=1.512) - higher for the persons who periodically drank alcohol(compared with the persons who did not)$(OR=1.037{\sim}1.291)$ Conclusions: This study produced several factors affecting the outbreak of hypertension using screening. It is considered to be a contributing factor towards the nation's building of a Hypertension Management System in the near future by bringing forth representative results on the rise and care of hypertension.

Keywords

References

  1. 강현철, 한상태, 최종후, 김은석, 김미경. SAS Enterprise Miner를 이용한 데이터마이닝-방법론 및 활용-. 자유아카데미, 2001
  2. 건강보험심사평가원. 2004년도 건강보험심사통계 지표. 건강보험심사평가원, 2005
  3. 김영식. 한국인 고혈압과 당뇨병의 발병요인 규명을 위한 코호트 연구. 보건복지부 보건의료 기술연구개발사업 보고서. 2001
  4. 맹광호, 박정일. 한국 도시 직장인의 고혈압과 체중을 관찰한 사례-비교군 관찰 연구. 대한의학협회지 1982;25(10):939-42
  5. 문일순, 박성림, 박몽하, 황의정, 홍명호, 김순덕. 정기건강검진을 통하여 나타난 일부 도시지역 성인의 과체중과 그 영향. 가정의학회지 1989:10(8):20-30
  6. 보건복지부. 2005년 국민건강.영양조사. 보건복지부, 2006
  7. 서일 외. 성장기 청소년의 혈압변화와 결정요인 예방의학회지 1997;30(2):308-26
  8. 유재희, 정해원. 문헌고찰을 통한 한국인의 식염섭취량 추이분석에 관한 연구. 국민보건연구소연구논총 1994;4(1):92-106
  9. 이강숙, 최환석, 신호철, 박정일. 과체중, 고혈당 및 고콜레스테롤혈층에 대한 고혈압의 비교 위험도. 가정의학회지 1994;15(12):1147-55
  10. 전종민 외 6명. JNC-5 분류에 의한 한국 성인 환자에서의 고혈압 유병률에 관한 역학적 연구-포천지역 거주 직장인을 대상으로. 대한내과학회지 1997;52(2):209-23
  11. 통계청. 사망원인별 사망자수. 통계청, 2004
  12. 최영환, 채성철, 전재은, 박의현. 고혈압 환자에서 동맥경화증 위험인자. 순환기학회지 1996:26(2):490-99
  13. Beberg HT et al. Health promotion and cardiovascularrisk factors. The level of knowledge among 510 inpatients of an acute coronary care unit. Medizinische Klinik 2000:95(2):75-80 https://doi.org/10.1007/BF03044987
  14. Blair SN, Goodyear NN, Gibbons LW, Cooper KJ. Physical fitness and incidence of hypertension in healthy normotensive men and women. JAMA 1984:487-90 https://doi.org/10.1001/jama.252.4.487
  15. Cutler JA, Follmann D, Allender PS. Randomized trials of sodium reduction: an overview. Am J Clin Nutr 1997:65(2 Suppl):643-651 https://doi.org/10.1093/ajcn/65.2.643S
  16. Elliott P et al. For the Intersalt Cooperative Research Group. Intersalt revisited: further analysis of 24 hour sodium exertion and blood pressure within and across populations. BMJ 1996;312:1249-53 https://doi.org/10.1136/bmj.312.7041.1249
  17. Friedman GD, Klatsky AL, Siegelaub AB. Alcohol, tabacco, and hypertension. Hypertension 1982:4(suppl III):143-50
  18. Kim JS, Jones D, Kim SJ, Hong YP. A study on prevalence and risk factors of hypertension among Koreans [Abstract]. Korean Society of Preventive medicine 43rd Meeting, Oct.31-Nov.2,1991
  19. Neaton JD et al. For the Treatment of Mild Hypertension Study Research Group. Treatment of Mild Hypertension Study: final results. JAMA 1993:270:713-24 https://doi.org/10.1001/jama.270.6.713
  20. Paffenbarger RS Jr, Hyde RT, Wing AL. Lee IM, Jung DL, Kamper JB. The association of change in physical-activity level and other lifestyle characteristics with mortality among men. N Eng J Med 1993:328:538-45 https://doi.org/10.1056/NEJM199302253280804
  21. Pauliot MC et al. Waist circumferenceand abdominal sagittal diameter: best simple anthropometric indexes of abdominal visceral adipose tissue accumulation and related cardiovascular risk in men and women. Am J Cardiol 1994:73:460-8 https://doi.org/10.1016/0002-9149(94)90676-9
  22. Puddey IB, Parker M, Beilen LJ, Vandongeri R, Masarei JRL. Effects of alcohol and caloric restrictions on blood pressure and serum lipids in overweight men. Hypertension 1992:20:533-41 https://doi.org/10.1161/01.HYP.20.4.533
  23. Stamler J, Caggiula AW, Grandits GA. Chapter 12. Relation of body mass and alcohol, nutrient, fiber, and caffeine intakes to blood pressure in the special intervention and usual care groups in the Multiple Risk Factor Intervention Trial. Am J Clin Nutr 1997:65(suppl):338-65 https://doi.org/10.1093/ajcn/65.1.338S