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  1. 医歯学総合研究科
  2. 医歯学総合研究科・博士論文

Development of a risk prediction score for hypertension incidence using Japanese health checkup data

http://hdl.handle.net/10232/00032020
http://hdl.handle.net/10232/00032020
73cd1c50-88f0-474a-9241-3f4f9d5dcb22
名前 / ファイル ライセンス アクション
Diss_川添_真理子_4519810150_2022.pdf Diss_川添_真理子_4519810150_2022 (846.8 kB)
Abstract_川添_真理子_4519810150_2022.pdf Abstract_川添_真理子_4519810150_2022 (128.8 kB)
Result_Kawasoe_mariko_isk_662.pdf Result_Kawasoe_mariko_isk_662 (114.1 kB)
Comments_Kawasoe_mariko_isk_662.pdf Comments_Kawasoe_mariko_isk_662 (61.8 kB)
Item type 学位論文 / Thesis or Dissertation(1)
公開日 2022-06-13
タイトル
タイトル Development of a risk prediction score for hypertension incidence using Japanese health checkup data
別言語のタイトル
その他のタイトル 日本人の健診データを用いた高血圧発症リスク予測スコアの開発
著者 川添, 真理子

× 川添, 真理子

WEKO 140752

川添, 真理子

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著者よみ
姓名 カワソエ, マリコ
別言語の著者
姓名 KAWASOE, Mariko
言語
言語 eng
キーワード
主題言語 en
主題Scheme Other
主題 Diabetes
キーワード
主題言語 en
主題Scheme Other
主題 Hypertension
キーワード
主題言語 en
主題Scheme Other
主題 Obesity
キーワード
主題言語 en
主題Scheme Other
主題 Prediction score
キーワード
主題言語 en
主題Scheme Other
主題 Smoking
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_db06
資源タイプ doctoral thesis
アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
要約(Abstract)
内容記述タイプ Other
内容記述 Hypertension is a risk factor for cardiovascular disease. We developed a simple scoring method for predicting future hypertension using health checkup data. A total of 41,902 participants aged 30–69 years without baseline hypertension who underwent annual health checkups (mean age, 52.3 ± 10.2 years; male, 47.7%) were included. They were randomly assigned to derivation (n = 27,935) and validation cohorts (n = 13,967) at a ratio of 2:1. In the derivation cohort, we performed multivariable logistic regression analysis and assigned scores to each factor significantly associated with 5-year hypertension. We evaluated the predictive ability of the scores using area under the curve (AUC) analysis and then applied them to the validation cohort to assess their validity. The score including items requiring blood sampling ranged from 0 to 14 and included seven indicators (age, body mass index, blood pressure, current smoking, family history of hypertension, diabetes, and hyperuricemia). The score not including items requiring blood sampling ranged from 0 to 12 and included five indicators (the above indicators, except diabetes and hyperuricemia). The score not including items requiring blood sampling was better; blood sampling did not improve diagnostic ability. The AUC of the score not including items requiring blood sampling was 0.76, with a sensitivity and specificity of 0.82 and 0.60, respectively, for scores ≥6 points. The incidence of hypertension gradually and constantly increased (from 0.9 to 49.6%) as the score increased from 0 to ≥10. Analysis in the validation cohort yielded similar results. We developed a simple and useful clinical prediction model to predict the 5-year incidence of hypertension among a general Japanese population. The model had reasonably high predictive ability and reproducibility.

Mariko Kawasoe, Shin Kawasoe, Takuro Kubozono, Satoko Ojima, Takeko Kawabata, Yoshiyuki Ikeda, Naoya Oketani, Hironori Miyahara, Koichi Tokushige, Masaaki Miyata & Mitsuru Ohishi
Development of a risk prediction score for hypertension incidence using Japanese health checkup data
Hypertension Research (2022) 45:730–740

This version of the article has been accepted for publication, after peer review (when applicable) and is subject to Springer Nature’s AM terms of use, but is not the Version of Record and does not reflect post-acceptance improvements, or any corrections. The Version of Record is available online at:
https://doi.org/10.1038/s41440-021-00831-x
作成日
日付 2022-05-17
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
NDC
主題Scheme NDC
主題 490
ファイル(説明)
内容記述タイプ Other
内容記述 博士論文全文
ファイル(説明)
内容記述タイプ Other
内容記述 博士論文要旨
ファイル(説明)
内容記述タイプ Other
内容記述 最終試験結果の要旨
ファイル(説明)
内容記述タイプ Other
内容記述 論文審査の要旨
公開者・出版者
出版者 Springer Nature
公開者・出版者
出版者 鹿児島大学
公開者よみ
公開者よみ カゴシマ ダイガク
公開者別名
公開者別名 Kagoshima University
備考
備考 【指導教員:大石充】
date.appl
【学位申請日】2022-03-02
学位名
学位名 博士(医学)Doctor of Philosophy in Medical Science
学位授与機関
学位授与機関識別子Scheme kakenhi
学位授与機関識別子 17701
学位授与機関名 鹿児島大学
学位授与年月日
学位授与年月日 2022-05-30
学位授与番号
学位授与番号 甲総研第662号
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