功能数据分析以描述频繁的纵向数据中的疾病模式:使用每周Nugent分数对细菌性阴道微生物群模式的应用,并确定模式特异性风险因素
Rahul Biswas1, Marie Thoma2, Xiangrong Kong3
1University of Washington, Seattle, WA, USA.
BMC medical research methodology
|October 26, 2023
概括
先进的技术使频繁的生物标志物监测成为可能,揭示了女性独特的阴道微生物群模式. 持续性细菌性阴道炎 (BV) 的关键风险因素包括年龄较小和特定避孕药的使用.
科学领域:
- 微生物学 微生物学
- 流行病学 流行病学
- 数据科学数据科学数据科学
背景情况:
- 技术进步允许更频繁的生物标志物监测,从而获得密集采样的纵向数据.
- 这种数据结构有助于研究疾病病因和进展的人内变异性.
- 细菌性阴道炎 (BV) 发病因子被用乌干达妇女的每周阴道微生物群Nugent分数研究了两年.
研究的目的:
- 用数据驱动的方法来描述阴道微生物群波动的纵向模式.
- 为了确定阴道微生物群变化的临床意义上的模式.
- 识别与不同阴道微生物群模式相关的风险因素,以了解BV病变发生.
主要方法:
- 功能性主要组件分析用于时间序列Nugent分数的维度缩小.
- 一个层次的功能聚类框架被用来识别不同的阴道微生物群模式.
- 多项逻辑回归确定了与每个已识别模式相关的风险因素.
主要成果:
- 在211名女性中,在两年内确定了四种不同的阴道微生物群模式:持续的BV,持续的正常,波动的BV主导和波动的正常主导.
- 与持续性BV相关的因素包括较高的初始Nugent分数,年龄较小 (<20岁),未受保护的游泳水源,未受割礼的伴侣和使用荷尔蒙避孕药.
结论:
- 层次功能数据集群对于密集采样的纵向数据的无监督集群是有效的.
- 这种方法可以识别临床信息集群和相关的风险因素.
- 这些发现有助于更好地了解BV病变的流行病学和病因学.
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