针对多个种族的2型糖尿病有效的基于问卷的预测模型:一个模型开发和验证研究.
Michail Kokkorakis1,2, Pytrik Folkertsma3,4, Sipko van Dam3,4
1Department of Clinical Pharmacy and Pharmacology, University of Groningen, University Medical Center Groningen, Groningen, Netherlands.
EClinicalMedicine
|November 8, 2023
概括
基于问卷的新模型可以准确预测2型糖尿病的流行率和发病率在不同的种族. 这些可扩展的工具为大群体的早期疾病检测和风险分层提供了有希望的方法.
科学领域:
- 糖尿病研究研究 糖尿病研究
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 2型糖尿病 (T2D) 不成比例地影响非白人人口.
- 早期检测和预测对于管理T2D至关重要.
- 需要大规模,易于使用的工具来进行风险分层.
研究的目的:
- 开发和验证基于问卷的T2D流行和发病率预测模型.
- 评估跨多个种族的模型性能.
- 将只有问卷的模型与现有的临床工具进行比较.
主要方法:
- 在英国生物银行 (白人人口) 训练的物流回归模型.
- 在英国生物银行内部和外部的生命线队伍中,在不同种族群体中进行验证.
- 使用接收器运行特征曲线 (AUC) 下的面积进行评估.
主要成果:
- 在白人人口中,T2D流行率 (AUC=0.901) 和发病率 (AUC=0.873) 的高精度.
- 跨种族的表现一致 (流行AUC为0.855-0.894,发病率AUC为0.819-0.883).
- 模型的性能优于现有的非实验室风险工具,改善了病例重新分类.
结论:
- 基于问卷的模型提供了对T2D的准确,可扩展的预测.
- 这些模型可以广泛用于全人口风险分层.
- 在多样化的全球人口中进一步验证是有必要的.
相关概念视频
Diabetes Mellitus: Type 2 and Gestational
2.5K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
2.5K
Diabetes Mellitus: Overview and Type I Subtype
2.7K
Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
2.7K
Diabetes: Symptoms, Diagnosis, and Complications
556
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
556
Genome-wide Association Studies-GWAS
13.5K
Genome-wide association studies or GWAS are used to identify whether common SNPs are associated with certain diseases. Suppose specific SNPs are more frequently observed in individuals with a particular disease than those without the disease. In that case, those SNPs are said to be associated with the disease. Chi-square analysis is performed to check the probability of the allele likely to be associated with the disease.
GWAS does not require the identification of the target gene involved in...
GWAS does not require the identification of the target gene involved in...
13.5K
Pathophysiology of Diabetes
953
Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
953
Carbohydrate Metabolism
11.2K
Carbohydrates are polymers composed of molecules containing atoms of carbon, hydrogen and oxygen. One gram of carbohydrate can provide four kilo-calories of energy, which makes it the most efficient instant energy source.
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
11.2K


