在2型糖尿病中使用模糊集群和决策树分析来表征认知表型和临床相关物
Betül Sümbül-Şekerci1, Özge Pasin2, Derya Egeli3
1Faculty of Pharmacy, Clinical Pharmacy Department, Bezmialem Vakif University, Istanbul, Türkiye. betulsumbul@gmail.com.
Scientific reports
|October 13, 2024
概括
2型糖尿病 (T2DM) 患者表现出各种认知障碍. 这项研究确定了三个不同的认知集群,揭示了T2DM中大脑功能受损的教育,血红蛋白和TSH水平等关键风险因素.
科学领域:
- 神经科学是一个神经科学.
- 内分泌学 在内分泌学.
- 老年学是指老年学的学科.
背景情况:
- 认知障碍是2型糖尿病 (T2DM) 的常见并发症,其不同形状和风险因素尚未完全理解.
- 了解这些特定的认知缺陷及其相关的临床参数对于有针对性的干预至关重要.
研究的目的:
- 在T2DM患者中识别不同的认知特征.
- 调查与这些认知形状相关的临床参数和风险因素.
主要方法:
- 152名T2DM患者使用蒙特利尔认知评估 (MoCA) 测试进行认知评估.
- 根据认知表现的基础,模糊的C-means集群被应用到基于认知表现的患者组.
- 用分类和回归树 (CART) 和ROC分析来确定显著的临床预测因素.
主要成果:
- 确定了三个不同的认知集群.
- 集群1 (表现最差) 与女性性别,教育程度较低,铁,血红蛋白和肌酸水平较低有关.
- 集群3 (记忆力) 的特征是低TSH水平. 关键预测因素包括教育,血红蛋白,糖尿病持续时间,铁,TSH,性别,家族病史和微专蛋白/肌素比率.
结论:
- 在T2DM的认知障碍是异质的,具有特定的临床特征和风险因素.
- 多方面的病理生理机制和复杂的风险因素有助于糖尿病相关的认知缺陷.
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