基于XGBoost和SHAP的韩国绝经后妇女高血压分类风险因素分析
Hojeong Kim1, Mavlonbek Khomidov2, Jong-Ha Lee1
1Department of Biomedical Engineering, Keimyung University, Daegu 42601, Republic of Korea.
Bioengineering (Basel, Switzerland)
|June 26, 2025
概括
绝经后妇女的高血压风险增加. 这项研究使用机器学习将年龄和腰围 (WC) 确定为关键风险因素,建议WC管理以预防.
科学领域:
- 老年学是一门学科.
- 心血管健康 心血管健康
- 人工智能在医学中的应用
背景情况:
- 绝经后妇女的高血压患病率显著增加,需要有针对性的预防策略.
- 识别可修改的风险因素对于开发有效的干预措施至关重要.
- 现有的研究可能无法充分利用先进的计算方法来识别风险因素.
研究的目的:
- 为了确定易于测量的高血压的风险因素,在绝经后的妇女.
- 应用可解释的人工智能 (XAI) 和机器学习 (ML) 来进行高血压分类.
- 为此群体提供基于证据的高血压预防建议.
主要方法:
- 来自KNHIS数据库 (2022-2023) 的3289名绝经后韩国妇女 (55-79岁) 的健康检查数据的分析.
- 使用机器学习模型进行高血压分类:XGBoost,支持矢量机 (SVM) 和人工神经网络 (ANN).
- 使用Shapley添加式扩展 (SHAP) 来识别关键风险因素的特征重要性分析.
主要成果:
- 在高血压分类中,XGBoost表现优异 (AUC: 92.12%,MCC: 0.71).
- 年龄和腰围 (WC) 被确定为高血压最重要的预测因素.
- 在增加的腰围和高血压之间观察到正相关性.
结论:
- 机器学习和XAI有效地识别了绝经后妇女的关键高血压风险因素.
- 腰围是一个关键的可修改的风险因素,需要严格管理高血压的预防.
- 针对性干预以减少WC为重点,可以减轻绝经后妇女高血压风险.
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