Analysis on risk factors of microvascular complications in type 2 diabetes mellitus based on classification tree model
10.3760/cma.j.issn.1671-7368.2017.11.009
- VernacularTitle:基于分类树模型的2型糖尿病微血管病变影响因素分析
- Author:
Jieqiong LOU
1
;
Rong SHI
;
Lili JIA
;
Shengbing ZHANG
;
Daoping SONG
;
Yun PENG
;
Ming CUI
;
Hui ZHANG
;
Qinkang JIANG
Author Information
1. 200025,上海交通大学公共卫生学院
- Keywords:
Diabetes mellitus;
type 2;
Microvascular complications;
Risk factors
- From:
Chinese Journal of General Practitioners
2017;16(11):857-862
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the risk factors of microvascular complications in patients with type 2 diabetes mellitus (T2DM).Methods The demographic and clinical data of 5078 T2DM patients in six communities of Shanghai were collected during September 2014 to April 2015. The risk factors of microvascular complications in T 2DM were analyzed by classification tree model .Results Among 5078 T2DM patients there were 1007 cases of diabetic retinopathy (DR) (21.1%) and 1937 cases of diabetic nephropathy (DN) (38.4%).The classification tree models showed that the risk factors of DR were higher hemoglobin A1C ( HbA1c), fasting blood glucose ( FBG), postprandial blood glucose ( PBG) and triacylglycerol ( TG) levels;longer course of disease and younger age of onset .The model showed that the risk factors of DN were higher HbA1c, FBG, hypertension, PBG, body mass index ( BMI ) and triacylglycerol (TG) levels;and lower high-density lipoprotein (HDL) level.The HbA1c, course of disease and PBG were more closely related to DR and HbA 1c, hypertension and FBG were more closely related to DN.Conclusion HbA1c is the most important risk factor to microvascular complications; FBG and PBG are independent risk factors of microvascular complications;the course of disease and hypertension are risk factors of DR and DN , respectively .
