A decision tree model of hypertension among college students in Yunnan Province, China.

IF 1.8 4区医学 Blood Pressure Pub Date : 2023-12-01 DOI:10.1080/08037051.2023.2243337

Honglv Xu, Wei Wang, Min Wang, Junyu Chen, Chunjie Yu, Min Li, Dehui Liu, Jiai Wang, Yinghong Jiang

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Abstract

Purpose: Previous studies have indicated that the prevalence rate of hypertension in adolescents is high, but it has not received much attention and the influencing factors are unclear, especially in Yunnan Province, China.

Materials and methods: A cluster sampling method was used to investigate 4781 freshmen in a college in Kunming, Yunnan Province from November to December. Demographic and lifestyle data were collected using questionnaires, and height, weight and blood pressure were measured. Decision tree model of hypertension in college students was established by Chi-square automatic interactive detection method.

Results: Prevalence of prehypertension of systolic blood pressure (SBP) and diastolic blood pressure (DBP) were detected in 33.9% and 32.1%, respectively. Prevalence of hypertension of SBP and DBP was detected in 1.2% and 7.2%, respectively. The hypertension and prehypertension decision tree of SBP has gender (χ² = 728.64, p < .001) at the first level and body mass index (BMI) (boys: χ² = 55.98, p < .001; girls: χ² = 79.58, p < .001) at the second level. The hypertension and prehypertension decision tree of DBP has gender (χ² = 381.83, p < .001) at the first level, BMI (boys: χ² = 40.54, p < .001; girls: χ² = 48.79, p < .001) at the second level, only children (χ² = 6.43, p = .04) and red wine consumption (χ² = 8.17, p = .017) at the third level.

Conclusions: The present study suggests that gender, BMI, only children and red wine consumption were the main factors affecting hypertension in college students in southwest border areas of China.

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云南省大学生高血压的决策树模型

目的：已有研究表明，青少年高血压患病率较高，但尚未引起重视，影响因素尚不清楚，尤其是在云南省。使用问卷收集人口统计学和生活方式数据，并测量身高、体重和血压。采用卡方自动交互检测方法建立了大学生高血压的决策树模型。结果：高血压前期收缩压（SBP）和舒张压（DBP）的患病率分别为33.9%和32.1%。SBP和DBP的高血压患病率分别为1.2%和7.2%。SBP的高血压和高血压前期决策树在第一级有性别（χ2=728.64，p。001），在第二级有体重指数（BMI）（男孩：χ2=55.98，p。0.001；女孩：χ2=79.58，p。01）。DBP的高血压和高血压前期决策树在第一级有性别（χ2=381.83，p=0.001），在第二级有BMI（男孩：χ2=40.54，p=0.001；女孩：χ2=48.79，p=0.01），第三级有独生子女（χ2=6.43，p=0.04）和红酒消费量（χ2=8.17，p=0.017）。结论：性别、BMI、独生子女和红酒消费是西南边境地区大学生高血压的主要影响因素。

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来源期刊

Blood Pressure Medicine-Cardiology and Cardiovascular Medicine

CiteScore

3.20

自引率

5.60%

发文量

期刊介绍： For outstanding coverage of the latest advances in hypertension research, turn to Blood Pressure, a primary source for authoritative and timely information on all aspects of hypertension research and management. Features include: • Physiology and pathophysiology of blood pressure regulation • Primary and secondary hypertension • Cerebrovascular and cardiovascular complications of hypertension • Detection, treatment and follow-up of hypertension • Non pharmacological and pharmacological management • Large outcome trials in hypertension.