White blood cell and platelet distribution widths are associated with hypertension: data mining approaches.

Decision tree Hematology Hypertension Logistic regression

Journal

Hypertension research : official journal of the Japanese Society of Hypertension
ISSN: 1348-4214
Titre abrégé: Hypertens Res
Pays: England
ID NLM: 9307690

Informations de publication

Date de publication:
25 Oct 2023
Historique:
received: 23 01 2023
accepted: 27 09 2023
revised: 23 09 2023
pubmed: 26 10 2023
medline: 26 10 2023
entrez: 25 10 2023
Statut: aheadofprint

Résumé

In this paper, we are going to investigate the association between Hypertension (HTN) and routine hematologic indices in a cohort of Iranian adults. The data were obtained from a total population of 9704 who were aged 35-65 years, a prospective study was designed. The association between hematologic factors and HTN was assessed using logistic regression (LR) analysis and a decision tree (DT) algorithm. A total of 9704 complete datasets were analyzed in this cohort study (N = 3070 with HTN [female 62.47% and male 37.52%], N = 6634 without HTN [female 58.90% and male 41.09%]). Several variables were significantly different between the two groups, including age, smoking status, BMI, diabetes millitus, high sensitivity C-reactive protein (hs-CRP), uric acid, FBS, total cholesterol, HGB, LYM, WBC, PDW, RDW, RBC, sex, PLT, MCV, SBP, DBP, BUN, and HCT (P < 0.05). For unit odds ratio (OR) interpretation, females are more likely to have HTN (OR = 1.837, 95% CI = (1.620, 2.081)). Among the analyzed variables, age and WBC had the most significant associations with HTN OR = 1.087, 95% CI = (1.081, 1.094) and OR = 1.096, 95% CI = (1.061, 1.133), respectively (P-value < 0.05). In the DT model, age, followed by WBC, sex, and PDW, has the most significant impact on the HTN risk. Ninety-eight percent of patients had HTN in the subgroup with older age (≥58), high PDW (≥17.3), and low RDW (<46). Finally, we found that elevated WBC and PDW are the most associated factor with the severity of HTN in the Mashhad general population as well as female gender and older age.

Identifiants

pubmed: 37880498
doi: 10.1038/s41440-023-01472-y
pii: 10.1038/s41440-023-01472-y
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Commentaires et corrections

Type : CommentIn

Informations de copyright

© 2023. The Author(s), under exclusive licence to The Japanese Society of Hypertension.

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Auteurs

Amin Mansoori (A)

International UNESCO center for Health-Related Basic Sciences and Human Nutrition, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Applied Mathematics, Ferdowsi University of Mashhad, Mashhad, Iran.

Narjes Sadat Farizani Gohari (NS)

School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

Leila Etemad (L)

International UNESCO center for Health-Related Basic Sciences and Human Nutrition, Mashhad University of Medical Sciences, Mashhad, Iran.

Mohadeseh Poudineh (M)

Student of Research Committee, School of Medicine, Zanjan University of Medical Sciences, Zanjan, Iran.

Rana Kolahi Ahari (RK)

International UNESCO center for Health-Related Basic Sciences and Human Nutrition, Mashhad University of Medical Sciences, Mashhad, Iran.

Fatemeh Mohammadyari (F)

School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.

Mobin Azami (M)

Student of Research Committee, Kurdistan University of Medical Sciences, Sanandaj, Iran.

Elias Sadooghi Rad (ES)

Student Research Committee, School of Medicine, Birjand University of Medical sciences, Birjand, Iran.

Gordon Ferns (G)

Brighton and Sussex Medical School, Division of Medical Education, Brighton, United Kingdom.

Habibollah Esmaily (H)

Department of Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran. esmailyh@mums.ac.ir.
Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. esmailyh@mums.ac.ir.

Majid Ghayour Mobarhan (M)

International UNESCO center for Health-Related Basic Sciences and Human Nutrition, Mashhad University of Medical Sciences, Mashhad, Iran. ghayourm@mums.ac.ir.

Classifications MeSH