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CN103198211B - Quantitative analysis method for influences of attack risk factors of type 2 diabetes on blood sugar - Google Patents

Quantitative analysis method for influences of attack risk factors of type 2 diabetes on blood sugar Download PDF

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CN103198211B
CN103198211B CN201310074038.9A CN201310074038A CN103198211B CN 103198211 B CN103198211 B CN 103198211B CN 201310074038 A CN201310074038 A CN 201310074038A CN 103198211 B CN103198211 B CN 103198211B
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罗森林
陈松景
潘丽敏
韩龙飞
张铁梅
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Beijing Institute of Technology BIT
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Abstract

本发明涉及2型糖尿病发病危险因素对血糖影响的定量分析方法,属于生物信息处理及医学领域。本发明首先使用C4.5和EM聚类算法实现重要发病危险因素的选择;再根据性别和年龄对全体人群进行划分,进而利用BP神经网络算法对细化人群进行敏感度计算,最终通过敏感度实现多因素对血糖影响的定量分析。与现有大量统计学方法相比,本发明采用数据挖掘方法,在充分考虑多因素之间相互影响的同时,在细化人群中实现多因素对血糖影响的定量分析,大大提高了定量分析的准确率,并可为个体发病的细化干预提供判定方法。本发明可对个体2型糖尿病发病进行干预指导,不仅可以预防或延缓发病,而且该方法可应用推广到其它疾病危险因素的定量分析。

The invention relates to a quantitative analysis method for the influence of type 2 diabetes risk factors on blood sugar, and belongs to the fields of biological information processing and medicine. The present invention first uses the C4.5 and EM clustering algorithms to realize the selection of important risk factors for morbidity; Realize the quantitative analysis of the influence of multiple factors on blood sugar. Compared with a large number of existing statistical methods, the present invention adopts a data mining method, and while fully considering the mutual influence among multiple factors, realizes the quantitative analysis of the impact of multiple factors on blood sugar in the refined population, greatly improving the accuracy of quantitative analysis. Accuracy rate, and can provide a judgment method for detailed intervention of individual disease. The invention can carry out intervention guidance on the onset of individual type 2 diabetes, not only can prevent or delay the onset, but also the method can be extended to the quantitative analysis of other disease risk factors.

Description

2型糖尿病发病危险因素对血糖影响的定量分析方法Quantitative analysis method for the influence of risk factors of type 2 diabetes on blood sugar

技术领域technical field

本发明涉及一种多因素对血糖影响的定量分析方法,属于生物信息处理及医学领域。The invention relates to a quantitative analysis method for the influence of multiple factors on blood sugar, which belongs to the fields of biological information processing and medicine.

背景技术Background technique

2型糖尿病已经成为世界性的一个主要健康问题。预计到2025年,全世界将有3.8亿人受到糖尿病的困扰。目前,我国已成为仅次于印度的糖尿病第二大国。据卫生部调查显示,我国糖尿病患者每天约新增3000例,每年约新增120万例,其中约95%为2型糖尿病患者。2型糖尿病已成为继癌症和心脑血管病之后,位于第三位严重影响人类健康的慢性病,其病因是环境因素、遗传因素、生活方式等相互作用的结果。目前已经获得共识的患病危险因素包括增龄、肥胖超重、血脂、血压水平异常、糖尿病家族史等,多因素共同作用对血糖水平升高产生影响,进而导致发病。Type 2 diabetes has become a major health problem worldwide. It is estimated that by 2025, 380 million people worldwide will suffer from diabetes. At present, my country has become the second largest country with diabetes after India. According to the survey by the Ministry of Health, there are about 3,000 new cases of diabetes every day in my country, and about 1.2 million new cases every year, of which about 95% are type 2 diabetes patients. Type 2 diabetes has become the third chronic disease that seriously affects human health after cancer and cardiovascular and cerebrovascular diseases. Its etiology is the result of the interaction of environmental factors, genetic factors, and lifestyle. At present, the risk factors that have gained consensus include aging, obesity and overweight, blood lipids, abnormal blood pressure levels, family history of diabetes, etc. Multiple factors work together to affect the increase in blood sugar levels and lead to disease.

由于2型糖尿病一旦发病难以治愈,如果在发病前对危险因素进行干预,能够有效降低发病率,提高生活质量。相关研究大多采用多元回归、元分析、cox回归等统计学方法,利用相对危险度研究危险因素与是否发病之间的关系。哈佛大学Hu F B等人的研究表明超重和肥胖是发生2型糖尿病的最重要因素。通过对比发现,3.4%处于低危险组女性发生糖尿病的相对危险度为0.09,91%的发病者是由于不健康生活习惯造成的。Mhurchu C N等人采用cox回归方法报道了亚太地区人群的体重指数和糖尿病发生之间联系,发现在该地区降低体重指数能有效降低糖尿病的发病率。或采用多元回归算法和元分析,研究通常用相对危险度说明某一因素是否是发生2型糖尿病相关的危险因素,给出定性的结论。本发明采用BP神经网络算法计算敏感度,量化衡量危险因素对血糖变化的影响,通过敏感度反映出危险因素的变化对血糖变化的影响,用敏感度比较说明危险因素对血糖变化的定量影响程度,是对血糖变化特点与规律的过程相关因素探索,用于指导相应干预措施,尽早控制血糖的升高趋势,达到预防控制糖尿病发生的目的。Since type 2 diabetes is difficult to cure once it develops, if the risk factors are intervened before the onset, the incidence rate can be effectively reduced and the quality of life can be improved. Most of the relevant studies use statistical methods such as multiple regression, meta-analysis, and cox regression, and use relative risk to study the relationship between risk factors and the onset of disease. Studies by Hu F B from Harvard University have shown that overweight and obesity are the most important factors for the occurrence of type 2 diabetes. By comparison, it was found that 3.4% of women in the low-risk group had a relative risk of diabetes of 0.09, and 91% of the cases were caused by unhealthy living habits. Mhurchu C N et al. used cox regression method to report the relationship between body mass index and diabetes in the Asia-Pacific population, and found that reducing body mass index in this region can effectively reduce the incidence of diabetes. Or use multiple regression algorithm and meta-analysis. The research usually uses the relative risk to explain whether a certain factor is a risk factor related to type 2 diabetes, and gives a qualitative conclusion. The present invention adopts BP neural network algorithm to calculate sensitivity, quantitatively measures the impact of risk factors on blood sugar changes, reflects the impact of risk factors changes on blood sugar changes through sensitivity, and uses sensitivity comparison to illustrate the quantitative influence degree of risk factors on blood sugar changes , is to explore the process-related factors of the characteristics and regularity of blood sugar changes, and is used to guide corresponding intervention measures, control the rising trend of blood sugar as soon as possible, and achieve the purpose of preventing and controlling the occurrence of diabetes.

发明内容Contents of the invention

本发明的目的是为解决多因素对血糖影响定量分析的问题,提出一种基于BP神经网络的定量分析方法。The purpose of the present invention is to propose a quantitative analysis method based on BP neural network in order to solve the problem of quantitative analysis of the influence of multiple factors on blood sugar.

本发明的设计原理为:使用C4.5和EM聚类算法筛选出主要的危险因素,用以确定定量分析的对象;对未患有2型糖尿病的全国抽样人群体检数据,根据性别和年龄进行人群划分;使用BP神经网络算法定量分析危险因素对血糖变化的影响。本发明在筛选出危险因素的同时对人群进行细化,通过定量分析多因素对血糖影响,在给出细化人群中多因素对血糖影响量化表示,且不同细化人群的多因素的量化排序不同,为个体细化干预提供判定方法。The design principle of the present invention is: use C4.5 and EM clustering algorithm to screen out the main risk factors, in order to determine the object of quantitative analysis; To the national sample population physical examination data that does not suffer from type 2 diabetes, carry out according to gender and age Population division; BP neural network algorithm was used to quantitatively analyze the influence of risk factors on blood sugar changes. The present invention refines the population while screening out the risk factors, quantitatively analyzes the influence of multiple factors on blood sugar, and gives a quantitative representation of the influence of multiple factors on blood sugar in the refined population, and quantitatively ranks the multi-factors of different refined populations Different, provide a judgment method for individual fine-grained intervention.

本发明的技术方案是通过如下步骤实现的:Technical scheme of the present invention is realized through the following steps:

步骤1,获取人群体检数据,形成未患有2型糖尿病的全国抽样人群体检数据源S。Step 1: Obtain the population physical examination data to form a national sample population physical examination data source S without type 2 diabetes.

具体方法为:为通过2001-2008年实测体检数据,得到完整可用的数据源,对体检数据进行预处理,首先通过数据清理,填充空缺值、识别孤立点、消除噪声并纠正数据中的不一致;再进行数据变换包括数据格式转换、数据语义的转换;最后保证在信息不丢失的情况下,通过数据规约删除重复因素和空缺值过多的因素,得到全国抽样人群体检数据源S={s1,s2,s3,…,sk},其中k为预处理后体检人的总数。The specific method is as follows: In order to obtain a complete and available data source through the actual physical examination data from 2001 to 2008, preprocess the physical examination data, firstly through data cleaning, fill in vacant values, identify isolated points, eliminate noise and correct inconsistencies in the data; Then data transformation includes data format transformation and data semantic transformation; finally, to ensure that the information is not lost, duplicate factors and factors with too many vacant values are deleted through data specification, and the data source of the national sample population physical examination S={s 1 , s 2 , s 3 ,..., s k }, where k is the total number of people undergoing physical examination after pretreatment.

步骤2,在步骤1的基础上,进行主要危险因素的筛选。具体过程如下:Step 2, on the basis of step 1, screen the main risk factors. The specific process is as follows:

步骤2.1,数据处理实验参数设定模块。根据数据源S选择进行主要危险因素筛选的算法,并设定算法的参数。Step 2.1, data processing experiment parameter setting module. According to the data source S, select the algorithm for screening the main risk factors, and set the parameters of the algorithm.

步骤2.2,EM聚类算法模块。Step 2.2, EM clustering algorithm module.

具体方法为:对数据源S进行聚P类或q类的聚类实验,改变参与实验的危险因素的数量和种类,观察实验结果,得到能够较好反映出人群特点的聚类结果,记录参与聚类的危险因素。The specific method is as follows: conduct clustering experiments on the data source S to cluster P or q clusters, change the number and types of risk factors participating in the experiment, observe the experimental results, obtain clustering results that can better reflect the characteristics of the population, and record the participants. Clustered risk factors.

步骤2.3,EM聚类、C4.5分类组合实验。Step 2.3, EM clustering, C4.5 classification combination experiment.

具体方法为:EM聚类实验部分的参与因素为上述聚类实验所得的最佳聚类因素,进行聚P类或q类的聚类实验,将数据源S按不同人群健康特点分开,在对不同健康特点的人群分别使用C4.5算法进行分析,分类参与因素为全部l维危险因素,分类实验的标定门限值分别为R、V、T和Z,得到不同健康特点人群所对应的分类决策树。The specific method is as follows: the participating factors of the EM clustering experiment are the best clustering factors obtained from the above clustering experiment, and the clustering experiment of clustering P or q is carried out, and the data source S is separated according to the health characteristics of different groups of people. Groups with different health characteristics were analyzed using the C4.5 algorithm, and the classification participation factors were all l-dimensional risk factors. The calibration thresholds of the classification experiments were R, V, T, and Z, respectively, and the corresponding classifications of groups with different health characteristics were obtained. decision tree.

步骤2.4,对实验结果进行统计,得到c维主要危险因素,根据医学认知,进一步筛选得到u维主要危险因素。步骤3,根据性别和年龄,对经步骤2得到的全国抽样人群体检数据源S进行划分,生成细化人群。In step 2.4, the experimental results are counted to obtain the main risk factors of the c dimension, and further screened to obtain the main risk factors of the u dimension according to medical knowledge. In step 3, according to gender and age, the data source S of the national sample population physical examination obtained in step 2 is divided to generate a refined population.

具体方法为:首先按性别划分,得到男性人群和女性人群;再分别按年龄大于e岁和小于等于e岁进行划分,共得到d组细化人群。The specific method is as follows: first, divide by gender to obtain male population and female population; then divide by age older than e years and less than or equal to e years respectively, and obtain group d of refined population.

步骤4,使用经步骤3得到的细化人群分别训练BP神经网络模型,进而计算出不同危险因素对血糖影响的敏感度,利用敏感度实现定量分析。Step 4, use the refined population obtained in step 3 to train the BP neural network model, and then calculate the sensitivity of different risk factors to blood sugar, and use the sensitivity to achieve quantitative analysis.

步骤4.1,在给定主要危险因素维数u下,使用d组细化人群训练生成d个BP神经网络模型,每个模型的生成方法为:Step 4.1, under the given main risk factor dimension u, use d groups of refined population training to generate d BP neural network models, and the generation method of each model is:

步骤4.1.1,选取处理后训练数据的u维危险因素,作为模型的输入,血糖作为模型的输出,利用信息的正向传播和误差的反向传播训练生成BP神经网络模型。输入危险因素从输入层经隐含层逐层计算传递到输出层,每一层神经元只影响下一层神经元的状态,如果输出层没有得到期望输出,则计算输出层的误差变化值,然后进行反向传播,通过网络将误差信号沿原来的连接通路反传回来调整各神经元的权值,经过多次迭代,直至达到平均相对误差小于σ,训练生成BP神经网络模型,计算模型输出平均相对误差。In step 4.1.1, the u-dimensional risk factors of the processed training data are selected as the input of the model, blood glucose is used as the output of the model, and the forward propagation of information and the back propagation of errors are used for training to generate a BP neural network model. The input risk factors are calculated and transmitted from the input layer to the output layer layer by layer through the hidden layer. Each layer of neurons only affects the state of the next layer of neurons. If the output layer does not get the expected output, the error change value of the output layer is calculated. Then carry out backpropagation, through the network, the error signal is transmitted back along the original connection path to adjust the weights of each neuron. After multiple iterations, until the average relative error is less than σ, the BP neural network model is generated by training, and the model output is calculated. mean relative error.

步骤4.1.2,再把验证数据输入已生成的BP神经网络模型,计算输出血糖值,通过误差计算得到验证数据的平均相对误差。In step 4.1.2, input the verification data into the generated BP neural network model, calculate the output blood glucose value, and obtain the average relative error of the verification data through error calculation.

步骤4.2,通过BP神经网络模型计算多因素对血糖影响的敏感度。敏感度是通过分析不同参数组合对模型模拟效果的影响,确定出的模型参数对模型输出的贡献率或影响程度。In step 4.2, the sensitivity of multiple factors to the influence of blood sugar is calculated through the BP neural network model. Sensitivity is to determine the contribution rate or degree of influence of the model parameters on the model output by analyzing the influence of different parameter combinations on the simulation effect of the model.

设有n-L-1前向网络(n为BP神经网络模型输入变量的个数,L为BP神经网络模型的隐含层数目,1为模型输出变量的个数),网络输出有如下形式:y=f(x1,…,xn)(x为BP神经网络模型的输入,y为BP神经网络模型的输出)。以2个输入危险因素为例,通过对该式求二阶偏导来考察两个输入变量对输出变量的敏感度。设神经网络的隐层激活函数为对数S型函数Set nL-1 forward network (n is the number of input variables of BP neural network model, L is the number of hidden layers of BP neural network model, 1 is the number of model output variables), the network output has the following form: y =f(x 1 ,...,x n ) (x is the input of the BP neural network model, and y is the output of the BP neural network model). Taking two input risk factors as an example, the sensitivity of the two input variables to the output variable was investigated by calculating the second-order partial derivative of the formula. Let the hidden layer activation function of the neural network be a logarithmic S-type function

通过雅克比矩阵via the Jacobian matrix

式中:T为矩阵的转置运算,m为所用数据源的样本数目,n为输入变量的个数。把第j个输入xj变化与第j个输出yj=f(xj)改变联系起来意味着网络输出的敏感度依赖于输入的微小扰动。对于n个输入、具有L个神经元的隐含层和一个输出层的神经网络,第t个样本上输入变量xi和xk对输出变量y的敏感度为In the formula: T is the transposition operation of the matrix, m is the sample number of the data source used, and n is the number of input variables. Relating the jth input x j change to the jth output y j = f(x j ) change means that the sensitivity of the network output depends on small perturbations of the input. For a neural network with n inputs, a hidden layer with L neurons and an output layer, the sensitivity of the input variables x i and x k to the output variable y on the tth sample is

式中:S1为输出层激活函数对其输入的一阶导数,S2为输出层激活函数对其输入的二阶导数。为第t个样本上第j个隐层神经元的响应,vj1为输出神经元和第j个隐层神经元间的权重,wij为第i个输入神经元和第j个隐层神经元间的权重,wkj为第k个输入神经元和第j个隐层神经元间的权重。通过对不同危险因素进行敏感度分析,得到各发病危险因素对血糖变化的定量分析。In the formula: S 1 is the first derivative of the output layer activation function to its input, and S 2 is the second derivative of the output layer activation function to its input. is the response of the j-th hidden layer neuron on the t-th sample, v j1 is the weight between the output neuron and the j-th hidden layer neuron, w ij is the i-th input neuron and the j-th hidden layer neuron The weight between neurons, w kj is the weight between the kth input neuron and the jth hidden layer neuron. Through the sensitivity analysis of different risk factors, the quantitative analysis of each risk factor on blood sugar changes was obtained.

有益效果Beneficial effect

相比于基于线性回归、元分析等大量统计学分析方法,本发明采用BP神经网络的数据挖掘方法,实现对血糖变化的定量分析,具有准确率高的特点。Compared with a large number of statistical analysis methods based on linear regression, meta-analysis, etc., the present invention adopts the data mining method of BP neural network to realize the quantitative analysis of blood sugar changes, and has the characteristics of high accuracy.

与群体分析相比,本发明采用人群划分技术,具有更高的准确率,对血糖变化的分析更有针对性,并为个体的细化干预提供判定依据,以预防或延缓2型糖尿病的发生。本发明可应用推广到其它疾病危险因素的量化分析,还可应用于因素干预-判定-因素干预的良性循环中,从而有效提升个体的健康水平。Compared with the group analysis, the present invention adopts the group division technology, which has a higher accuracy rate, more targeted analysis of blood sugar changes, and provides judgment basis for individual fine-grained intervention, so as to prevent or delay the occurrence of type 2 diabetes . The present invention can be applied to quantitative analysis of other disease risk factors, and can also be applied to a virtuous cycle of factor intervention-judgment-factor intervention, thereby effectively improving the health level of individuals.

附图说明Description of drawings

图1为本发明的多因素对血糖影响定量分析方法的原理图;Fig. 1 is the schematic diagram of the method for quantitative analysis of the influence of multiple factors on blood sugar of the present invention;

图2为具体实施方式中数据预处理原理图;Fig. 2 is a schematic diagram of data preprocessing in a specific embodiment;

图3为具体实施方式中聚类实验流程图;Fig. 3 is the flow chart of clustering experiments in the specific embodiment;

图4为具体实施方式中聚类、分类组合实验流程图;Fig. 4 is the flow chart of clustering, classification combined experiments in the specific embodiment;

图5为具体实施方式中人群划分方法;Fig. 5 is the crowd division method in the specific embodiment;

图6为具体实施方式中BP神经网络模型生成原理图;Fig. 6 is a schematic diagram of generating a BP neural network model in a specific embodiment;

图7为具体实施方式中发病危险因素敏感度直方图。Fig. 7 is a histogram of the sensitivity of risk factors in the specific embodiment.

具体实施方式detailed description

为了更好的说明本发明的目的和优点,下面结合附图和实施实例对本发明方法的实施方式做进一步详细说明。In order to better illustrate the purpose and advantages of the present invention, the implementation of the method of the present invention will be further described in detail below in conjunction with the accompanying drawings and implementation examples.

以体检中心2007年和2008年9632条实测体检数据作为输入,设计并部署9组细化人群的验证:(1)针对全部人群数据进行验证,(2)针对男性数据进行验证,(3)针对女性数据进行验证,(4)针对大于50岁人群数据进行验证,(5针对小于等于50岁人群数据验证,(6)针对男性大于50岁人群数据验证,(7)针对男性小于等于50岁人群数据验证,(8)针对女性大于50岁人群数据验证,(9针对女性小于等于50岁人群数据验证。Taking 9,632 pieces of physical examination data from the physical examination center in 2007 and 2008 as input, design and deploy 9 groups of refined crowd verification: (1) verify the data of the whole population, (2) verify the data of males, (3) verify the data of Validate female data, (4) verify data for people older than 50 years old, (5) verify data for people older than 50 years old, (6) verify data for men who are older than 50 years old, (7) verify data for men who are younger than or equal to 50 years old Data verification, (8) data verification for women older than 50 years old, (9 data verification for women less than or equal to 50 years old.

训练数据来自2001-2008年实测体检数据,共有59839条未患病体检数据作为输入,其中男性数据34377条,占57.4%,女性数据25462条,占42.6%是否患有2型糖尿病按照1999年世界卫生组织(WHO)标准判定。体检者的具体性别和年龄分布如表1所示。验证数据采用体检中心2007年和200年9632条实测体检数据。The training data comes from the actual physical examination data from 2001 to 2008. A total of 59,839 undiseased physical examination data are used as input, including 34,377 male data, accounting for 57.4%, and 25,462 female data, accounting for 42.6%. World Health Organization (WHO) standard judgment. The gender and age distribution of the examinees is shown in Table 1. The verification data uses 9632 pieces of physical examination data from the physical examination center in 2007 and 2000.

表1训练数据的性别和年龄分布统计表Table 1. Gender and age distribution statistics of training data

对训练数据进行数据预处理如图2和人群划分如图3,得到九组人群,分别训练生成九个BP神经网络模型如图4,计算平均相对误差:Perform data preprocessing on the training data as shown in Figure 2 and crowd division as shown in Figure 3 to obtain nine groups of people, train and generate nine BP neural network models as shown in Figure 4, and calculate the average relative error:

式中:E为模型输出的平均相对误差,m为所用数据源的样本数目,y'i为模型输出的第i个样本血糖值,yi为第i个样本的实际血糖值,分别计算得到每个模型的平均相对误差。In the formula: E is the average relative error of the model output, m is the number of samples of the data source used, y' i is the blood glucose value of the ith sample output by the model, and y i is the actual blood glucose value of the ith sample, which are calculated separately Average relative error for each model.

对验证数据进行同样的数据预处理和人群划分,得到九组人群,分别输入对应模型,计算各模型输出血糖值,再通过误差计算平均相对误差,来验证模型的准确性。Perform the same data preprocessing and population division on the verification data to obtain nine groups of people, input the corresponding models respectively, calculate the output blood glucose value of each model, and then calculate the average relative error through the error to verify the accuracy of the model.

表2九组模型输出的平均相对误差表Table 2 The average relative error table output by nine groups of models

通过九个BP神经网络模型分别得到九组人群患病危险因素对血糖变化的敏感度如表3所示,对应的发病危险因素敏感度直方图如图5所示,从左到右依次为全体人群、男性人群、女性人群、大于50岁人群、小于等于50岁人群、男性>50岁人群、女性>50岁人群、男性≤50岁人群和女性≤50岁人群的不同患病危险因素敏感度。Through nine BP neural network models, the sensitivities of nine groups of risk factors to blood sugar changes are obtained, as shown in Table 3, and the corresponding sensitivity histograms of risk factors are shown in Figure 5, from left to right for all Sensitivity of different risk factors among the population, male population, female population, population over 50 years old, population less than or equal to 50 years old, male population >50 years old, female population >50 years old, male population ≤50 years old, and female population ≤50 years old .

表3九组人群患病危险因素对血糖变化的敏感度表Table 3 Sensitivity of disease risk factors to changes in blood sugar in the nine groups of people

通过不同人群中危险因素的敏感度比较分析,可以得出以下结果:Through the comparative analysis of the sensitivity of risk factors in different populations, the following results can be drawn:

1.体重对血糖变化影响1. Effect of body weight on blood sugar changes

体重是最易引起血糖变化的因素。全人群中体重对血糖变化影响的敏感度为0.2449。体重对血糖变化的影响程度不仅体现在全人群的敏感度计算中体重敏感度位列第一;而且体现为在应用性别、年龄进一步划分为8个人群后,在其中6个人群中体重的敏感度均位于第一位,仅在50岁以上人群中和年龄大于50岁女性人群中分别位于第二和三位。而后两组也考虑同为年龄大于50岁女性人群组的特点所致。Body weight is the most likely factor that causes changes in blood sugar. The sensitivity of body weight to blood glucose changes in the whole population was 0.2449. The degree of influence of body weight on blood sugar changes is not only reflected in the sensitivity of body weight ranking first in the sensitivity calculation of the whole population; Both rank first, and only rank second and third among people over 50 years old and women over 50 years old, respectively. The latter two groups are also considered to be due to the characteristics of the female population older than 50 years old.

2.血脂水平对血糖变化的影响2. Effect of blood lipid level on blood sugar changes

胆固醇水平变化对血糖变化的影响仅次于体重。全人群中胆固醇水平变化敏感度为0.2294。在年龄大于50岁和女性人群中,胆固醇水平对血糖影响要高于年龄小于50岁组和男性。在年龄大于50岁的女性人群中,胆固醇水平对血糖变化的影响要高于同年龄组男性人群的28%(0.2538vs.0.1985)。全人群中甘油三酯水平对血糖变化影响位于第四位(0.1227),远较胆固醇水平的影响要低47%(0.2294vs.0.1227)。但在男性人群,特别是年龄大于50岁男性人群中,甘油三酯水平对血糖变化影响(0.1970)明显增加60%。Changes in cholesterol levels are second only to body weight in affecting changes in blood sugar. The sensitivity to change of cholesterol level in the whole population was 0.2294. In people older than 50 years old and women, the effect of cholesterol level on blood sugar is higher than that in people younger than 50 years old and men. Among women over 50 years old, the influence of cholesterol level on blood glucose changes was 28% higher than that of men of the same age group (0.2538vs.0.1985). In the whole population, the effect of triglyceride level on blood sugar changes ranks fourth (0.1227), which is 47% lower than that of cholesterol level (0.2294vs.0.1227). However, in the male population, especially the male population older than 50 years old, the effect of triglyceride levels on blood sugar changes (0.1970) increased significantly by 60%.

3.年龄对血糖变化的影响3. The effect of age on blood sugar changes

在全人群中,年龄对血糖变化的影响敏感度为0.1657,位于第三位。男性比女性对年龄因素要敏感(0.2192vs.0.0383)4.7倍。In the whole population, the sensitivity of age to blood glucose changes was 0.1657, ranking third. Men are 4.7 times more sensitive to age than women (0.2192vs.0.0383).

在全人群中,以上三个因素对血糖变化影响的敏感度达到了目前检测患病危险因素影响的64%。如果考虑到甘油三酯对血糖变化的敏感度为0.1227,体重、血脂水平(胆固醇和甘油三酯)和年龄三个因素对血糖变化的影响可以到77%,三者分别约为25%,35%和17%。总体而言,体重、血脂水平(胆固醇和甘油三酯)和年龄因素是影响血糖变化的主要因素。In the whole population, the sensitivity of the above three factors to the influence of blood sugar changes has reached 64% of the current detection of risk factors. Considering that the sensitivity of triglycerides to blood sugar changes is 0.1227, the three factors of body weight, blood lipid level (cholesterol and triglycerides) and age can affect 77% of blood sugar changes, and the three factors are about 25% and 35% respectively. % and 17%. Overall, body weight, blood lipid levels (cholesterol and triglycerides), and age were the main factors that influenced changes in blood sugar.

4.性别对血糖变化影响4. Effect of gender on blood sugar changes

在全人群中,性别的敏感度仅为0.0091,性别因素对血糖变化的影响在全人群中作用不大,这也符合糖尿病患病率在性别之间差距不大的现象。但考虑到年龄因素后,性别对血糖变化的影响还是有一定作用的。在大于50岁人群中性别对血糖水平影响的提高了近2.5倍,敏感度提高到0.0315。In the whole population, the sensitivity of gender is only 0.0091, and the gender factor has little effect on blood sugar changes in the whole population, which is also consistent with the phenomenon that the prevalence of diabetes has little difference between genders. However, after considering the age factor, the impact of gender on blood sugar changes still has a certain effect. In people older than 50 years, the effect of sex on blood glucose levels increased by nearly 2.5 times, and the sensitivity increased to 0.0315.

不同年龄组中性别因素对血糖变化的具体影响表现为:The specific impact of gender factors on blood glucose changes in different age groups is as follows:

1)在大于50岁男性和女性组中,血脂水平变化影响体现有所不同。男性对于甘油三酯水平变化更为敏感(0.1970vs.0.1659),而胆固醇和高密度脂蛋白水平变化对于女性血糖影响更大(0.2538vs.0.1985;0.1974vs.0.1437)。1) In the male and female groups over 50 years old, the impact of changes in blood lipid levels is different. Men were more sensitive to changes in triglyceride levels (0.1970 vs. 0.1659), while changes in cholesterol and high-density lipoprotein levels had a greater effect on women's blood sugar (0.2538 vs. 0.1985; 0.1974 vs. 0.1437).

2)在小于50岁男性组中,体重因素表现出最高的影响程度(0.2911),分别高出全人群组、单纯男性组和男性高于50岁组影响程度的19%,18%和32%。胆固醇和高密度脂蛋白水平变化对于女性血糖影响在小于50岁女性组中依然存在,且性别因素在高密度脂蛋白水平上的影响比年龄大于50岁组程度更明显(0.1515vs.0.0371)。2) In the group of men younger than 50 years old, the weight factor showed the highest degree of influence (0.2911), which was 19%, 18% and 32% higher than the influence degree of the whole population group, the pure male group and the men over 50 years old group respectively %. The effect of changes in cholesterol and high-density lipoprotein levels on female blood sugar still existed in the group of women younger than 50 years old, and the effect of gender factors on the level of high-density lipoprotein was more obvious than that in the group older than 50 years old (0.1515vs.0.0371).

进一步得到如下结论:基于BP神经网络的定量分析方法,利用敏感度量化衡量危险因素对血糖变化的影响程度,实现了从定性分析到定量计算的转变,得到了不同患病危险因素对血糖变化影响的敏感度。(1)体重变化最易引起血糖变化,其次是胆固醇、年龄和甘油三酯,它们对血糖变化影响的敏感度达到目前检测患病危险因素影响的77%,体重、血脂水平(胆固醇和甘油三酯)和年龄分别约占25%、35%和17%。(2)年龄对血糖变化的影响敏感度为0.1657,位于第三位。男性比女性对年龄因素要敏感(0.2192vs.0.0383)4.8倍。(3)性别因素对血糖变化的影响在全人群中作用不大,敏感度为0.0091,但考虑年龄因素后,性别对血糖变化有一定作用。在大于50岁人群中性别对血糖水平的影响明显些,敏感度为0.0315。大于50岁人群中,男性甘油三酯对血糖水平的影响比女性高19%;体重对男性血糖水平的影响比女性高14%,女性胆固醇水平对血糖变化的影响比男性高28%;小于等于50岁人群中,高密度脂蛋白对血糖变化的保护作用明显。The following conclusions are further obtained: the quantitative analysis method based on BP neural network uses sensitive quantification to measure the influence degree of risk factors on blood sugar changes, realizes the transformation from qualitative analysis to quantitative calculation, and obtains the influence of different risk factors on blood sugar changes. sensitivity. (1) Changes in body weight are the most likely to cause changes in blood sugar, followed by cholesterol, age and triglycerides. Their sensitivity to blood sugar changes has reached 77% of the current detection of risk factors. Body weight, blood lipid levels (cholesterol and triglycerides) esters) and age accounted for about 25%, 35% and 17%, respectively. (2) The sensitivity of age to blood glucose changes was 0.1657, ranking third. Men are 4.8 times more sensitive to age than women (0.2192vs.0.0383). (3) The effect of gender on blood glucose changes was not significant in the whole population, with a sensitivity of 0.0091, but after considering age, gender had a certain effect on blood glucose changes. The effect of gender on blood glucose level is more obvious in people over 50 years old, and the sensitivity is 0.0315. Among people over 50 years old, the impact of triglycerides on men's blood sugar levels is 19% higher than that of women; the impact of body weight on men's blood sugar levels is 14% higher than that of women, and the impact of women's cholesterol levels on blood sugar changes is 28% higher than that of men; less than or equal to In the 50-year-old population, the protective effect of high-density lipoprotein on blood sugar changes is obvious.

Claims (3)

1.2型糖尿病发病危险因素对血糖影响的定量分析方法,其特征在于,所述方法包括以下步骤:1. A method for quantitative analysis of the impact of risk factors for type 2 diabetes on blood sugar, characterized in that the method comprises the following steps: 步骤1,对2001-2008年实测体检数据,进行数据清理,填充空缺值、识别孤立点、消除噪声并纠正数据中的不一致;再进行数据变换,包括数据格式转换、数据语义转换;最后在保证信息不丢失的情况下,通过数据归约删除重复因素和空缺值较多的因素,形成未患有2型糖尿病的全国抽样人群体检数据源S;Step 1. Perform data cleaning on the actual physical examination data from 2001 to 2008, fill in vacancies, identify outliers, eliminate noise and correct inconsistencies in the data; then perform data transformation, including data format conversion and data semantic conversion; Under the condition that the information is not lost, the repeated factors and the factors with more blank values are deleted through data reduction, and the data source S of the national sample population without type 2 diabetes is formed; 步骤2,对数据源S采用EM聚类算法进行危险因素的粗选,然后采用融合EM聚类和C4.5算法的危险因素精选方法,筛选引起2型糖尿病的主要危险因素;Step 2, use the EM clustering algorithm for the rough selection of risk factors on the data source S, and then use the risk factor selection method that combines EM clustering and C4.5 algorithm to screen the main risk factors that cause type 2 diabetes; 步骤3,根据性别和年龄,对经步骤1得到的全国抽样人群体检数据源S进行划分,基于步骤2获得危险因素对9组细化人群分别训练BP神经网络模型,基于BP神经网络权重,采用一种多因素综合作用下的敏感度计算方法,计算出不同危险因素对血糖影响的敏感度,进而实现定量分析;Step 3. According to gender and age, divide the data source S of the national sample population physical examination obtained in step 1, and train the BP neural network model for the 9 groups of refined populations based on the risk factors obtained in step 2. Based on the weight of the BP neural network, use A sensitivity calculation method under the comprehensive action of multiple factors, which calculates the sensitivity of different risk factors to the influence of blood sugar, and then realizes quantitative analysis; 其中,所述多因素综合作用下的敏感度计算方法为:设有n-L-1前向网络,式中n为BP神经网络模型输入变量的个数,L为BP神经网络模型的隐含层数目,1为模型输出变量的个数,网络输出有如下形式:y=f(x1,…,xn),式中x为BP神经网络模型的输入,y为BP神经网络模型的输出,通过对该式求二阶偏导来考察输入变量对输出变量的敏感度,设神经网络的隐层激活函数为对数S型函数Wherein, the sensitivity calculation method under the comprehensive action of multiple factors is as follows: nL-1 forward network is provided, where n is the number of input variables of the BP neural network model, and L is the number of hidden layers of the BP neural network model , 1 is the number of model output variables, and the network output has the following form: y=f(x 1 ,…, x n ), where x is the input of the BP neural network model, y is the output of the BP neural network model, through Find the second-order partial derivative of this formula to examine the sensitivity of the input variable to the output variable, and set the hidden layer activation function of the neural network as a logarithmic S-type function ff (( xx )) == 11 11 ++ ee -- xx 通过雅克比矩阵via the Jacobian matrix dd ythe y dxdx TT == (( ∂∂ ythe y ∂∂ xx )) mm ×× nno 式中:T为矩阵的转置运算,m为所用数据源的样本数目,n为输入变量的个数,把第j个输入xj变化与第j个输出yj=f(xj)改变联系起来意味着网络输出的敏感度依赖于输入的微小扰动,对于n个输入、具有L个神经元的隐含层和一个输出层的神经网络,第t个样本上输入变量xi和xk对输出变量y的敏感度为In the formula: T is the transposition operation of the matrix, m is the number of samples of the data source used, n is the number of input variables, change the jth input x j and the jth output y j = f(x j ) The connection means that the sensitivity of the network output depends on the small disturbance of the input. For a neural network with n inputs, a hidden layer with L neurons and an output layer, the input variables xi and x k on the tth sample The sensitivity to the output variable y is SS ii kk tt == SS 22 ΣΣ jj == 11 LL ww ii jj vv jj 11 II jj tt (( 11 -- II jj tt )) ΣΣ jj == 11 LL ww kk jj vv jj 11 II jj tt (( 11 -- II jj tt )) ++ SS 11 ΣΣ jj == 11 LL ww ii jj ww kk jj vv jj 11 II jj tt (( 11 -- II jj tt )) (( 11 -- 22 II jj tt )) 式中:S1为输出层激活函数对其输入的一阶导数,S2为输出层激活函数对其输入的二阶导数,为第t个样本上第j个隐层神经元的响应,vj1为输出神经元和第j个隐层神经元间的权重,wij为第i个输入神经元和第j个隐层神经元间的权重,wkj为第k个输入神经元和第j个隐层神经元间的权重。In the formula: S 1 is the first-order derivative of the output layer activation function to its input, S 2 is the second-order derivative of the output layer activation function to its input, is the response of the j-th hidden layer neuron on the t-th sample, v j1 is the weight between the output neuron and the j-th hidden layer neuron, w ij is the i-th input neuron and the j-th hidden layer neuron The weight between neurons, w kj is the weight between the kth input neuron and the jth hidden layer neuron. 2.根据权利要求1所述的方法,其特征在于,所述对数据源S采用EM聚类算法进行危险因素的粗选,然后采用融合EM聚类和C4.5算法的危险因素精选方法,筛选引起2型糖尿病的主要危险因素的步骤具体包括:2. The method according to claim 1, characterized in that, the data source S adopts the EM clustering algorithm to carry out the rough selection of risk factors, and then adopts the risk factor selection method of fusion EM clustering and C4.5 algorithm , the steps of screening the main risk factors for type 2 diabetes include: 步骤2.1,根据数据源S选择进行主要危险因素筛选的算法,并设定算法的参数;Step 2.1, select the algorithm for screening the main risk factors according to the data source S, and set the parameters of the algorithm; 步骤2.2,对数据源S进行聚P类或q类的聚类实验,改变参与实验的危险因素的数量和种类,观察实验结果,得到能够较好反映出人群特点的聚类结果,记录参与聚类的危险因素,达到对危险因素粗选的目的;Step 2.2: Carry out a clustering experiment of clustering P or q on the data source S, change the number and type of risk factors involved in the experiment, observe the experimental results, obtain a clustering result that can better reflect the characteristics of the population, and record the participating clustering results. Class risk factors to achieve the purpose of rough selection of risk factors; 步骤2.3,EM聚类实验部分的参与因素为上述聚类实验所得的最佳聚类因素,进行聚P类或q类的聚类实验,将数据源S按不同人群健康特点分开,在对不同健康特点的人群分别使用C4.5算法进行分析,分类参与因素为全部l维危险因素,分类实验的标定门限值分别为A、B、C和D,得到不同健康特点人群所对应的分类决策树;In step 2.3, the participating factors of the EM clustering experiment are the best clustering factors obtained from the above clustering experiment, and the clustering experiment of clustering P or q is carried out, and the data source S is separated according to the health characteristics of different groups of people. C4.5 algorithm is used to analyze the groups with healthy characteristics, and the classification participation factors are all l-dimensional risk factors. The calibration thresholds of the classification experiments are A, B, C and D respectively, and the classification decisions corresponding to groups with different health characteristics are obtained. Tree; 步骤2.4,对实验结果进行统计,得到c维主要危险因素,根据医学认知,进一步筛选得到u维主要危险因素,达到对危险因素精选的目的。Step 2.4: Statisticalize the experimental results to obtain the main risk factors of the c-dimension, and further screen to obtain the main risk factors of the u-dimension according to medical knowledge, so as to achieve the purpose of selecting risk factors. 3.根据权利要求1所述的方法,其特征在于,根据年龄性别,对经步骤1得到的全国抽样人群体检数据源S进行划分,对细化人群分别训练BP神经网络模型,基于BP神经网络权值计算出不同危险因素对血糖影响的敏感度,进而实现定量分析,具体方法为:3. The method according to claim 1, characterized in that, according to age and sex, the national sampling population physical examination data source S obtained through step 1 is divided, and the BP neural network model is trained respectively for the refined crowd, based on the BP neural network The weight value calculates the sensitivity of different risk factors to the influence of blood sugar, and then realizes the quantitative analysis. The specific method is as follows: 步骤3.1,根据年龄和性别,对步骤1人群进行细化,首先按性别划分,得到男性人群和女性人群;再分别按年龄大于e岁和小于等于e岁进行划分,共得到d组细化人群;Step 3.1, according to age and gender, refine the population in step 1, first divide by gender, obtain male population and female population; then divide by age greater than e years and less than or equal to e years, and obtain a total of d group of refined populations ; 步骤3.2,在给定主要危险因素维数u下,使用n组细化人群训练生成n个BP神经网络模型,每个模型的生成方法为:Step 3.2, under the given main risk factor dimension u, use n groups of refined population training to generate n BP neural network models, the generation method of each model is: 步骤3.2.1,选取处理后训练数据的u维危险因素,作为模型的输入,血糖作为模型的输出,利用信息的正向传播和误差的反向传播训练生成BP神经网络模型,输入危险因素从输入层经隐含层逐层计算传递到输出层,每一层神经元只影响下一层神经元的状态,如果输出层没有得到期望输出,则计算输出层的误差变化值,然后进行反向传播,通过网络将误差信号沿原来的连接通路反传回来调整各神经元的权值,经过多次迭代,直至达到平均相对误差小于σ,训练生成BP神经网络模型,计算模型输出平均相对误差;Step 3.2.1, select the u-dimensional risk factors of the processed training data as the input of the model, blood glucose as the output of the model, use the forward propagation of information and the back propagation of the error to train and generate the BP neural network model, and input the risk factors from The input layer is calculated layer by layer through the hidden layer and passed to the output layer. Each layer of neurons only affects the state of the next layer of neurons. If the output layer does not get the desired output, calculate the error change value of the output layer, and then reverse Propagation, the error signal is transmitted back along the original connection path through the network to adjust the weight of each neuron, and after multiple iterations, until the average relative error is less than σ, the BP neural network model is trained to generate the BP neural network model, and the average relative error of the model output is calculated; 步骤3.2.2,再把验证数据输入已生成的BP神经网络模型,计算输出血糖值,通过误差计算得到验证数据的平均相对误差;Step 3.2.2, input the verification data into the generated BP neural network model, calculate the output blood glucose value, and obtain the average relative error of the verification data through error calculation; 步骤3.3,敏感度是通过分析不同参数组合对模型模拟效果的影响,确定出的模型参数对模型输出的贡献率或影响程度,通过对不同危险因素进行敏感度分析,得到各发病危险因素对血糖变化的定量分析结果。Step 3.3, the sensitivity is to analyze the influence of different parameter combinations on the simulation effect of the model, determine the contribution rate or influence degree of the model parameters to the model output, and analyze the sensitivity of different risk factors to obtain the effect of each risk factor on blood glucose Quantitative analysis results of changes.
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