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학술저널
저자정보
박동혁 (연세대학교) 조원희 (연세대학교 스포츠레저학과) Lee Yong-ho (Department of Internal Medicine Yonsei University College of Medicine Seoul KoreaInstitute of Endoc) 지선하 (연세대학교 보건대학원) Jeon Justin Y. (ICONS Yonsei University)
저널정보
한국역학회 Epidemiology and Health Epidemiology and Health Vol.44
발행연도
2022.1
수록면
1 - 8 (8page)
DOI
10.4178/epih.e2022009

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OBJECTIVES: The purpose of this study was (1) to examine whether the addition of resting heart rate (RHR) to the existing undiagnosed diabetes mellitus (UnDM) prediction model would improve predictability, and (2) to develop and validate UnDM prediction models by using only easily assessable variables such as gender, RHR, age, and waist circumference (WC). METHODS: Korea National Health and Nutrition Examination Survey (KNHANES) 2010, 2012, 2014, 2016 data were used to develop the model (model building set, n= 19,675), while the data from 2011, 2013, 2015, 2017 were used to validate the model (validation set, n= 19,917). UnDM was defined as a fasting glucose level ≥ 126 mg/dL or glycated hemoglobin ≥ 6.5%; however, doctors have not diagnosed it. Statistical package for the social sciences logistic regression analysis was used to determine the predictors of UnDM. RESULTS: RHR, age, and WC were associated with UnDM. When RHR was added to the existing model, sensitivity was reduced (86 vs. 73%), specificity was increased (49 vs. 65%), and a higher Youden index (35 vs. 38) was expressed. When only gender, RHR, age, and WC were used in the model, a sensitivity, specificity, and Youden index of 70%, 67%, and 37, respectively, were observed. CONCLUSIONS: Adding RHR to the existing UnDM prediction model improved specificity and the Youden index. Furthermore, when the prediction model only used gender, RHR, age, and WC, the outcomes were not inferior to those of the existing prediction model.

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