Mean monthly household income is the strongest predictor of cardio-cerebrovascular disease in the South Korean elderly, highlighting the importance of socioeconomic factors in cardiovascular risk.
Model requires prospective validation before use; leaves open clinical utility in elderly Asians.
This study aimed to develop a model for predicting the cardio-cerebrovascular disease of the South Korean elderly using the random forests technique. This study analyzed 2,111 respondents (879 males and 1,232 females), who were age 60 or older, out of total 7,761 respondents, who completed the Seoul Welfare Panel Study. The result variable was defined as the cardio-cerebrovascular disease (e.g., hypertension, cerebral infarction, hyperlipidemia, cardiac infarction, and angina). As a result of developing a random forest-based model, the major determinants of the cardio-cerebrovascular diseases of the South Korean elderly were mean monthly household income, the highest level of education, subjective health condition, subjective friendship, subjective family relationship, smoking, regular exercise, age, marital status, gender, depression experience, economic activity, and high-risk drinking. Among them, mean monthly household income was the most important predictor of the cardio-cerebrovascular disease. Based on the developed prediction model, it is needed to develop a systematic program for preventing the cardio-cerebrovascular disease of the Korean elderly.
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Haewon Byeon (2018) studied this question.
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