A nomogram and online calculator for predicting depression risk in obese Americans
Rattachement africain : cn, hk. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Background: Obese patients with depression face higher risks of adverse events. However, depression is often misdiagnosed and undertreated in this group. This study aimed to identify predictors of depression and create a nomogram and calculator to assess depression risk in obese Americans. Methods: This cross-sectional study included 2674 patients from the National Health and Nutrition Examination Survey database (NHANES). These participants were randomly classified into the training and validation groups in a 7:3 ratio. Predictors were selected by LASSO and multivariate logistic regression analysis to create the nomogram. C-statistics, calibration plots, and decision curve analysis (DCA) were used to test the nomogram's discriminative ability, calibration quality, and clinical value. Internal validation with bootstrap resampling and external validation with the validation group were also conducted. Results: The training and validation group consists of 1871 and 803 participants. Depression was presented in 11.4 % (203/2674) of these participants. Seven predictors were found, including gender, hypertension, weekday sleep duration, poverty to income ratio, history of seeing mental health doctor, diabetes, and feeling sleepy during the day. The nomogram showed good discrimination, with the area under the receiver operating characteristic curve (AUC) of 0.817 (95 % CI: 0.786-0.848) (0.806 through internal validation and 0.772 through external validation) and good calibration (P = 0.536). The DCA further confirmed the nomogram's clinical usefulness. Conclusion: The nomogram and calculator effectively predict depression risk in obese Americans and can be used as auxiliary tools for early screening in primary care.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- A nomogram and online calculator for predicting depression risk in obese Americans
- Date Crossref
- 01/07/2024
- Éditeur
- Elsevier BV
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
-
First Affiliated Hospital of Jinan University Comprehensive Special Diagnosis Department pays non établi dans la noticeÉtablissement de santé
-
Jinan University pays non établi dans la noticeUniversité ou école supérieure
-
City University of Hong Kong pays non établi dans la noticeUniversité ou école supérieure
-
Tianjin University of Traditional Chinese Medicine pays non établi dans la noticeUniversité ou école supérieure
-
Dongguan University of Technology pays non établi dans la noticeUniversité ou école supérieure
-
Dongguan Polytechnic pays non établi dans la noticeUniversité ou école supérieure
-
College of Nursing pays non établi dans la noticeUniversité ou école supérieure
-
Jockey Club College of Veterinary Medicine and Life Sciences Department of Infectious Diseases and Public Health pays non établi dans la noticeUniversité ou école supérieure
-
School of Health pays non établi dans la noticeUniversité ou école supérieure
Comprehensive Special Diagnosis Department — First Affiliated Hospital of Jinan University, Jinan University et City University of Hong Kong, avec 6 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.