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Estimation of invasive physiological parameters from non invasive parameters using dimensionless numbers and Monte Carlo cross-validation

Acceso Cerrado

Abstract:

According to NCEP-ATPIII criterion, metabolic syndrome (MS) diagnosis is based in the measurement of invasive (triglycerides, HDL, glucose) and non invasive variables (height, weight, waist circumference). The aim of this work is find, since dimensionless numbers design from physiological (π <sub xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">1IS</sub> , π <sub xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">2IS</sub> ) and heart rate variability (π <sub xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">1HRV</sub> , π <sub xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">2HRV</sub> ) parameters, three polynomial equations (π <sub xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">1IS</sub> =f(π <sub xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">2HRV</sub> ), π <sub xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">2IS</sub> =f(π <sub xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">1HRV</sub> ), π <sub xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">2IS</sub> =f(π <sub xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">2HRV</sub> )) that relate invasive with non invasive variables. In this sense, a fitting using Monte Carlo cross validation (MCCV) was performed. A database of 40 subjects (25 control subjects and 15 subjects with MS) was employed. The results suggest that MCCV improves the coefficient of determination (R <sup xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">2</sup> ), compared to the application of the least squares method only, in each polynomial: π <sub xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">1IS</sub> =f(π <sub xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">2HRV</sub> ) (R <sup xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">2</sup> =0.62 vs. 0.21), π <sub xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">2IS</sub> =f(π <sub xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">1HRV</sub> ) (R <sup xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">2</sup> =0.62 vs. 0.36) and π <sub xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">2IS</sub> =f(π <sub xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">2HRV</sub> ) (R <sup xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">2</sup> =0.56 vs. 0.19). The fitting by MCCV allows the estimation of invasive from non invasive parameters.

Tópico:

Heart rate and cardiovascular health

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