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Application of Elastic networks and Bayesian networks to explore influencing factors associated with arthritis in middle-aged and older adults in the Chinese community
Journal article   Open access   Peer reviewed

Application of Elastic networks and Bayesian networks to explore influencing factors associated with arthritis in middle-aged and older adults in the Chinese community

Tao Zhong, Tianlun Li, Jiapei Hu, Jiayi Hu, Li Jin, Yuxuan Xie, Bin Ma and Dailun Hu
Frontiers in public health, Vol.13, 1437213
2025
PMID: 40270731
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Published2.44 MBDownloadView
CC BY V4.0 Open Access

Abstract

Aged Arthritis - epidemiology Bayes Theorem China - epidemiology Depression - epidemiology East Asian People Female Humans Longitudinal Studies Machine Learning Male Middle Aged Risk Factors
Bayesian networks (BNs) are an excellent machine learning algorithm for extensively exploring the influencing factors associated with many diseases. However, few researchers have used BNs to examine the influencing factors associated with arthritis in older adults in the Chinese community. Our aim has been to use BNs to construct a complex network of relationships between arthritis and its related influencing factors and to predict arthritis through Bayesian inference, thereby providing scientific references for its control and prevention. Data were downloaded from the 2015 China Health and Retirement Longitudinal Study (CHARLS) online database, a longitudinal survey of the middle-aged and older adults in China. Twenty-two variables such as smoking, depressive symptoms, age, and joint pain were included in this study. First, Elastic networks (ENs) were used to screen for features closely associated with arthritis, and we subsequently incorporated these features into the construction of the BNs model. We performed structural learning of the BNs based on the taboo algorithm and used the maximum likelihood method for parameter learning of the BNs. In total, 15,764 participants were enrolled in this study, which included 5,076 patients with arthritis. ENs identified 13 factors strongly associated with arthritis. The BNs consisted of 14 nodes and 24 directed edges. Among them, depressive symptoms and age were direct influences on arthritis, whereas gender was an indirect influence on the diseases. BNs graphically visualized the complex network of relationships between arthritis and its influences and predicted the development of arthritis through Bayesian inference. These results were in line with clinical practice. BNs thus have a wide range of application prospects.

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Collaboration types
Domestic collaboration
International collaboration
Citation topics
9 Mathematics
9.92 Statistical Methods
9.92.2788 Regression Techniques
Web Of Science research areas
Public, Environmental & Occupational Health
ESI research areas
Social Sciences, general
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