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基于深度学习的老年人失牙风险预测及其移动端自助健康管理工具的构建

批准号:
72104162
项目类别:
青年科学基金项目(C类)
资助金额:
30.0 万元
负责人:
蔡和
依托单位:
学科分类:
健康管理与政策
结题年份:
2024
批准年份:
2021
项目状态:
已结题
项目参与者:
蔡和

项目摘要

结项摘要

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中文摘要
在当前我国老龄化现状下,如何充分激发老年人主动健康的巨大潜力,对老年人失牙及功能性失牙风险进行自助预测预警,并实现口腔健康自我管理,成为当下口腔健康领域的重要议题。国内外学者对于牙齿缺失相关风险预测做出相关研究,然而现有预测模型尚存在未反映我国老年人群特征、数据采集考虑不足、特异性和敏感性较低以及未形成后续风险评估或健康管理工具等诸多问题。为突破瓶颈、满足需求,本课题拟立足于我国老年人群特征,全面自助采集失牙(包括功能性失牙)相关风险因素,筛选核心风险因素并探究其流行病学作用机制;随后通过基于深度学习的多隐层神经网络算法精确拟合老年人失牙及功能性失牙风险预测模型,并检验模型的实际预警能力;最后将预测模型移植入移动端,添加个性化健康管理功能,构建简易的移动端自助口腔健康管理工具,真正实现以老年人个人或家庭为单位的失牙及功能性失牙风险自助预警和有针对性的自我健康管理,从而促进老年群体主动健康。
英文摘要
Due to the aging of the population in China, the active health promotion, self-prediction of tooth loss and functional tooth loss, and self-management among the elderly have become important issues in the field of oral health. Several researchers across the globe have investigated the risk assessment and prediction of tooth loss; however, there were quite a few limitations in the existing prediction models for tooth loss, such as not-based on the characteristics of older Chinese population, insufficient considerations for data collection, relatively low specificity and sensitivity, and the lack of development of relevant risk prediction or health management tools. In order to overcome the bottlenecks and meet demand, this project aims to focus on the characteristics of the elderly population in China, comprehensively collect the possible risk factors for tooth loss (including functional tooth loss) in a self-reported manner, determine the major risk factors, and explore the underlying epidemiological mechanisms; subsequently, we aim to derive accurate risk prediction models for tooth loss and functional tooth loss using the deep-learning-based multi-hidden-layer neural network and test their predictive ability; finally, we aim to integrate the prediction models with personalized health management measures to develop a simple mobile device-based self-management tool for oral health, which could achieve the self-warning and targeted self-management within individuals or families among the elderly and encourage them to take the initiative to safeguard and improve their own health.
随着我国人口老龄化进程加速,老年人口腔健康问题日益凸显,其中失牙及功能性失牙不仅严重影响生活质量,还与全身性疾病密切相关。如何激发老年人主动健康管理潜力,实现风险自助预测与精准干预,是当前口腔健康领域的核心挑战。尽管国内外学者已开发多种牙齿缺失风险预测模型,但普遍存在局限性:模型未纳入我国老年人群特异性风险因素,模型敏感性与特异性不足,且缺乏配套的健康管理工具,导致实际应用价值受限。针对上述问题,本课题以“精准预测-主动干预-便捷管理”为核心理念,取得以下研究成果:1) 风险因素筛选:基于我国老年人群口腔健康数据特征(样本量=1200),确认了相较于失牙等常见口腔健康指标,功能性失牙对于口腔健康相关生活质量和口腔健康老龄化的独特意义,进一步筛选功能性失牙的核心风险因素群,发现了年龄、户口、家庭人均年收入、口腔健康评价、口腔诊疗史对于老年人功能性失牙状态有显著影响,为模型构建提供理论支撑;2) 风险识别模型开发: 基于真实世界数据,通过多因素Logistic回归与列线图模型(AUC: OR 0.707, 95%CI 0.685-0.729)和神经网络算法(AUC: OR 0.7402, 95%CI 0.7000-0.7804)分别构建拟合老年人功能性失牙风险识别模型,经独立验证集(10%)评估并比较其实际预警能力;3) 移动端自助管理工具开发:基于HTML5跨平台框架,整合前期预测模型、自我健康管理与科学普及功能,开发老年人自助口腔健康管理工具(https://form.ebdan.net/ls/sxSdy8LY?bt=yxy),该工具不仅能够进行功能性失牙风险的自助预测和预警,还通过个性化的口腔健康管理建议帮助老年人群体进行自我管理,为老年群体的主动健康管理提供了便捷的数字化手段,为应对老龄化社会健康挑战提供了创新路径,具有重要的实际应用价值。
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