Determining Significant Risk Factors for Preventing Elderly People with Hypertension from Cardiovascular Disease Complication Using Maximum Objective Distance


With the increasing aging population worldwide, cardiovascular disease (CVD) has become the leading cause of disability and death. Hypertension is one of the most critical factors causing CVD complication. Determining risk factors of hypertension is extremely important for preventing elderly people with hypertension from CVD complication. Accordingly, this study proposes a new measurement so-called objective distance that is influenced by the significant risk factors of hypertension development. The assumption is made that the maximum objective distance is derived from significant risk factors. This study employs the secondary data of 121 elderly people aged 65 and over, derived from hospitals in Chiang Rai, Thailand. The gathered data contains all potential risk factors of hypertension development, including total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), physical activity, smoking, medication adherence, and body mass index. The decision tree is employed in this study for determining the significant risk factors in order to verify the proposed assumption. The results show that the obtained significant risk factors are TC, LDL-C, HDL-C, physical activity, and smoking. Importantly, the combination of obtained significant risk factors provides the maximum objective distance regarding the proposed assumption.

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We would like to thank the Thailand Research Fund (TRF) and Mae Fah Luang University for their joint support through the Royal Golden Jubilee Ph.D. (RGJ-PHD) Program (Grant No. PHD/0081/2560). Also, we thank Ekkapob Pianpises, M.D. and hospitals in Chiang Rai, Thailand, for assistance with providing insight and expertise, as well as the secondary data used in this study.

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Correspondence to Punnarumol Temdee.

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Chaising, S., Temdee, P. Determining Significant Risk Factors for Preventing Elderly People with Hypertension from Cardiovascular Disease Complication Using Maximum Objective Distance. Wireless Pers Commun 115, 3099–3122 (2020).

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  • Cardiovascular disease (CVD)
  • Hypertension
  • Significant risk factors
  • Elderly people
  • Objective distance
  • Decision tree