Exploring the risk factors and clustering patterns of periodontitis in patients with different subtypes of diabetes through machine learning and cluster analysis

Aim: To analyse the risk factors contributing to the prevalence of periodontitis among clusters of patients with diabetes and to examine the clustering patterns of clinical blood biochemical indicators. Materials and methods: Data regarding clinical blood biochemical indicators and periodontitis...

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Main Authors: Anna Zhao, Yuxiang Chen, Haoran Yang, Tingting Chen, Xianqi Rao, Ziliang Li
Format: Article
Language:English
Published: Medical Journals Sweden 2024-12-01
Series:Acta Odontologica Scandinavica
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Online Access:https://medicaljournalssweden.se/actaodontologica/article/view/42435
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author Anna Zhao
Yuxiang Chen
Haoran Yang
Tingting Chen
Xianqi Rao
Ziliang Li
author_facet Anna Zhao
Yuxiang Chen
Haoran Yang
Tingting Chen
Xianqi Rao
Ziliang Li
author_sort Anna Zhao
collection DOAJ
description Aim: To analyse the risk factors contributing to the prevalence of periodontitis among clusters of patients with diabetes and to examine the clustering patterns of clinical blood biochemical indicators. Materials and methods: Data regarding clinical blood biochemical indicators and periodontitis prevalence among 1804 patients with diabetes were sourced from the National Health and Nutrition Examination Survey (NHANES) database spanning 2009 to 2014. A clinical prediction model for periodontitis risk in patients with diabetes was constructed via the XGBoost machine learning method. Furthermore, the relationships between diabetes patient clusters and periodontitis prevalence were investigated through consistent consensus clustering analysis. Results: Seventeen clinical blood biochemical indicators emerged as superior predictors of periodontitis in patients with diabetes. Patients with diabetes were subsequently categorized into two subtypes: Cluster A presented a slightly lower periodontitis prevalence (74.80%), whereas Cluster B presented a higher prevalence risk (83.68%). Differences between the two groups were considered statistically significant at a p value of ≤0.05. There was marked variability in the associations of different cluster characteristics with periodontitis prevalence. Conclusions: Machine learning combined with consensus clustering analysis revealed a greater prevalence of periodontitis among patients with diabetes mellitus in Cluster B. This cluster was characterized by a smoking habit, a lower education level, a higher income-to-poverty ratio, and higher levels of albumin (ALB g/L) and alanine aminotransferase (ALT U/L).
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spelling doaj-art-b8c7263fe44b4d55925e42aa2fffeb4f2025-08-20T02:38:26ZengMedical Journals SwedenActa Odontologica Scandinavica0001-63571502-38502024-12-0183110.2340/aos.v83.42435Exploring the risk factors and clustering patterns of periodontitis in patients with different subtypes of diabetes through machine learning and cluster analysisAnna Zhao0Yuxiang Chen1Haoran Yang2Tingting Chen3Xianqi Rao4Ziliang Li5Affiliated Stomatology Hospital of Kunming Medical University, Kunming, Yunnan, China; Yunnan Provincial Key Laboratory of Stomatology, Kunming, Yunnan, ChinaAffiliated Stomatology Hospital of Kunming Medical University, Kunming, Yunnan, China; Yunnan Provincial Key Laboratory of Stomatology, Kunming, Yunnan, ChinaAffiliated Stomatology Hospital of Kunming Medical University, Kunming, Yunnan, China; Yunnan Provincial Key Laboratory of Stomatology, Kunming, Yunnan, ChinaAffiliated Stomatology Hospital of Kunming Medical University, Kunming, Yunnan, China; Yunnan Provincial Key Laboratory of Stomatology, Kunming, Yunnan, ChinaAffiliated Stomatology Hospital of Kunming Medical University, Kunming, Yunnan, China; Yunnan Provincial Key Laboratory of Stomatology, Kunming, Yunnan, ChinaAffiliated Stomatology Hospital of Kunming Medical University, Kunming, Yunnan, China; Yunnan Provincial Key Laboratory of Stomatology, Kunming, Yunnan, China Aim: To analyse the risk factors contributing to the prevalence of periodontitis among clusters of patients with diabetes and to examine the clustering patterns of clinical blood biochemical indicators. Materials and methods: Data regarding clinical blood biochemical indicators and periodontitis prevalence among 1804 patients with diabetes were sourced from the National Health and Nutrition Examination Survey (NHANES) database spanning 2009 to 2014. A clinical prediction model for periodontitis risk in patients with diabetes was constructed via the XGBoost machine learning method. Furthermore, the relationships between diabetes patient clusters and periodontitis prevalence were investigated through consistent consensus clustering analysis. Results: Seventeen clinical blood biochemical indicators emerged as superior predictors of periodontitis in patients with diabetes. Patients with diabetes were subsequently categorized into two subtypes: Cluster A presented a slightly lower periodontitis prevalence (74.80%), whereas Cluster B presented a higher prevalence risk (83.68%). Differences between the two groups were considered statistically significant at a p value of ≤0.05. There was marked variability in the associations of different cluster characteristics with periodontitis prevalence. Conclusions: Machine learning combined with consensus clustering analysis revealed a greater prevalence of periodontitis among patients with diabetes mellitus in Cluster B. This cluster was characterized by a smoking habit, a lower education level, a higher income-to-poverty ratio, and higher levels of albumin (ALB g/L) and alanine aminotransferase (ALT U/L). https://medicaljournalssweden.se/actaodontologica/article/view/42435Periodontitisdiabetes mellitusconsistent consensuscluster Amachine learningpredictive modelling
spellingShingle Anna Zhao
Yuxiang Chen
Haoran Yang
Tingting Chen
Xianqi Rao
Ziliang Li
Exploring the risk factors and clustering patterns of periodontitis in patients with different subtypes of diabetes through machine learning and cluster analysis
Acta Odontologica Scandinavica
Periodontitis
diabetes mellitus
consistent consensus
cluster A
machine learning
predictive modelling
title Exploring the risk factors and clustering patterns of periodontitis in patients with different subtypes of diabetes through machine learning and cluster analysis
title_full Exploring the risk factors and clustering patterns of periodontitis in patients with different subtypes of diabetes through machine learning and cluster analysis
title_fullStr Exploring the risk factors and clustering patterns of periodontitis in patients with different subtypes of diabetes through machine learning and cluster analysis
title_full_unstemmed Exploring the risk factors and clustering patterns of periodontitis in patients with different subtypes of diabetes through machine learning and cluster analysis
title_short Exploring the risk factors and clustering patterns of periodontitis in patients with different subtypes of diabetes through machine learning and cluster analysis
title_sort exploring the risk factors and clustering patterns of periodontitis in patients with different subtypes of diabetes through machine learning and cluster analysis
topic Periodontitis
diabetes mellitus
consistent consensus
cluster A
machine learning
predictive modelling
url https://medicaljournalssweden.se/actaodontologica/article/view/42435
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