ðè€éãªå¥åº·ããŒã¿ãããããªãã ãã®åŸåããšãã¿ããªã®å ±éç¹ããèŠã€ããæ°æè¡
çŸä»£ç€ŸäŒã§ã¯ãã¹ããŒããã©ã³ããŠã§ã¢ã©ãã«ããã€ã¹ã®æ®åã«ãããç§ãã¡ã®èº«äœæŽ»åã«é¢ããèšå€§ãªããŒã¿ãæ¥ã èç©ãããŠããŸãããããã®ããŒã¿ã¯ãå¥åº·ç¶æ ã®ææ¡ãçæŽ»ç¿æ £ã®æ¹åã«åœ¹ç«ã€å¯èœæ§ãç§ããŠããŸããããã®è€éãããã«ãäžäººã²ãšãã®åæ§çãªæŽ»åãã¿ãŒã³ãšãå€ãã®äººã«å ±éããåŸåãåæã«çè§£ããããšã¯å®¹æã§ã¯ãããŸãããæ¬ç ç©¶ã¯ããã®èª²é¡ã«æã¿ãæéãšãšãã«å€åããè€éãªããŒã¿ã®äžãããå人差ãšå ±éã®åŸåã«ãããéèŠãªèŠçŽ ãå¹ççã«ç¹å®ããæ°ããè§£æææ³ãéçºããŸããã
ðç ç©¶ã®èæ¯ãšç®ç
èº«äœæŽ»åã¯ãçæŽ»ç¿æ £ç ã®äºé²ãå¥åº·å¯¿åœã®å»¶äŒžã«äžå¯æ¬ ãªèŠçŽ ã§ãããããããã®æŽ»åãã¿ãŒã³ã¯ãå¹Žéœ¢ãæ§å¥ã人皮ãçæŽ»ç°å¢ãªã©ãããŸããŸãªèŠå ã«ãã£ãŠå€§ããç°ãªããŸããäŸãã°ãé«éœ¢è ãšè¥å¹Žå±€ã§ã¯ã1æ¥ã®ã©ã®æéåž¯ã«æŽ»åçã«ãªããïŒæ¥å ãã¿ãŒã³ïŒãç°ãªãããšãç¥ãããŠããŸãããããŸã§ã®ç ç©¶ã§ã¯ããããã®ãå人差ããšãå ±éã®åŸåããåæã«ããã€è©³çްã«è§£æããææ³ãéãããŠããŸããã
ç¹ã«ãå é床èšã®ãããªãŠã§ã¢ã©ãã«ããã€ã¹ããåŸãããèº«äœæŽ»åããŒã¿ã¯ã1æ¥24æéã®æŽ»åéãé£ç¶çã«èšé²ãããããéåžžã«æ å ±éãå€ãè€éã§ãããã®ãããªã髿¬¡å ãã§ãå€å±€çãïŒå人ãšã°ã«ãŒãã®äž¡æ¹ã®æ å ±ãå«ãïŒãªããŒã¿ãããèº«äœæŽ»åã®æ¥å ãã¿ãŒã³ã«åœ±é¿ãäžããçã«éèŠãªèŠçŽ ããå人差ãèæ ®ãã€ã€ç¹å®ããããšã¯å°é£ã§ããã
æ¬ç ç©¶ã®ç®çã¯ããã®è§£æäžã®ã®ã£ãããåãããããæ°ããçµ±èšã¢ãã«ãéçºããããšã§ãããããŠããã®ã¢ãã«ãã¢ã¡ãªã«ã®åœæ°å¥åº·æ é€èª¿æ»ïŒNHANESïŒã®èº«äœæŽ»åããŒã¿ã«å¿çšãã幎霢ã人皮ãšãã£ãèŠå ããèº«äœæŽ»åã®1æ¥ã®ãã¿ãŒã³ã«ã©ã®ããã«åœ±é¿ããŠããããæ·±ãçè§£ããããšãç®æããŸããã
ð¡æ°ããè§£æææ³ãMuFuMESããšã¯ïŒ
æ¬ç ç©¶ã§éçºããããMuFuMESïŒMultilevel Functional Mixed Effects SelectionïŒãã¯ãè€éãªå¥åº·ããŒã¿ãè§£æããããã«èšèšãããç»æçãªçµ±èšææ³ã§ãããã®ç¹åŸŽã¯ä»¥äžã®éãã§ãã
- å€å±€ïŒMultilevelïŒ: å人ã¬ãã«ã®ããŒã¿ã ãã§ãªãã幎霢局ã人皮ãšãã£ãã°ã«ãŒãã¬ãã«ã®éããåæã«èæ ®ããŠè§£æã§ããŸããããã«ããããå šäœçãªåŸåããšãç¹å®ã®ã°ã«ãŒãã«ç¹æã®åŸåãã®äž¡æ¹ãæããããšãå¯èœã«ãªããŸãã
- 颿°ïŒFunctionalïŒ: 1æ¥ã®èº«äœæŽ»åã®ããã«ãæéãšãšãã«é£ç¶çã«å€åããããŒã¿ããåãªãç¹ã®éãŸãã§ã¯ãªããæ»ãããªãæ²ç·ããšããŠæããŠè§£æããŸããããã«ãããæŽ»åã®ããŒã¯æéãæç¶æéãšãã£ãããã詳现ãªãã¿ãŒã³ãåæã§ããŸãããã®æ²ç·ã衚çŸããããã«ãã¹ãã©ã€ã³ïŒæ»ãããªæ²ç·ãæãããã®æ°åŠçææ³ïŒãçšããããŠããŸãã
- æ··å广ïŒMixed EffectsïŒ: å šãŠã®äººã«å ±éããŠèŠãããåŸåïŒåºå®å¹æïŒãšãç¹å®ã®å人ãã°ã«ãŒãã«ç¹æã®åŸåïŒå€é广ïŒã®äž¡æ¹ãåæã«ã¢ãã«ã«çµã¿èŸŒãããšãã§ããŸããäŸãã°ããäžè¬çã«éåã¯å¥åº·ã«è¯ãããšããå ±éèªèãšããé«éœ¢è ã¯ååŸã®æ£æ©ãç¹ã«å¹æçããšãã£ãå人差ã«åºã¥ãç¥èŠãåæã«åŸãããŸãã
- éžæïŒSelectionïŒ: éåžžã«å€ãã®æ å ±ïŒå€æ°ïŒã®äžãããèº«äœæŽ»åãã¿ãŒã³ã«æ¬åœã«åœ±é¿ãäžããŠããéèŠãªèŠçŽ ã ããèªåçã«éžã³åºãæ©èœãæã£ãŠããŸããããã«ãããäžèŠãªãã€ãºã«æããããã«ãæ¬è³ªçãªé¢ä¿æ§ãæããã«ã§ããŸãããã®éžæããã»ã¹ã«ã¯ãã¹ãã€ã¯ã»ã¢ã³ãã»ã¹ã©ãã»ã°ã«ãŒãã»ã©ããœãšããçµ±èšçãªå·¥å€«ãåããããŠãããéèŠãªèŠçŽ ãå¹ççã«ç¹å®ããŸãã
MuFuMESã¯ããããã®æ©èœãçµã¿åãããããšã§ãè€éãªæç³»åããŒã¿ã®äžã«é ããããå人差ãšå ±éã®åŸåã®äž¡é¢ããèŠãéèŠãªæ å ±ãå¹ççã«åŒãåºãããšãå¯èœã«ããŸãã
ð¬ç ç©¶ã®æ¹æ³ãšããŒã¿
æ¬ç ç©¶ã§ã¯ã以äžã®æ¹æ³ãšããŒã¿ãçšããŠè§£æãè¡ããŸããã
- ããŒã¿æº: ã¢ã¡ãªã«ã®åœæ°å¥åº·æ é€èª¿æ»ïŒNHANESïŒã®2011幎ãã2012幎ã®ã³ããŒãïŒç¹å®ã®éå£ïŒããŒã¿ã䜿çšããŸãããNHANESã¯ãã¢ã¡ãªã«åœæ°ã®å¥åº·ãšæ é€ç¶æ ãè©äŸ¡ããããã«å®æœãããå€§èŠæš¡ãªèª¿æ»ã§ãã
- ããŒã¿å 容: 調æ»åå è ãè£ çããå é床èšããåŸãããèº«äœæŽ»åããŒã¿ãåæããŸããããã®ããŒã¿ã¯ã1æ¥24æéã®èº«äœæŽ»åã¬ãã«ã詳现ã«èšé²ããŠãããæŽ»åã®ãæ¥å ãã¿ãŒã³ãïŒ1æ¥ã®æé垯ããšã®æŽ»åéã®å€åïŒãææ¡ããã®ã«é©ããŠããŸãã
- è§£æå¯Ÿè±¡: éçºããMuFuMESææ³ããã®ããŒã¿ã«é©çšãã幎霢ã人皮ãšãã£ãèŠå ããèº«äœæŽ»åã®1æ¥ã®ãã¿ãŒã³ã«ã©ã®ããã«åœ±é¿ããŠããããè§£æããŸããã
- ææ³ã®æ€èšŒ: ãŸãããã®ææ³ãã©ãã ãæ£ç¢ºã«æ©èœãããã確èªãããããä»®æ³ã®ããŒã¿ãçšããã·ãã¥ã¬ãŒã·ã§ã³ç ç©¶ãè¡ãããã®é«ã粟床ã確èªãããŸãããã·ãã¥ã¬ãŒã·ã§ã³ã§ã¯ã誀ã£ãŠéèŠãªèŠçŽ ãèŠéãããïŒåœé°æ§ïŒãéã«éèŠã§ãªããã®ãéèŠãšå€æãããããïŒåœéœæ§ïŒå²åãæ¥µããŠäœãããšã瀺ãããŸããã
ðäž»ãªç ç©¶ææ
æ¬ç ç©¶ã§åŸãããäž»èŠãªçºèŠã¯ä»¥äžã®éãã§ãã
| é ç® | äž»ãªçºèŠå 容 | è£è¶³ã»æçŸ© |
|---|---|---|
| ã·ãã¥ã¬ãŒã·ã§ã³ç ç©¶ | éçºããMuFuMESææ³ã¯ã倿°éžæã«ãããŠéåžžã«é«ã粟床ã瀺ãã誀ã£ãŠéèŠãªèŠçŽ ãèŠéããããéã«éèŠã§ãªããã®ãéèŠãšå€æãããããå²åãæ¥µããŠäœãããšã確èªãããŸããã | æ°ããè§£æææ³ã®ä¿¡é Œæ§ãšæå¹æ§ãå®èšŒãããŸããã |
| NHANESããŒã¿ãžã®é©çš | 幎霢ã人皮ã«ãã£ãŠãèº«äœæŽ»åã®æ¥å ãã¿ãŒã³ã«åœ±é¿ãäžããèŠçŽ ã倧ããç°ãªãããšãç¹å®ãããŸããã | èº«äœæŽ»åã®ãã¿ãŒã³ã¯äžæ§ã§ã¯ãªããåã ã®èæ¯ã«å¿ããéããããããšãæç¢ºã«ãªããŸããã |
| 幎霢ç¹ç°çãªãã¿ãŒã³ | é«éœ¢è ã§ã¯ãååŸã®æé垯ã®èº«äœæŽ»åããå šäœçãªæŽ»åã¬ãã«ãå¥åº·ç¶æ ã«ç¹ã«éèŠã§ããããšã瀺åãããŸããã | 幎霢局ã«åãããéåæå°ã®éèŠæ§ã瀺åããŸãã |
| 人皮ç¹ç°çãªãã¿ãŒã³ | ç¹å®ã®äººçš®ã°ã«ãŒãã§ã¯ãæã®æéåž¯ã®æŽ»åã¬ãã«ãä»ã®ã°ã«ãŒããšæ¯èŒããŠæŽ»çºã§ãããªã©ãç¬èªã®æŽ»åãã¿ãŒã³ã確èªãããŸããã | æåãçæŽ»ç¿æ £ãèº«äœæŽ»åã«äžãã圱é¿ãèæ ®ããã¢ãããŒãã®å¿ èŠæ§ã瀺åããŸãã |
| çç©åŠçã«æå³ã®ããæŽå¯ | ãããã®çºèŠã¯ãåãªãçµ±èšçãªé¢é£æ§ã ãã§ãªãã人éã®ççæ©èœãçæŽ»ç¿æ £ãšå¯æ¥ã«é¢é£ãããçç©åŠçã«æå³ã®ãããç¥èŠãšããŠè§£éã§ãããã®ã§ããã | å¥åº·å¢é²ã®ããã®å ·äœçãªä»å ¥çãæ€èšããäžã§ã貎éãªåºç€æ å ±ãšãªããŸãã |
ðãã®ç ç©¶ã瀺ãæå³
æ¬ç ç©¶ã¯ãè€éãªæç³»åããŒã¿ãããå人差ãšå ±éã®åŸåãåæã«ããã€è©³çްã«çè§£ããããã®ç»æçãªæ¹æ³ãæäŸããŸããããã«ãããå ¬è¡è¡çã®åéã§ã¯ãããã¿ãŒã²ãããçµã£ã广çãªå¥åº·å¢é²ããã°ã©ã ãèšèšã§ããããã«ãªããŸãã
äŸãã°ãç¹å®ã®å¹Žéœ¢å±€ã人皮ã°ã«ãŒãã«ç¹åããéåæšå¥šã¬ã€ãã©ã€ã³ã®äœæã«åœ¹ç«ã€ã§ãããããŸãããŠã§ã¢ã©ãã«ããã€ã¹ããåŸãããèšå€§ãªããŒã¿ããåãªã掻åéã®èšé²ãšããŠã ãã§ãªããããªãããã€ãã©ã®ããã«æŽ»åããŠããã®ãããšããæ·±ãæŽå¯ã«ç¹ããããšãå¯èœã«ãªããŸãã
ããªã人ã«ãã£ãŠéåç¿æ £ãéãã®ãããšããåãã«å¯Ÿããçµ±èšçãªæ ¹æ ã«åºã¥ããçããå°ãåºãæå©ããšãªããåå¥åãããå»çãå¥åº·ç®¡çã®å®çŸã«åãã倧ããªäžæ©ãšãªããŸãã
ðââïžå®ç掻ãžã®å¿çšãšã¢ããã€ã¹
ãã®ç ç©¶ææã¯ãç§ãã¡ã®æ¥åžžç掻ãå ¬è¡è¡çã®åãçµã¿ã«ã以äžã®ãããªåœ¢ã§å¿çšãããå¯èœæ§ããããŸãã
- åå¥åãããéåããã°ã©ã ã®ææ¡: èªåã®å¹Žéœ¢ãçæŽ»ç¿æ £ã«åãããããã广çãªéåæé垯ãçš®é¡ãèŠã€ããæå©ãã«ãªããŸããäŸãã°ãé«éœ¢è ã«ã¯ååŸã®è»œãéåãæšå¥šããããããããŸããã
- å ¬è¡è¡çãã£ã³ããŒã³ã®æé©å: ç¹å®ã®å¹Žéœ¢å±€ãå°åã人皮ã°ã«ãŒãã«ç¹åããå¥åº·å¢é²ãã£ã³ããŒã³ãå±éããããšã§ãããé«ã广ãæåŸ ã§ããŸãã
- ãŠã§ã¢ã©ãã«ããã€ã¹ã®ãã£ãŒãããã¯ã®è³ªã®åäž: ããã€ã¹ãæäŸããæŽ»åããŒã¿ããå人ã®ç¹æ§ãèæ ®ãããããããŒãœãã«ãªã¢ããã€ã¹ã«ç¹ããå¯èœæ§ããããŸãã
- å¥åº·èšºæãã«ãŠã³ã»ãªã³ã°ã§ã®æŽ»çš: å»åž«ãä¿å¥åž«ããå人ã®èº«äœæŽ»åãã¿ãŒã³ãããæ·±ãçè§£ããå ·äœçãªçæŽ»ç¿æ £æ¹åã®ã¢ããã€ã¹ãè¡ãéã®åèã«ãªããŸãã
- èªèº«ã®æŽ»åãã¿ãŒã³ãžã®æè: 1æ¥ã®ã©ã®æéåž¯ã«æŽ»åçã§ãã©ã®æéåž¯ã«æŽ»åãäœäžããã®ããæèããããšã§ãç¡çãªã掻åéãå¢ãã工倫ãèŠã€ãããããããããŸãããäŸãã°ã掻åãäœäžããã¡ãªæé垯ã«çãäŒæ©ãå ŒããŠäœãåãããªã©ã§ãã
ð§ç ç©¶ã®éçãšä»åŸã®èª²é¡
æ¬ç ç©¶ã¯éèŠãªç¥èŠããããããŸããããããã€ãã®éçãšä»åŸã®èª²é¡ãååšããŸãã
- ããŒã¿æºã®é宿§: ä»å䜿çšãããNHANESããŒã¿ã¯ã¢ã¡ãªã«ã®ç¹å®ã®ã³ããŒãïŒéå£ïŒã®ãã®ã§ãããä»ã®åœãæååã®äººã ã«ãåæ§ã®çµæãåœãŠã¯ãŸããã¯ããããªãæ€èšŒãå¿ èŠã§ãã
- ããŒã¿ã®çš®é¡: å é床èšã«ããèº«äœæŽ»åããŒã¿ã®ã¿ã察象ãšããŠãããé£äºãç¡ç ãã¹ãã¬ã¹ã¬ãã«ãšãã£ãä»ã®å¥åº·é¢é£ããŒã¿ãšã®çµ±åã«ãããããå æ¬çãªçè§£ãåŸãããå¯èœæ§ããããŸãã
- å æé¢ä¿ã®ç¹å®: æ¬ç ç©¶ã¯é¢é£æ§ãç¹å®ãããã®ã§ãããç¹å®ã®èŠå ãèº«äœæŽ»åãã¿ãŒã³ããåŒãèµ·ããããšããå æé¢ä¿ãçŽæ¥ç€ºããã®ã§ã¯ãããŸãããå æé¢ä¿ãè§£æããããã«ã¯ãä»å ¥ç ç©¶ãªã©ã®ãããªãç ç©¶ãå¿ èŠã§ãã
- èšç®ã³ã¹ã: 髿¬¡å ã®è€éãªããŒã¿ãæ±ããããè§£æã«ã¯é«ãèšç®èœåãšæéãå¿ èŠãšãªãå ŽåããããŸããããå¹ççãªèšç®ææ³ã®éçºãä»åŸã®èª²é¡ã§ãã
- å ±å€éã®å€æ§æ§: ä»åŸã¯ã瀟äŒçµæžçèŠå ãå¿ççèŠå ãªã©ããã倿§ãªå ±å€éïŒåœ±é¿ãäžããå¯èœæ§ã®ããèŠçŽ ïŒãã¢ãã«ã«çµã¿èŸŒãããšã§ãèº«äœæŽ»åãã¿ãŒã³ãžã®çè§£ãæ·±ããããšãã§ããã§ãããã
ãŸãšã
æ¬ç ç©¶ã¯ãæéãšãšãã«å€åããè€éãªå¥åº·ããŒã¿ãããå人差ãšå ±éã®åŸåã«ãããéèŠãªèŠçŽ ãåæã«ç¹å®ããæ°ããè§£æææ³ãMuFuMESããéçºãããã®æå¹æ§ãå®èšŒããŸãããç¹ã«ãã¢ã¡ãªã«ã®åœæ°å¥åº·æ é€èª¿æ»ïŒNHANESïŒã®èº«äœæŽ»åããŒã¿ã«é©çšããããšã§ã幎霢ã人皮ã«ãã£ãŠèº«äœæŽ»åã®æ¥å ãã¿ãŒã³ã«åœ±é¿ãäžããèŠçŽ ãç°ãªãããšãæããã«ããçç©åŠçã«æå³ã®ãã貎éãªæŽå¯ãæäŸããŸããããã®ç»æçãªã¢ãããŒãã¯ãä»åŸã®å ¬è¡è¡çæŠç¥ã®ç«æ¡ããåã äººã«æé©åãããå¥åº·å¢é²ããã°ã©ã ã®éçºã«ãããŠãéèŠãªåºç€ãšãªãããšãæåŸ ãããŸããè€éãªããŒã¿ã®äžã«é ãããããªãããè§£ãæããããšã§ãç§ãã¡ã¯ãã广çãªå¥åº·ç®¡çãžãšäžæ©è¿ã¥ãããšãã§ããã§ãããã
é¢é£ãªã³ã¯é
- National Health and Nutrition Examination Survey (NHANES) – CDC
- National Institutes of Health (NIH)
- åçåŽåç
- æ¥æ¬ç«åŠäŒ
- æ¥æ¬è幎å»åŠäŒ
æžèªæ å ±
| DOI | 10.1002/sim.70694 |
|---|---|
| PMID | 42572109 |
| PubMed URL | https://pubmed.ncbi.nlm.nih.gov/42572109/ |
| çºè¡å¹Ž | 2026 |
| èè å | Ghosal Rahul, Matabuena Marcos, Saha Enakshi |
| èè æå± | Department of Epidemiology and Biostatistics, University of South Carolina, Columbia, USA.; Mohamed bin Zayed University of Artificial Intelligence, Abu Dhabi, UAE. |
| éèªå | Stat Med |