DOI QR코드

DOI QR Code

The method of calculating health scores using examination data

검진자료를 활용한 건강점수 산출 방법에 관한 연구

  • Received : 2022.10.19
  • Accepted : 2022.11.19
  • Published : 2022.12.31

Abstract

This study confirmed the validity of the health score(HS) calculation methodology and results. HS is an index that scores the degree of personal health by applying clinical standards and statistical function to health check-up items. It's calculated by the total size of the biomarker on the health change, the influence on the health change, the weight change rate according to the degree of outlier, and the standardized value. In order to confirm the validity of the results, several diseases were selected and HS was compared between the disease occurrence group and the disease absence group. And by segmenting the ranked HS, the disease incidence rate was compared. As a result, in all selected diseases, the difference in the mean of HS was significant according to the presence or absence of disease, and the incidence of selected diseases showed a tendency to increase as HS decreased.

본 연구는 국민 건강 검진 결과를 활용하여 건강점수 산출하는 새로운 방법을 제시하고 해당 결과의 타당성을 확인한 연구다. 건강점수(Health Score, 'HS')는 건강 검진 항목에 대한 임상적 기준과 통계적 장치를 적용하여 개인 건강 정도를 점수화한 지표로 특정 검진 항목이 건강변화량에 미치는 전체 크기와 건강변화량에 주는 영향력, 바이오마커가 정상 범위에서 벗어난 비율에 따른 가중치 변화율, 표준화 값으로 계산된다. 지표에 대한 검증은 선정된 질환에 대하여 질환 발생군과 미발생군 간의 HS를 비교하고, HS 순으로 나눈 구간에서 질환 발생률을 비교하여 타당성 검증을 시도하였다. 그 결과, 모든 선정 질환에서 질환의 유무에 따라 평균 HS 차이는 유의하였고, HS가 감소함에 따라 선정 질환의 발생률이 증가하는 경향을 보였다.

Keywords

References

  1. OECD Health Statistics 2019 Definitions, Sources and Methods. (OECD) OECD Health Statistics 2019 Definitions, Sources and Methods [Internet]. Available: http://stats.oecd.org/Index.aspx?DataSetCode=HEALTH_STAT.
  2. T. Sentell, W. Zhang, J. Davis, K. K. Baker, and K. L. Braun, "The Influence of Community and Individual Health Literacy on Self-Reported Health Status," Journal of General Internal Medicine, vol. 29, no. 2, pp. 298-304, Feb. 2014. https://doi.org/10.1007/s11606-013-2638-3
  3. S. Schutte, J. -F. Chastang, A. Parent-Thirion, G. Vermeylen, and I. Niedhammer, "Association between sociodemographic, psychosocial, material and occupational factors and self-reported health among workers in Europe," Journal of Public Health, vol. 36, no. 2, pp. 194-204, Jun. 2014. https://doi.org/10.1093/pubmed/fdt050
  4. C. Schmeer, A. Kretz, D. Wengerodt, M. Stojiljkovic, and O. W. Witte, "Dissecting Aging and Senescence-Current Concepts and Open Lessons," Cells, vol. 8, no. 11, pp. 1446, Nov. 2019. https://doi.org/10.3390/cells8111446
  5. L. Sagers, L. Melas-Kyriazi, C. J. Patel, and A. K. Manrai, "Prediction of chronological and biological age from laboratory data," Aging (Albany NY), vol. 12, no. 9, pp. 7626-7638, May 2020. https://doi.org/10.18632/aging.102900
  6. J. Yoo, Y. Kim, E. R. Cho, and S. H. Jee, "Biological age as a useful index to predict seventeen-year survival and mortality in Koreans," Bio Med Central Geriatrics, vol. 17, no. 1, pp. 7, Jan. 2017. https://doi.org/10.1186/s12874-016-0280-6
  7. K. L. S. Husted, M. Fogelstrom, P. Hulst, A. Brink-Kjaer, K. A. Henneberg, H. B. D. Sorensen, F. Dela, and J. W. Helge. "A Biological Age Model Designed for Health Promotion Interventions: Protocol for an Interdisciplinary Study for Model Development," JMIR Research Protocol, vol. 9, no. 10, pp. e19209, Oct. 2020. https://doi.org/10.2196/19209
  8. X. Li, "Biological ages : correlations, genetic determinants, and health outcomes," Ph. D. dissertation, Karolinska Institute, Dept of Medical Epidemiology and Biostatistics, MA, 2021.
  9. G. A. Borkan and A. H. Norris, "Assessment of biological age using a profile of physical parameters," Journal of Gerontology, vol. 35, no. 2, pp. 177-184, Mar. 1980. https://doi.org/10.1093/geronj/35.2.177
  10. M. E. Levine and E. M. Crimmins, "Is 60 the New 50? Examining Changes in Biological Age Over the Past Two Decades," Demography, vol. 55 no. 2, pp. 387-402, Apr. 2018 https://doi.org/10.1007/s13524-017-0644-5
  11. T. L. Dubina, V. A. Dyundikova, and E. V. Zhuk, "Biological age and its estimation. II. Assessment of biological age of albino rats by multiple regression analysis," Experimental Gerontology, vol. 18, no. 1, pp. 5-18, 1983. https://doi.org/10.1016/0531-5565(83)90046-3
  12. L. Jia, W Zhang, and X. Chen, "Common methods of biological age estimation," Clin Interv Aging, vol. 12, pp. 759-772, May 2017. https://doi.org/10.2147/CIA.S134921
  13. J. Park, B. Cho, H. Kwon, and C. Lee, "Developing a biological age assessment equation using principal component analysis and clinical biomarkers of aging in Korean men," Archives of Gerontology and Geriatrics, vol. 49, no. 1, pp. 7-12, Jul-Aug. 2009. https://doi.org/10.1016/j.archger.2008.04.003
  14. D. Moon, K. Kim, H. Kang, Y. Yang, S. Lee, and J. Lee. "A Suggestion on Evaluating Personal Health State: Health Index," Journal of biomedical Engineering Research, vol. 29, no. 5, pp. 400-407, Oct. 2008. https://doi.org/10.9718/JBER.2008.29.5.400
  15. P. Oh, H. Kim, and H. Kwon, "A method for evaluating and scoring of health status," The Korean journal of applied statistics, vol. 33, no.3, pp. 239-256, Jun. 2020. https://doi.org/10.5351/KJAS.2020.33.3.239
  16. Y. G. Kang, E. Suh, J. W. Lee, D. W. Kim, K. H. Cho, and C. Y. Bae, "Biological age as a health index for mortality and major age-related disease incidence in Koreans: National Health Insurance Service - Health screening 11-year follow-up study," Clinical Interventions in Aging, vol. 13, pp. 429-436, Mar. 2018. https://doi.org/10.2147/CIA.S157014
  17. The Korean Academy of Medical Sciences. The National Health Information Portal [Internet]. Available: https://health.kdca.go.kr/healthinfo/biz/health/gnrlzHealthInfo/gnrlzHealthInfo/gnrlzHealthInfoMain.do.