Abstract

Purpose To explore the influences of smoking, alcohol consumption, drinking tea, diet, sleep, and exercise on the risk of stroke and relationships among the factors, present corresponding knowledge-based rules, and provide a scientific basis for assessment and intervention of risk factors of stroke. Methods The decision tree C4.5 algorithm was optimized and utilized to establish a model for stroke risk assessment; then, the main risk factors of stroke (including hypertension, dyslipidemia, diabetes, atrial fibrillation, body mass index (BMI), history of stroke, family history of stroke, and transient ischemic attack (TIA)) and daily habits (e.g., smoking, alcohol consumption, drinking tea, diet, sleep, and exercise) were analyzed; corresponding knowledge-based rules were finally presented. Establish a correlation matrix of stroke risk factors and analyze the relationship between stroke risk factors. Results The accuracy of the established model for stroke risk assessment was 87.53%, and the kappa coefficient was 0.8344, which was superior to that of the random forest and Logistic algorithm. Additionally, 37 knowledge-based rules that can be used for prevention of risk factors of stroke were derived and verified. According to in-depth analysis of risk factors of stroke, the values of smoking, exercise, sleep, drinking tea, alcohol consumption, and diet were 6.00, 7.00, 8.67, 9.33, 10.00, 10.60, and 10.75, respectively, indicating that their influence on risk factors of stroke was reduced in turn; on the one hand, smoking and exercise were strongly associated with other risk factors of stroke; on the other hand, sleep, drinking tea, alcohol consumption, and diet were not firmly associated with other risk factors of stroke, and they were relatively tightly associated with smoking and exercise. Conclusions Establishment of a model for stroke risk assessment, analysis of factors influencing risk factors of stroke, analysis of relationships among those factors, and derivation of knowledge-based rules are helpful for prevention and treatment of stroke.

Highlights

  • Stroke is an acute cerebrovascular disease, associating with the characteristics of high morbidity, high disability, and high mortality

  • The risk factors of stroke are divided into intervention factors (e.g., smoking, alcohol consumption, and body mass index (BMI)) and nonintervention factors according to whether the risk can be changed through intervention [3]

  • The classification result showed to have an accuracy of 87.5281% and a kappa coefficient of 0.8344

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Summary

Introduction

Stroke is an acute cerebrovascular disease, associating with the characteristics of high morbidity, high disability, and high mortality. There are no effective treatments for stroke. The risk factors of stroke are divided into intervention factors (e.g., smoking, alcohol consumption, and body mass index (BMI)) and nonintervention factors (e.g., age, gender, ethnicity, and genetic attributes) according to whether the risk can be changed through intervention [3]. Studying the intervention factors is of great significance for the prevention of stroke. We previously found that the interventional risk factors for stroke appeared more in people’s daily lives and behavioral habits [4, 5]. Unhealthy lifestyles can trigger or increase the risk of stroke, and moderate lifestyle changes

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