Potential biases in the classification, analysis and interpretations in cross-sectional study: commentaries - surrounding the article "resting heart rate: its correlations and potential for screening metabolic dysfunctions in adolescents".

Background: Resting heart rate reflects sympathetic nerve activity. A significant association between resting heart rate (HR) and all causes of cardiovascular mortality has been reported by some epidemiologic studies. Despite suggestive evidence, resting heart rate (RHR) has not been formally explor...

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Publicado en:BMC Pediatrics Vol. 14; no. 1; pp. 117 - 118
Autores principales: de Moraes, Augusto César Ferreira, Cassenote, Alex Jones Flores, Moreno, Luis A, Carvalho, Heráclito Barbosa
Formato: commentary Journal Article
Publicado: BioMed Central 2014
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Potential biases in the classification, analysis and interpretations in cross-sectional study: commentaries - surrounding the article "resting heart rate: its correlations and potential for screening metabolic dysfunctions in adolescents".
      aug:
        au:
          de Moraes, Augusto César Ferreira
          Cassenote, Alex Jones Flores
          Moreno, Luis A
          Carvalho, Heráclito Barbosa
        affil: Department of Preventive Medicine, School of Medicine of the University of Sao Paulo, Sao Paulo, SP, Brazil. moraes82@yahoo.com.br.
      sug:
        subj:
          Blood Glucose Metabolism
          Hyperlipidemia Physiopathology
          Heart Rate Physiology
          Hyperglycemia Physiopathology
          Health Screening Methods
          Relaxation Physiology
          Female
          Male
          Female
          Male
      ab: Background: Resting heart rate reflects sympathetic nerve activity. A significant association between resting heart rate (HR) and all causes of cardiovascular mortality has been reported by some epidemiologic studies. Despite suggestive evidence, resting heart rate (RHR) has not been formally explored as a prognostic factor and potential therapeutic outcome and, therefore, is not generally accepted in adolescents.Discussion: The core of the debate is the methodological aspects used in "Resting heart rate: its correlations and potential for screening metabolic dysfunctions in adolescents"; the points are: cutoff used for cluster RHR, two different statistical models used to analyze the same set of variables, one for continuous data, and another for categorical data; interpretation of p-value < 0.05, sampling process involving two random stages, analysis of design effect and the parameters of screening tests.Summary: Aspects that must be taken into account for evaluation of a screening test to measure the potential for discrimination for a common variable (population with outcome vs. no outcome population), the main indicators are: sensitivity, specificity, accuracy, positive predictive value and negative predictive value. The measures of argumentation equality (CI) or difference (p-valor) are important to validate these indicators but do not indicate quality of screening.
      pubtype: Academic Journal
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        commentary
        Journal Article
      ougenre: Article
    language: English
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