Articles

Analyzing Cardiovascular Disease Risk Factors Using Generalized Logistic Logic Regression: A Retrospective Study

Analyzing cardiovascular disease risk factors

Abstract

Introduction: Cardiovascular disease (CVD) is a general term that refers to diseases of the heart or blood vessels. Logic
regression is a machine learning method that is commonly used when the number of predictor variables is high, and it can
account for interaction effects between predictor variables. As CVD can be influenced by multiple factors, this study was
conducted to identify variables related to CVD and predict the occurrence of CVD using generalized logistic logic regression.
Methods: The present study is a retrospective study utilizing data from phase one of the MASHAD study. The analysis was
performed on the information of 7,385 individuals. Generalized logistic logic regression analysis was performed using the
“LogicReg” package in R software.
Results: Out of the 7385 individuals included in this study, 235 (3.2%) were diagnosed with CVD, while 7150 (96.8%) did
not have CVD. Of the variables examined, age, anxiety, depression, metabolic syndrome, and family history were significant
as main effects, and an interaction between smoking status and education had a significant effect.
Conclusion: Based on the findings of this study, it can be tentatively concluded that for CVD, the existence of interaction
effects among the mentioned risk factors may not be a significant concern. In other words, the primary effects of each
variable may be more important, as these variables appear to play a role in CVD independently of each other.

REFERENCES
1. Roth GA, Mensah GA, Johnson CO, Addolorato G, Ammirati E, Baddour LM, et al. Global burden
of cardiovascular diseases and risk factors, 1990–2019: update from the GBD 2019 study. Journal
of the American College of Cardiology. 2020;76(25):2982-3021.
2. Tsao CW, Aday AW, Almarzooq ZI, Anderson CA, Arora P, Avery CL, et al. Heart disease and
stroke statistics—2023 update: a report from the American Heart Association. Circulation.
2023;147(8):e93-e621.
3. Sadeghi M, Haghdoost AA, Bahrampour A, Dehghani M. Modeling the burden of cardiovascular
diseases in Iran from 2005 to 2025: the impact of demographic changes. Iranian journal of public
health. 2017;46(4):506.
4. Aminorroaya A, Fattahi N, Azadnajafabad S, Mohammadi E, Jamshidi K, Rouhifard Khalilabad
M, et al. Burden of non-communicable diseases in Iran: past, present, and future. Journal of
Diabetes & Metabolic Disorders. 2020:1-7.
5. Kuulasmaa K, Tunstall-Pedoe H, Dobson A, Fortmann S, Sans S, Tolonen H, et al. Estimation of
contribution of changes in classic risk factors to trends in coronary-event rates across the WHO
MONICA Project populations. The lancet. 2000;355(9205):675-87.
6. Ruczinski I, Kooperberg C, LeBlanc M. Logic regression. Journal of Computational and graphical
Statistics. 2003;12(3):475-511.
7. Denison DD, Hansen MH, Holmes CC, Mallick B, Yu B. Nonlinear estimation and classification:
Springer Science & Business Media; 2013.
8. Kooperberg C, Ruczinski I, LeBlanc ML, Hsu L. Sequence analysis using logic regression. Genetic
epidemiology. 2001;21(S1):S626-S31.
9. Cecil RLF, Goldman L, Schafer AI. Goldman's Cecil Medicine, Expert Consult Premium Edition-
-Enhanced Online Features and Print, Single Volume, 24: Goldman's Cecil Medicine: Elsevier
Health Sciences; 2012.
10. Macdonald G. Harrison’s Internal Medicine, ‐by AS Fauci, DL Kasper, DL Longo, E. Braunwald,
SL Hauser, JL Jameson and J. Loscalzo. Wiley Online Library; 2008.
11. Collaboration ERF. Lipoprotein (a) concentration and the risk of coronary heart disease, stroke, and
nonvascular mortality. JAMA: the journal of the American Medical Association. 2009;302(4):412.
12. Collaboration ERF. C-reactive protein, fibrinogen, and cardiovascular disease prediction. New
England Journal of Medicine. 2012;367(14):1310-20.
13. Humphrey LL, Fu R, Rogers K, Freeman M, Helfand M, editors. Homocysteine level and coronary
heart disease incidence: a systematic review and meta-analysis. Mayo Clinic Proceedings; 2008:
Elsevier.
14. Crawford MH, Education M-H. Current diagnosis & treatment in cardiology: McGraw Hill
Medical; 2009.
15. Weng SF, Reps J, Kai J, Garibaldi JM, Qureshi N. Can machine-learning improve cardiovascular risk prediction using routine clinical data? PloS one. 2017;12(4):e0174944.
16. Hongzong S, Tao W, Xiaojun Y, Huanxiang L, Zhide H, Mancang L, et al. Support Vector
Mechines Classification for Discriminating Coronary Heart Disease Patients from Non-coronary
Heart Disease. West Indian Medical Journal. 2007;56(5):451.
17. Garcia M, Mulvagh SL, Bairey Merz CN, Buring JE, Manson JE. Cardiovascular disease in
women: clinical perspectives. Circulation research. 2016;118(8):1273-93.
18. Keto J, Ventola H, Jokelainen J, Linden K, Keinänen-Kiukaanniemi S, Timonen M, et al.
Cardiovascular disease risk factors in relation to smoking behaviour and history: a population-
based cohort study. Open Heart. 2016;3(2):e000358.
19. England N, Ipsos M. GP patient survey. NHS England. 2015.
20. Hudson K, Lifton R, Patrick-Lake B, Burchard EG, Coles T, Collins R, et al. The precision
medicine initiative cohort program—Building a Research Foundation for 21st Century Medicine.
Precision Medicine Initiative (PMI) Working Group Report to the Advisory Committee to the
Director, ed. 2015.
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IssueVol 11 No 3 (2025): . QRcode
SectionArticles
Keywords
generalized logistic logic regression cardiovascular disease machine learning interaction effects risk factors

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How to Cite
1.
kianfard mohammadAli, Esmaily H, Jahani M, Ghayour-Mobarhan M. Analyzing Cardiovascular Disease Risk Factors Using Generalized Logistic Logic Regression: A Retrospective Study. JBE. 2026;11(3):335-345.