ventricular mass (LVM) i sequent cardiovascular dis ess the relationship betwe ls and LVM in children a grams. The goal is to strat

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Please only answer 7.58

**Cardiovascular Disease, Pediatrics**

Left ventricular mass (LVM) is an important risk factor for subsequent cardiovascular disease. A study is proposed to assess the relationship between childhood blood pressure levels and LVM in children as determined from echocardiograms. The goal is to stratify children into a normal bp group (< 80th percentile for their age, gender, and height) and an elevated bp group (≥ 90th percentile for their age, gender, and height) and compare change in LVM between the 2 groups. Before this can be done, one needs to demonstrate that LVM actually changes in children over a 4-year period.

To help plan the main study, a pilot study is conducted where echocardiograms are obtained from 10 random children from the Bogalusa Heart Study at baseline and after 4 years of follow-up. The data are given in Table 7.6.

**7.56** What test can be used to assess if there is a change in mean LVM over 4 years?
Transcribed Image Text:**Cardiovascular Disease, Pediatrics** Left ventricular mass (LVM) is an important risk factor for subsequent cardiovascular disease. A study is proposed to assess the relationship between childhood blood pressure levels and LVM in children as determined from echocardiograms. The goal is to stratify children into a normal bp group (< 80th percentile for their age, gender, and height) and an elevated bp group (≥ 90th percentile for their age, gender, and height) and compare change in LVM between the 2 groups. Before this can be done, one needs to demonstrate that LVM actually changes in children over a 4-year period. To help plan the main study, a pilot study is conducted where echocardiograms are obtained from 10 random children from the Bogalusa Heart Study at baseline and after 4 years of follow-up. The data are given in Table 7.6. **7.56** What test can be used to assess if there is a change in mean LVM over 4 years?
**Table 7.6**: Pilot Data on Left Ventricular Mass (LVM) in Children from the Bogalusa Heart Study

| ID | Baseline LVM (g) | 4-year LVM (g) | Change (g)* |
|----|-----------------|---------------|-------------|
| 1  | 139             | 163           | 24          |
| 2  | 134             | 126           | -8          |
| 3  | 86              | 142           | 56          |
| 4  | 98              | 96            | -2          |
| 5  | 78              | 111           | 33          |
| 6  | 90              | 108           | 18          |
| 7  | 102             | 167           | 65          |
| 8  | 73              | 82            | 9           |
| 9  | 93              | 77            | -16         |
| 10 | 162             | 172           | 10          |

**Mean**:  
Baseline LVM: 105.5 g  
4-year LVM: 124.4 g  
Change: 18.9 g  

**Standard deviation (sd)**:  
Baseline LVM: 29.4  
4-year LVM: 35.2  
Change: 26.4  

*Note: 4-year LVM minus Baseline LVM

### Statistical Analysis:

**7.57**: Implement the test in Problem 7.56 and provide a two-tailed *p*-value.

**7.58**: Provide a 95% confidence interval (CI) for the change in LVM over 4 years based on the data in Table 7.6.

**7.59**: Since this was a pilot study, the main question of interest is how many subjects would be needed to detect an increase of 10 g in mean LVM over 4 years using a two-sided test with α = 0.05 and power = 80%. 
*Hint*: Assume that the estimated variance of change in LVM in the pilot study is the true variance of change in LVM.
Transcribed Image Text:**Table 7.6**: Pilot Data on Left Ventricular Mass (LVM) in Children from the Bogalusa Heart Study | ID | Baseline LVM (g) | 4-year LVM (g) | Change (g)* | |----|-----------------|---------------|-------------| | 1 | 139 | 163 | 24 | | 2 | 134 | 126 | -8 | | 3 | 86 | 142 | 56 | | 4 | 98 | 96 | -2 | | 5 | 78 | 111 | 33 | | 6 | 90 | 108 | 18 | | 7 | 102 | 167 | 65 | | 8 | 73 | 82 | 9 | | 9 | 93 | 77 | -16 | | 10 | 162 | 172 | 10 | **Mean**: Baseline LVM: 105.5 g 4-year LVM: 124.4 g Change: 18.9 g **Standard deviation (sd)**: Baseline LVM: 29.4 4-year LVM: 35.2 Change: 26.4 *Note: 4-year LVM minus Baseline LVM ### Statistical Analysis: **7.57**: Implement the test in Problem 7.56 and provide a two-tailed *p*-value. **7.58**: Provide a 95% confidence interval (CI) for the change in LVM over 4 years based on the data in Table 7.6. **7.59**: Since this was a pilot study, the main question of interest is how many subjects would be needed to detect an increase of 10 g in mean LVM over 4 years using a two-sided test with α = 0.05 and power = 80%. *Hint*: Assume that the estimated variance of change in LVM in the pilot study is the true variance of change in LVM.
Expert Solution
Step 1

Q 7.58

Statistics homework question answer, step 1, image 1

sample size,n= 10

Mean (d̄) =Σd/n  =189/10 = 18.9

standard deviation,Sd=√Σ(d-d̄)2)/n-1)  = √ 6282.9000/(10-1)    = 26.4

 

 

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