ventricular mass (LVM) i sequent cardiovascular dis ess the relationship betwe ls and LVM in children a grams. The goal is to strat
ventricular mass (LVM) i sequent cardiovascular dis ess the relationship betwe ls and LVM in children a grams. The goal is to strat
MATLAB: An Introduction with Applications
6th Edition
ISBN:9781119256830
Author:Amos Gilat
Publisher:Amos Gilat
Chapter1: Starting With Matlab
Section: Chapter Questions
Problem 1P
Related questions
Question
100%
Please only answer 7.58

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?

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
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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