We propose a new estimator for the error variance in a nonparametric regression model. We estimate the error variance as the intercept in a simple linear regression model with squared differences of paired observations as the dependent variable and squared distances between the paired covariates as the regressor. For the special case of a one-dimensional domain with equally spaced design points, we show that our method reaches an asymptotic optimal rate which is not achieved by some existing methods. We conduct extensive simulations to evaluate finite-sample performance of our method and compare it with existing methods. Our method can be extended to nonparametric regression models with multivariate functions defined on arbitrary subsets of normed spaces, possibly observed on unequally spaced or clustered designed points.
Background
Hypertension remains a leading global cause for premature death and disease. Most treatment guidelines emphasize the importance of risk factors, but not all are known, modifiable, or easily avoided. Population blood pressure correlates with latitude and is lower in summer than winter. Seasonal variations in sunlight exposure account for these differences, with temperature believed to be the main contributor. Recent research indicates that
UV
light enhances nitric oxide availability by mobilizing storage forms in the skin, suggesting incident solar
UV
radiation may lower blood pressure. We tested this hypothesis by exploring the association between environmental
UV
exposure and systolic blood pressure (
SBP
) in a large cohort of chronic hemodialysis patients in whom
SBP
is determined regularly.
Methods and Results
We studied 342 457 patients (36% black, 64% white) at 2178 US dialysis centers over 3 years. Incident
UV
radiation and temperature data for each clinic location were retrieved from the National Oceanic and Atmospheric Administration database. Linear mixed effects models with adjustment for ambient temperature, sex/age, body mass index, serum Na
+
/K
+
and other covariates were fitted to each location and combined estimates of associations calculated using the DerSimonian and Laird procedure. Pre‐dialysis
SBP
varied by season and was ≈4 mm Hg higher in black patients. Temperature,
UVA
and
UVB
were all linearly and inversely associated with
SBP
. This relationship remained statistically significant after correcting for temperature.
Conclusions
In hemodialysis patients, in addition to environmental temperature, incident solar
UV
radiation is associated with lower
SBP
. This raises the possibility that insufficient sunlight is a new risk factor for hypertension, perhaps even in the general population.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.