medRxiv (Cold Spring Harbor Laboratory), Journal Year: 2024, Volume and Issue: unknown
Published: July 19, 2024
Abstract Background There is a growing recognition of the divergence between biological and chronological age, as well interaction among cardiovascular, kidney, metabolic (CKM) diseases, known CKM syndrome, in shortening both lifespan healthspan. Detecting indicators syndrome can prompt lifestyle risk-factor management to prevent progression adverse clinical events. In this study, we tested novel deep-learning model, retinal BioAge, determine whether it could identify individuals with higher prevalence compared their peers similar age. Methods Retinal images health records were analyzed from UK Biobank population study US-based EyePACS 10K dataset persons living diabetes. 77,887 44,731 unique participants used train BioAge model. For validation, separate test sets 10,976 (5,476 individuals) 19,856 (9,786 analyzed. AgeGap (retinal – age) was calculated for each participant, those top bottom quartiles abnormal blood pressure, cholesterol, kidney function, hemoglobin A1c. Results Biobank, quartile had significantly hypertension (36.3% vs. 29.0%, p<0.001), while elevated non-HDL cholesterol (77.9% 78.4%, p=0.80), impaired function (4.8% 4.2%, p=0.60), diabetes (3.1% 2.2%, p=0.24). contrast, (49.9% 43.0%, (36.7% 23.1%, suboptimally controlled (76.5% 60.0%, diabetic retinopathy (52.9% 8.0%, but not (53.8% 55.4%, p=0.33). Conclusion A model identified who underlying peers, particularly diverse US Clinical Perspective What Is New? Accelerated aging predicted by analysis standard able detect multiple new cardiovascular-kidney-metabolic populations. Are Implications? Rapid, point-of-care routine eye exams broaden access detection awareness health. With broad range prevention interventions reduce earlier broader important improve public outcomes.
Language: Английский