Journal of Personalized Medicine, Год журнала: 2025, Номер 15(3), С. 83 - 83
Опубликована: Фев. 25, 2025
Background/Objectives: Dynapenia, age-associated loss in muscle strength, is an emerging risk factor for atherosclerotic cardiovascular disease (ASCVD), which may have different effects depending on sex. This study aims to investigate the association between dynapenia and ASCVD risk, evaluate its predictive significance among traditional factors, explore sex-specific patterns through machine learning models. Methods: retrospective case–control uses data from 19,582 participants aged 40–79 Korean National Health Nutrition Examination Survey (KNHANES). assessed using American College of Cardiology/American Heart Association 10-year algorithm, with defined based hand grip strength. Multivariable logistic regression ML algorithms, including light gradient boosting (LGB) XGBoost (XGB), are applied examine factors. Model performance evaluated via area under receiver operating characteristic curve (AUROC), Shapley additive explanation (SHAP) analysis highlights variable importance. Results: Dynapenia prevalence higher women (33.4%) than men (13.9%) at high risk. Logistic shows significantly associated (odds ratio, 1.47; 95% confidence interval, 1.20–1.81) but not men. Machine models demonstrate excellent performance, XGB achieving highest AUROC (0.950 0.963 women). The SHAP identifies as a critical women, while body mass index, educational status, household income influential both sexes. Conclusions: significant emphasizing prevention strategies. enhances assessment precision, underscoring health’s role care.
Язык: Английский