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Non-traditional metabolic indices predict incident circadian syndrome in middle-aged and older Chinese adults: a nationwide prospective cohort study and machine learning analysis - PubMed

3 hours ago
  • #Metabolic Indices
  • #Circadian Syndrome
  • #Machine Learning
  • Eight non-traditional metabolic indices were analyzed to predict the onset of Circadian Syndrome (CircS) in middle-aged and older Chinese adults.
  • CircS adds disturbed sleep and depressive symptoms to traditional metabolic syndrome components.
  • The study used data from the China Health and Retirement Longitudinal Study (CHARLS) with 4,325 participants over four years.
  • Triglyceride-glucose body mass index (TyG-BMI) showed the strongest positive association with CircS risk.
  • Estimated glucose disposal rate (eGDR) demonstrated the most significant inverse relationship with CircS.
  • Cholesterol-HDL-C-glucose (CHG) index provided the best discrimination gain for predicting CircS.
  • Machine learning analysis identified eGDR as the top predictor, with logistic regression achieving the highest predictive accuracy.
  • Incorporating these indices into routine assessments could help identify CircS risk earlier in aging populations.