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Association of the estimated glucose disposal rate combined with a body shape index with all-cause and cardiovascular-specific mortality among individuals with cardiovascular-kidney-metabolic syndrome

a day ago
  • #mortality risk
  • #CKM syndrome
  • #machine learning
  • Study examines the combined effect of estimated glucose disposal rate (eGDR) and a body shape index (ABSI) on mortality in individuals with cardiovascular-kidney-metabolic (CKM) syndrome.
  • Data from NHANES (1999-2018) included 18,186 individuals with CKM syndrome stages 0-4.
  • Low eGDR and high ABSI independently predicted higher mortality risk.
  • Combined low eGDR and high ABSI showed the highest mortality risk: all-cause HR = 2.79, cardiovascular-specific HR = 4.53.
  • XGBoost machine learning model performed best in predicting mortality (AUC 0.877 for all-cause, 0.850 for cardiovascular-specific mortality).
  • Findings suggest eGDR and ABSI improve risk stratification in CKM syndrome patients.