Evidence map›Paper›PMID 38105886›Full record

ArticleFrontiers in medicine2023

Establishing thresholds of handgrip strength based on mortality using machine learning in a prospective cohort of Chinese population.

Haofeng Zhou, Zepeng Chen, Yuting Liu, Yingxue Liao, Lan Guo, Mingyu Xu, Bingqing Bai, Fengyao Liu, Huan Ma, Xiaoxuan Yao and 1 more

Abstract read
In one paragraph

Article in Frontiers in medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Haofeng Zhou *Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.
Zepeng Chen *Shantou University Medical College, Shantou, China.
Yuting Liu *Department of Cardiology, Shenzhen People's Hospital and The First Affiliated Hospital, Southern University of Science and Technology, Shenzhen, China.
Yingxue LiaoGuangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.
Lan GuoGuangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.
Mingyu XuSchool of Medicine, South China University of Technology, Guangzhou, China.
Bingqing BaiSchool of Medicine, South China University of Technology, Guangzhou, China.
Fengyao LiuSchool of Medicine, South China University of Technology, Guangzhou, China.
Huan MaGuangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.
Xiaoxuan YaoShantou University Medical College, Shantou, China.
Qingshan GengDepartment of Cardiology, Shenzhen People's Hospital and The First Affiliated Hospital, Southern University of Science and Technology, Shenzhen, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The relative prognostic importance of handgrip strength (HGS) in comparison with other risk factors for mortality remains to be further clarified, and thresholds used for best identify high-risk individuals in health screening are not yet established. Using machine learning and nationally representative data from the China Health and Retirement Longitudinal Study (CHARLS), the study aimed to investigate the prognostic importance of HGS and establish sex-specific thresholds for health screening. Methods: A total of 6,762 participants from CHARLS were enrolled. A random forest model was built using 30 variables with all-cause mortality as outcome. SHapley Additive exPlanation values were applied to explain the model. Cox proportional hazard models and Harrell's C index change were used to validate the clinical importance of the thresholds. Results: Among the participants, 3,102 (45.9%) were men, and 622 (9.1%) case of death were documented follow-up period of 6.78 years. The random forest model identified HGS as the fifth important prognostic variable, with thresholds for identifying high-risk individuals were < 32 kg in men and < 19 kg in women. Low HGS were associated with all-cause mortality [HR (95% CI): 1.77 (1.49-2.11), Conclusion: On the basis of our thresholds, low HGS predicted all-cause mortality better than other risk factors and improved prediction of a traditional office-based risk score. These results reinforced the clinical utility of measurement of HGS in health screening.

Indexed as

handgrip strengthhealth screeningmachine learningmortalitythreshold

Identifiers

PMID38105886
PMCPMC10722261

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.