Evidence map›Paper›PMID 41495413›Full record

ArticleNPJ digital medicine2026

A machine learning-derived polygenic risk score reveals that healthy lifestyle counteracts obesity-related mortality.

Lushan Xiao, Shengxing Liang, Lin Zeng, Shumin Cai, Jiaren Wang, Chang Hong, Yan Li, Ruining Li, Pu Jiang, Zebin Xie and 5 more

Abstract read
In one paragraph

Article in NPJ digital medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Lushan Xiao *Department of Health Management, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Shengxing Liang *Xiaolan Clinical Institute of Shantou University Medical College, Zhongshan, China.
Lin Zeng *Guangdong Provincial Key Laboratory of Viral Hepatitis Research, Department of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Shumin Cai *Department of Critical Care Medicine, NanfangHospital, Southern Medical University, Guangzhou, China.
Jiaren Wang *Guangdong Provincial Key Laboratory of Viral Hepatitis Research, Department of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Chang HongGuangdong Provincial Key Laboratory of Viral Hepatitis Research, Department of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Yan LiGuangdong Provincial Key Laboratory of Viral Hepatitis Research, Department of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Ruining LiGuangdong Provincial Key Laboratory of Viral Hepatitis Research, Department of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Pu JiangGuangdong Provincial Key Laboratory of Viral Hepatitis Research, Department of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Zebin XieGuangdong Provincial Key Laboratory of Viral Hepatitis Research, Department of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Ting LiGuangdong Provincial Key Laboratory of Viral Hepatitis Research, Department of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Shanshan WuThe First School of Clinical Medicine, Southern Medical University, Guangzhou, China.
Li LiuDepartment of Health Management, Nanfang Hospital, Southern Medical University, Guangzhou, China. liuli@i.smu.edu.cn.
Gongfa WuDepartment of Pathology, The Fourth Affiliated Hospital, Guangzhou Medical University, Guangzhou, China. 2021689173@gzhmu.edu.cn.
Weinan LaiDepartment of Rheumatology and Immunology, Nanfang Hospital, Southern Medical University, Guangzhou, China. Laiwn123@smu.edu.cn.

Funding

Guangdong Natural Science Foundation 2022A1515110656Guangdong Province College Students' Innovative Entrepreneurial Training Progarm S202412121153National Key R&D Program of China 2021YFF1201304National Nature Science Foundation of China 82172751National Nature Science Foundation of China 82400664National Nature Science Foundation of China 82404077the Postdoctoral Fellowship Program of CPSF GZC20240663
6 · The paper itself

Abstract

Obesity is influenced by genetic predisposition and lifestyle. The associations among genetic susceptibility to obesity, lifestyle, and all-cause mortality remain unexplored. Our goal is to develop and validate a machine learning model to assess the genetic risk of obesity and examine its association with lifestyle and all-cause mortality. We integrated genetic data from 482,700 UK Biobank participants and 8,607 Nanfang Hospital participants to create and validate a stacked machine learning model, which generates an obesity-related polygenic risk score (OPRS), to evaluate the relationships among genetic risk of obesity, lifestyle, and all-cause mortality. The model achieved area under the receiver operating characteristic curve values of 0.621, 0.616, and 0.565 for the training, internal, and external test cohorts, respectively. A high OPRS is associated with increased all-cause mortality, with a linear relationship observed among individuals with normal weight or overweight. Among individuals with a high genetic risk of obesity, adhering to four healthy lifestyle factors reduced the risk of all-cause mortality by 59% compared to those who did not. Thus, high genetic risk of obesity is associated with higher risk of all-cause mortality, but a healthy lifestyle mitigates this risk.

Identifiers

PMID41495413
PMCPMC12830601

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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.