Risk factors and predictive modeling in a US population with sarcopenia: a propensity score cohort study

Abstract Sarcopenia, characterized by loss of muscle mass and strength, particularly affects older adults and is linked to increased morbidity and mortality. The study aimed to investigate the relationship between biomarkers, including hemoglobin (Hb), lactate dehydrogenase (LDH), and Systemic Immun...

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Main Authors: Yao Sun, Shuguang Yang, Zengli Xiao, Youzhong An, Huiying Zhao
Format: Article
Language:English
Published: Nature Portfolio 2025-02-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-91437-7
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author Yao Sun
Shuguang Yang
Zengli Xiao
Youzhong An
Huiying Zhao
author_facet Yao Sun
Shuguang Yang
Zengli Xiao
Youzhong An
Huiying Zhao
author_sort Yao Sun
collection DOAJ
description Abstract Sarcopenia, characterized by loss of muscle mass and strength, particularly affects older adults and is linked to increased morbidity and mortality. The study aimed to investigate the relationship between biomarkers, including hemoglobin (Hb), lactate dehydrogenase (LDH), and Systemic Immune-Inflammation Index (SII), and sarcopenia in the US population. Utilizing NHANES data from 2003 to 2018, the study analyzed 5,615 participants, categorizing them based on quartiles of Hb, SII, and LDH levels. It employed logistic regression models to assess the relationship between these biomarkers and sarcopenia risk, adjusting for various confounders. High levels of LDH, Hb and SII were significantly associated with sarcopenia, with higher risk in the highest quartile. The AUC for all indicators in predicting sarcopenia was 0.925 (sensitivity 0.925; specificity 0.743). The study concludes that elevated Hb, LDH, and SII levels are significant biomarkers associated with sarcopenia, emphasizing the role of inflammation in its development and the potential for these markers in early detection and intervention.
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spelling doaj-art-64a4607d968441c782cb0a6549e2f5d42025-08-20T03:04:34ZengNature PortfolioScientific Reports2045-23222025-02-0115111210.1038/s41598-025-91437-7Risk factors and predictive modeling in a US population with sarcopenia: a propensity score cohort studyYao Sun0Shuguang Yang1Zengli Xiao2Youzhong An3Huiying Zhao4Department of Critical Care Medicine, Peking University People’s HospitalDepartment of Critical Care Medicine, Peking University People’s HospitalDepartment of Critical Care Medicine, Peking University People’s HospitalDepartment of Critical Care Medicine, Peking University People’s HospitalDepartment of Critical Care Medicine, Peking University People’s HospitalAbstract Sarcopenia, characterized by loss of muscle mass and strength, particularly affects older adults and is linked to increased morbidity and mortality. The study aimed to investigate the relationship between biomarkers, including hemoglobin (Hb), lactate dehydrogenase (LDH), and Systemic Immune-Inflammation Index (SII), and sarcopenia in the US population. Utilizing NHANES data from 2003 to 2018, the study analyzed 5,615 participants, categorizing them based on quartiles of Hb, SII, and LDH levels. It employed logistic regression models to assess the relationship between these biomarkers and sarcopenia risk, adjusting for various confounders. High levels of LDH, Hb and SII were significantly associated with sarcopenia, with higher risk in the highest quartile. The AUC for all indicators in predicting sarcopenia was 0.925 (sensitivity 0.925; specificity 0.743). The study concludes that elevated Hb, LDH, and SII levels are significant biomarkers associated with sarcopenia, emphasizing the role of inflammation in its development and the potential for these markers in early detection and intervention.https://doi.org/10.1038/s41598-025-91437-7SarcopeniaHemoglobinLactate dehydrogenaseInflammationBiomarkers
spellingShingle Yao Sun
Shuguang Yang
Zengli Xiao
Youzhong An
Huiying Zhao
Risk factors and predictive modeling in a US population with sarcopenia: a propensity score cohort study
Scientific Reports
Sarcopenia
Hemoglobin
Lactate dehydrogenase
Inflammation
Biomarkers
title Risk factors and predictive modeling in a US population with sarcopenia: a propensity score cohort study
title_full Risk factors and predictive modeling in a US population with sarcopenia: a propensity score cohort study
title_fullStr Risk factors and predictive modeling in a US population with sarcopenia: a propensity score cohort study
title_full_unstemmed Risk factors and predictive modeling in a US population with sarcopenia: a propensity score cohort study
title_short Risk factors and predictive modeling in a US population with sarcopenia: a propensity score cohort study
title_sort risk factors and predictive modeling in a us population with sarcopenia a propensity score cohort study
topic Sarcopenia
Hemoglobin
Lactate dehydrogenase
Inflammation
Biomarkers
url https://doi.org/10.1038/s41598-025-91437-7
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