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Unveiling the relationship between stress-hyperglycemia ratio and cardiometabolic multimorbidity risk using
Shouxin Wei1, Sijia Yu2, Chuan Qian3
1Department of Gastrointestinal Surgery, Suining Central Hospital, Suining, China. weishouxin@sns120.cn.
The stress-hyperglycemia ratio (SHR) shows a U-shaped link with cardiometabolic multimorbidity (CMM) risk. Higher SHR levels may indicate increased CMM risk, suggesting SHR
Area of Science:
- Cardiovascular Research
- Metabolic Disease Epidemiology
- Biomarker Analysis
Background:
- Cardiometabolic multimorbidity (CMM) presents a significant global health challenge.
- The stress-hyperglycemia ratio (SHR) is a novel biomarker with prognostic implications, but its role in CMM is unclear.
Purpose of the Study:
- To investigate the association between SHR and CMM risk.
- To evaluate the clinical utility of SHR in CMM risk assessment.
Main Methods:
- Cross-sectional analysis of NHANES data (12,279 participants).
- Weighted logistic regression and machine learning (gradient boosting machine) for CMM prediction.
- External validation using CHARLS data; mediation analysis for BMI and WC roles.
Main Results:
- A U-shaped relationship exists between SHR and CMM risk.
- Elevated SHR levels are associated with significantly increased CMM risk (OR=116.890 above 0.841).
- Machine learning model (AUC=0.880) identified age, SHR, and WC as key predictors; BMI and WC mediate the SHR-CMM link.
Conclusions:
- SHR exhibits a non-linear, U-shaped association with CMM risk, highlighting its potential for early diagnosis.
- Machine learning-based predictive models can enhance personalized CMM risk assessment.
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