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A Machine Learning Approach to Design an Efficient Selective Screening of Mild Cognitive Impairment
Published on: January 11, 2020
The Relationship between Biological Aging and Cognitive Function: A Machine Learning Model
Chongkang Ren1, Zean Li1, Jinyi Cai2
1Department of Neurosurgery, The First Bethune Hospital of Jilin University, Changchun, China.
Yonsei Medical Journal
|July 22, 2026
Summary
Phenotypic age (PhenoAge) significantly increases the risk of cognitive impairment in older adults. Machine learning models incorporating sociodemographic factors show promise for early risk screening.
Area of Science:
- Gerontology and Cognitive Science
- Biomarkers of Aging
- Public Health and Epidemiology
Background:
- The link between biological age (BA) and cognitive impairment remains unclear.
- Understanding this relationship is crucial for identifying at-risk populations.
Purpose of the Study:
- To investigate the association between biological age and cognitive impairment.
- To evaluate the predictive performance of different biological age indicators and machine learning models.
Main Methods:
- Utilized data from 2202 participants in the National Health and Nutrition Examination Survey (2011-2014).
- Calculated Klemera-Doubal method age (KDM-Age) and phenotypic age (PhenoAge).
- Employed six machine learning models and Shapley additive explanations (SHAP) for analysis.
Main Results:
- Each 1-year increase in PhenoAge correlated with higher risks for CERAD, DSST, and AFT cognitive tests (p<0.001).
- The random forest model demonstrated superior performance in predicting cognitive impairment (AUC-ROC=0.997).
- Sociodemographic factors significantly outweighed biological age indicators in predictive models.
Conclusions:
- PhenoAge serves as a valuable indicator for cognitive impairment risk in older adults.
- Integrating machine learning with sociodemographic data can enhance early risk detection.
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