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Machine Learning-Based Multidimensional Health Decline Prediction Framework: Data-Driven Modeling for the Middle-Aged
Xiaomin Li1, Xudong Guo2, Xufeng Fu1
1Key Laboratory of Fertility Preservation and Maintenance of Ministry of Education, Ningxia Medical University, Yinchuan 750004, China.
Healthcare (Basel, Switzerland)
|July 28, 2026
Summary
Machine learning models accurately predict health risks like disability and depression in older adults. Identifying key factors enables early prevention and personalized health management for the aging population.
Area of Science:
- Gerontology and Public Health
- Computational Biology and Bioinformatics
- Data Science and Artificial Intelligence
Background:
- Global population aging presents significant health challenges for individuals aged 45 and above.
- These challenges include increased risk of disability, pain, cognitive impairment, hearing loss, and depression.
- Proactive health management is crucial for this demographic.
Purpose of the Study:
- To develop predictive models for health outcomes and disease risk in middle-aged and elderly individuals.
- To identify key factors influencing disease prevalence and quality of life in this population.
- To leverage machine learning and deep learning for health forecasting.
Main Methods:
- Utilized the China Health and Retirement Longitudinal Study (CHARLS) database (2015-2018) with 20,967 participants.
- Employed machine learning and deep learning techniques to build predictive models for five key health outcomes.
- Applied Minimum Redundancy Maximum Relevance (MRMR) and Incremental Feature Selection (IFS) for feature identification, evaluating models with ROC-AUC.
Main Results:
- Developed 15 predictive models, with TabPFN demonstrating superior performance.
- Achieved high ROC-AUC scores for predicting disability (0.802), pain (0.860), cognitive impairment (0.814), hearing loss (0.769), and depression (0.856).
- Shapley analysis identified critical features influencing these health outcomes.
Conclusions:
- The developed models accurately assess disease risk in older adults, supporting early prevention and intervention.
- Insights into key health determinants provide a foundation for tailored health management.
- Precision intervention strategies can be informed by these findings to improve quality of life.