Article · 2024

Machine Learning Approaches for Predicting Frailty Base on Multimorbidities in US Adults Using NHANES Data (1999-2018)

Computer Methods and Programs in Biomedicine Update

Teng Li; Xueke Li; Haoran XU; Yanyan Wang; Jingyu Ren; Shixiang Jing; Zichen Jin; Gang chen; Youyou Zhai; Zeyu Wu; Ge Zhang; Yuying Wang

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Plain citation

Teng Li, Xueke Li, Haoran XU, Yanyan Wang, Jingyu Ren, Shixiang Jing, Zichen Jin, Gang chen, Youyou Zhai, Zeyu Wu, Ge Zhang, Yuying Wang. Machine Learning Approaches for Predicting Frailty Base on Multimorbidities in US Adults Using NHANES Data (1999-2018). Computer Methods and Programs in Biomedicine Update. 2024. https://doi.org/10.1016/j.cmpbup.2024.100164

Author-controlled citation; verify against the publisher version of record.

Research context and source limits

Limited evidence note. Only the source material identified below has been reviewed; this is not a complete Paper GEO V2 assessment.

Cross-sectional survey methods and frailty-label definition; sample denominator and model validation remain unresolved.

Research question and data source

This study examines multimorbidity and frailty using NHANES survey cycles from 1999–2018. The paper describes cross-sectional analyses and machine-learning classification, rather than prospective prediction of new frailty or evaluation of a preventive treatment. Its scientific question concerns associations and classification within the analysed survey records.

Source: Methods 2: data source and participant selection; Methods 2.3

Frailty definition and analysis

Frailty is defined through a modified 36-item deficit-accumulation index. The Methods describe survey-weighted summaries, regression analyses and resampling for model selection. The complete item list and predictor overlap still require verification; reporting these procedures does not establish that outcome leakage was excluded or that an independent external cohort was tested.

Source: Methods 2.2: Assessment of disease and frailty; Methods 2.3; Supplementary materials

Unresolved analytical denominator

Methods reports 42,886 participants, while Results states 46,187 and then refers to 431 participants. Table 1 sex counts support a different total from the Results headline. These statements cannot be reconciled by selecting the most plausible number. The model-evaluation partition also remains insufficiently specified.

Source: Methods 2 first paragraph; Results 3 first paragraph; Table 1 Sex rows; Results 3.2

Evidence limits

Provenance

Source review: 2026-10-27.

Author-controlled academic record for Ge Zhang (张格; ORCID 0000-0002-3116-3246). This page identifies the work as part of Ge Zhang’s publication record. It does not replace the publisher version or assert a complete author list.

Verify publication identity

These records identify the same original work; database inclusion is not evidence of scientific validity or clinical benefit.