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Association of the neutrophil percentage-to-albumin ratio with sarcopenia in U.S. adults: Evidence from NHANES 2011–2018 and machine learning–based analyses
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DOI：10.1016/j.exger.2026.113144.png)
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Abstract
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• Higher NPAR was independently associated with higher odds of sarcopenia. • A significant nonlinear association was observed between NPAR and sarcopenia. • NPAR improved risk discrimination and reclassification beyond traditional factors. • Machine learning analyses supported the predictive relevance of NPAR. • NPAR may serve as a simple biomarker for sarcopenia risk stratification.
Keywords:
Neutrophil-to-albumin ratio (NPAR)
Sarcopenia
Machine learning
Nutritional status
NHANES
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