Data Sheet 1_Diagnostic efficacy of remnant cholesterol inflammatory index in diabetic kidney disease: machine learning approaches.docx

Background<p>Emerging evidence indicates that remnant cholesterol (RC) and inflammation play a crucial role in diabetic kidney disease (DKD) pathogenesis. The association and diagnostic efficacy of remnant cholesterol inflammatory index (RCII), integrating RC and inflammatory markers, with DKD...

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मुख्य लेखक: Xili Xie (16560302) (author)
अन्य लेखक: Haifeng Li (142063) (author), Yan Gao (93649) (author), Feng Zhao (90241) (author), Xueyu Li (4397113) (author), Chen Jia (2794714) (author)
प्रकाशित: 2025
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_version_ 1849927635589660672
author Xili Xie (16560302)
author2 Haifeng Li (142063)
Yan Gao (93649)
Feng Zhao (90241)
Xueyu Li (4397113)
Chen Jia (2794714)
author2_role author
author
author
author
author
author_facet Xili Xie (16560302)
Haifeng Li (142063)
Yan Gao (93649)
Feng Zhao (90241)
Xueyu Li (4397113)
Chen Jia (2794714)
author_role author
dc.creator.none.fl_str_mv Xili Xie (16560302)
Haifeng Li (142063)
Yan Gao (93649)
Feng Zhao (90241)
Xueyu Li (4397113)
Chen Jia (2794714)
dc.date.none.fl_str_mv 2025-11-25T06:26:09Z
dc.identifier.none.fl_str_mv 10.3389/fnut.2025.1642358.s001
dc.relation.none.fl_str_mv https://figshare.com/articles/dataset/Data_Sheet_1_Diagnostic_efficacy_of_remnant_cholesterol_inflammatory_index_in_diabetic_kidney_disease_machine_learning_approaches_docx/30704219
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Clinical and Sports Nutrition
diabetic kidney disease
remnant cholesterol
inflammatory
machine learning
diagnostic model
dc.title.none.fl_str_mv Data Sheet 1_Diagnostic efficacy of remnant cholesterol inflammatory index in diabetic kidney disease: machine learning approaches.docx
dc.type.none.fl_str_mv Dataset
info:eu-repo/semantics/publishedVersion
dataset
description Background<p>Emerging evidence indicates that remnant cholesterol (RC) and inflammation play a crucial role in diabetic kidney disease (DKD) pathogenesis. The association and diagnostic efficacy of remnant cholesterol inflammatory index (RCII), integrating RC and inflammatory markers, with DKD remains underexplored.</p>Methods<p>This cross-sectional study analyzed data from the National Health and Nutrition Examination Survey (NHANES) 2015–2020, including 5,943 participants. DKD was defined by diabetes, urine albumin to creatinine ratio (ACR) ≥ 30 mg/g and an estimated glomerular filtration rate (eGFR) < 60 mL/min/1.73 m<sup>2</sup>. RC was calculated as total cholesterol minus high-density and low-density lipoprotein cholesterol, while RCII was derived by multiplying RC by high-sensitivity C-reactive protein (hs-CRP). Logistic regression and restricted cubic spline analysis were used to evaluate associations and dose–response relationship between RC and RCII and DKD. We assessed RCII diagnostic efficacy measured by five machine learning algorithms.</p>Results<p>Our study observed 1,014 cases of DKD (17.06%), with a higher prevalence among males (14.1%) compared to females (11.7%). The highest RC (OR: 2.73, 95% CI: 2.12–3.52, P for trend<0.001) and RCII (OR: 2.29, 95% CI: 1.77–2.97, P for trend <0.001) levels were significantly associated with increased DKD risk after full adjustment. The result showed both overall and nonlinear positive correlations between the risk of DKD and both RC (P for overall <0.001, P for nonlinear = 0.049) and RCII (P for overall <0.001, P for nonlinear <0.001). Machine learning models incorporating RCII and traditional risk factors demonstrated robust diagnostic efficacy, with extreme gradient boosting (XGBoost) achieving the highest AUC values in the testing set (AUC: 0.953).</p>Conclusion<p>Our study suggested RCII was a novel and promising biomarker for DKD risk. Its integration into diagnostic models may enhance early identification and personalized prevention strategies for DKD, addressing a critical need in diabetes management.</p>
eu_rights_str_mv openAccess
id Manara_29e2fca4409797bb5bddc3f03870309e
identifier_str_mv 10.3389/fnut.2025.1642358.s001
network_acronym_str Manara
network_name_str ManaraRepo
oai_identifier_str oai:figshare.com:article/30704219
publishDate 2025
repository.mail.fl_str_mv
repository.name.fl_str_mv
repository_id_str
rights_invalid_str_mv CC BY 4.0
spelling Data Sheet 1_Diagnostic efficacy of remnant cholesterol inflammatory index in diabetic kidney disease: machine learning approaches.docxXili Xie (16560302)Haifeng Li (142063)Yan Gao (93649)Feng Zhao (90241)Xueyu Li (4397113)Chen Jia (2794714)Clinical and Sports Nutritiondiabetic kidney diseaseremnant cholesterolinflammatorymachine learningdiagnostic modelBackground<p>Emerging evidence indicates that remnant cholesterol (RC) and inflammation play a crucial role in diabetic kidney disease (DKD) pathogenesis. The association and diagnostic efficacy of remnant cholesterol inflammatory index (RCII), integrating RC and inflammatory markers, with DKD remains underexplored.</p>Methods<p>This cross-sectional study analyzed data from the National Health and Nutrition Examination Survey (NHANES) 2015–2020, including 5,943 participants. DKD was defined by diabetes, urine albumin to creatinine ratio (ACR) ≥ 30 mg/g and an estimated glomerular filtration rate (eGFR) < 60 mL/min/1.73 m<sup>2</sup>. RC was calculated as total cholesterol minus high-density and low-density lipoprotein cholesterol, while RCII was derived by multiplying RC by high-sensitivity C-reactive protein (hs-CRP). Logistic regression and restricted cubic spline analysis were used to evaluate associations and dose–response relationship between RC and RCII and DKD. We assessed RCII diagnostic efficacy measured by five machine learning algorithms.</p>Results<p>Our study observed 1,014 cases of DKD (17.06%), with a higher prevalence among males (14.1%) compared to females (11.7%). The highest RC (OR: 2.73, 95% CI: 2.12–3.52, P for trend<0.001) and RCII (OR: 2.29, 95% CI: 1.77–2.97, P for trend <0.001) levels were significantly associated with increased DKD risk after full adjustment. The result showed both overall and nonlinear positive correlations between the risk of DKD and both RC (P for overall <0.001, P for nonlinear = 0.049) and RCII (P for overall <0.001, P for nonlinear <0.001). Machine learning models incorporating RCII and traditional risk factors demonstrated robust diagnostic efficacy, with extreme gradient boosting (XGBoost) achieving the highest AUC values in the testing set (AUC: 0.953).</p>Conclusion<p>Our study suggested RCII was a novel and promising biomarker for DKD risk. Its integration into diagnostic models may enhance early identification and personalized prevention strategies for DKD, addressing a critical need in diabetes management.</p>2025-11-25T06:26:09ZDatasetinfo:eu-repo/semantics/publishedVersiondataset10.3389/fnut.2025.1642358.s001https://figshare.com/articles/dataset/Data_Sheet_1_Diagnostic_efficacy_of_remnant_cholesterol_inflammatory_index_in_diabetic_kidney_disease_machine_learning_approaches_docx/30704219CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/307042192025-11-25T06:26:09Z
spellingShingle Data Sheet 1_Diagnostic efficacy of remnant cholesterol inflammatory index in diabetic kidney disease: machine learning approaches.docx
Xili Xie (16560302)
Clinical and Sports Nutrition
diabetic kidney disease
remnant cholesterol
inflammatory
machine learning
diagnostic model
status_str publishedVersion
title Data Sheet 1_Diagnostic efficacy of remnant cholesterol inflammatory index in diabetic kidney disease: machine learning approaches.docx
title_full Data Sheet 1_Diagnostic efficacy of remnant cholesterol inflammatory index in diabetic kidney disease: machine learning approaches.docx
title_fullStr Data Sheet 1_Diagnostic efficacy of remnant cholesterol inflammatory index in diabetic kidney disease: machine learning approaches.docx
title_full_unstemmed Data Sheet 1_Diagnostic efficacy of remnant cholesterol inflammatory index in diabetic kidney disease: machine learning approaches.docx
title_short Data Sheet 1_Diagnostic efficacy of remnant cholesterol inflammatory index in diabetic kidney disease: machine learning approaches.docx
title_sort Data Sheet 1_Diagnostic efficacy of remnant cholesterol inflammatory index in diabetic kidney disease: machine learning approaches.docx
topic Clinical and Sports Nutrition
diabetic kidney disease
remnant cholesterol
inflammatory
machine learning
diagnostic model