Construction of a nomogram model to predict arteriosclerosis in middle-aged and elderly community dwellers: insights from a cohort study - Scorecard - MDSpire

Construction of a nomogram model to predict arteriosclerosis in middle-aged and elderly community dwellers: insights from a cohort study

  • By

  • Wenxing Gao

  • Yue Zhang

  • Xulei Tang

  • Li Yan

  • Zuojie Luo

  • Guijun Qin

  • Lulu Chen

  • Qin Wan

  • Zhengnan Gao

  • Weiqing Wang

  • Guang Ning

  • Yiming Mu

  • June 19, 2026

  • 0 min

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Clinical Scorecard: Development of a nomogram for predicting arteriosclerosis in middle-aged and older adults in community settings: findings from a cohort analysis

At a Glance

CategoryDetail
ConditionArteriosclerosis
Key MechanismsInvolves elastin fiber fragmentation, collagen deposition, and arterial wall calcification, leading to reduced vascular tone and compliance.
Target PopulationMiddle-aged and elderly individuals over 40 years of age.
Care SettingCommunity healthcare settings.

Key Highlights

  • 41.0% of participants diagnosed with arteriosclerosis over an average follow-up of 3.25 years.
  • Independent risk factors include age, BMI, hypertension, triglyceride levels, glycosylated hemoglobin, sex, and fasting blood glucose.
  • The predictive model demonstrated good accuracy with AUC values of 0.811 and 0.816 for derivation and validation cohorts, respectively.
  • Calibration curves showed high consistency between predicted and observed results.
  • Decision curve analysis indicated favorable net benefits of the prediction model.

Guideline-Based Recommendations

Diagnosis

  • Use baPWV ≥ 1400 cm/s to define incident arteriosclerosis.

Management

  • Identify and monitor independent risk factors for arteriosclerosis.

Monitoring & Follow-up

  • Regular assessment of baPWV and associated risk factors in at-risk populations.

Risks

  • Increased risk of cardiovascular diseases and all-cause mortality associated with arteriosclerosis.

Patient & Prescribing Data

Individuals aged 40 and older in community settings.

Early identification and intervention may improve patient prognosis.

Clinical Best Practices

  • Utilize a nomogram for individualized prediction of arteriosclerosis risk.
  • Incorporate lifestyle modifications and management of risk factors in patient care.

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