Seoul National University Hospital and internet conglomerate Naver have created an AI model that can calculate a person's biological age and predict their health risks using their health checkup data.
HOW IT WORKS
A team of researchers from the SNUH Department of Endocrinology and Metabolism and Naver Digital Healthcare Lab gathered data from approximately 151,281 people who had their checkup at SNUH Gangnam Center in 2003-2020. Data included body measurements, blood and urine tests, pulmonary function tests, diseases, and death information. Patients were classified into three groups: normal, pre-disease, and disease, based on their blood sugar, blood pressure, and cholesterol levels.
The team trained a transformer-based deep learning model using this dataset. Besides calculating biological age, the model was also trained to assess the statistical correlation between current health status and future survival rates. Separate gender-specific models were also trained to account for physiological differences between men and women.
According to a media release, the AI estimates an individual's biological age by integrating and analysing various health indicators, such as blood pressure, blood sugar, lung function, and cholesterol. It then calculates the difference between the biological age and the actual or chronological age. The AI also checks whether a person's present health indicators match groups in the training dataset, and then provides its predictions.
FINDINGS
Citing findings published in the Journal of Medical Internet Research, researchers said the AI model "clearly distinguished" between normal, pre-disease, and disease groups.
"The normal group showed a lower biological age than the chronological age, while the disease group showed a higher biological age, demonstrating a clear difference according to health status," SNUH noted in a press release.
"The gap [between biological and chronological ages] widened as blood sugar, blood pressure, and lipid levels decreased, and in the presence of cardiovascular disease or cancer," it added.
Meanwhile, by getting the difference between biological and chronological age, the researchers were able to stratify individuals into healthy, reference, and unhealthy groups and conduct a Kaplan-Meier survival analysis. The analysis, they said, showed that the larger the difference between biological and chronological age, the higher the actual death risk, given that the survival rate in the unhealthy group across both men and women cohorts was significantly lower than that in the healthy group.
WHY IT MATTERS
The study claims to be the first to develop a transformer-based AI model for calculating biological age – or the age that accounts for a person's overall health status – that also learns disease prevalence and mortality. According to SNUH, existing biological age models primarily rely on data from healthy individuals, "making them difficult to apply to patients with chronic diseases and failing to reflect mortality risk."
These existing models, like the Klemera and Doubal method and chronological age cluster, also "could not consistently distinguish" among patient cohorts based on biological and chronological age, present health status, and future disease survival rates.
The SNUH-Naver study suggests the potential of using the AI model's output to assist doctors in developing personalised health risk management and disease prevention strategies.
THE LARGER TREND
Research announced early in June in Singapore also developed an algorithm-based biological age model that predicts mortality and health outcomes using only clinical data. The model, created by a team of researchers from the
National University of Singapore
Yong Loo Lin School, was built on two earlier models and trained using a public medical dataset from the United States.
Another biological age model in Singapore
uses retinal images
and can also predict a person's 10-year disease and mortality risk.