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Exploring Novel Biomarkers for Early Detection of Osteoporosis

de Carvalho, F. R.; QUEIROZ, V. F.; Gavaia, P. J.

2025-05-31 health informatics
10.1101/2025.05.30.25328641 medRxiv
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Purpose/IntroductionOsteoporosis is characterized by diminished BMD and deteriorated bone microstructure, significantly increasing fracture susceptibility. This study leverages machine learning for identifying key predictors of osteoporosis, potentially improving non-invasive screening tools. MethodsWe utilized the "Bone Mineral Density" dataset from Harvard University, categorizing variables into demographics, bone loss prevention treatments, and lifestyle/associated pathologies. A Boolean variable "OP" was defined to indicate presence of osteoporosis. Data preprocessing included imputation for missing values and normalization. Statistical analyses such as Welchs T-test and multiple linear regression were conducted to identify significant markers. Additionally, unsupervised learning techniques, like Louvain clustering, were used to uncover natural data patterns, while supervised learning models aimed to predict osteoporosis. ResultsThe study identified significant markers associated with osteoporosis, including magnesium levels, high- and low-density lipoproteins, chronic obstructive pulmonary disease, and chronic kidney disease. Multiple linear regression analysis revealed robust associations between osteoporosis and biomarkers such as ALT, BUN, CREA, LDL-C, and Mg, even after controlling for age, height, and weight. Among supervised learning models, Random Forest and Gradient Boosting algorithms showed the highest accuracy in predicting osteoporosis, with Random Forest identified as the preferred model. ConclusionsIn our work, it was possible to identify the main biochemical parameters and clinical histories that are potential predictors of osteoporosis. The findings suggest that integrating machine learning techniques with clinical data can enhance early detection and intervention strategies, ultimately improving patient outcomes. Further refinement is recommended to validate these results across diverse populations and improve predictive models for broader application.

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