Exploring the relative importance of the factors associated with menopausal symptoms using a random forest model: a cross-sectional study.

Purpose: This study aimed to identify key factors associated with menopausal symptoms among middle-aged women by examining a comprehensive set of physical, psychological, and lifestyle variables. Methods: A cross-sectional study was conducted with 94 women aged 45 to 55 years in Seoul, South Korea....

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Publicado en:Women's Health Nursing Vol. 31; no. 3; pp. 227 - 241
Autores principales: Meejung Chin, Sowon Hahn, Yeon Soo Kim, Young Hye Kwon, Yeon-Hwan Park, Younghwan Choi, Gahye Kim, Youjin Kim, Inju Lee, Hyun Jeong Yoon, Hanjin Bae
Formato: research tables/charts Journal Article
Publicado: Korean Academy of Women's Health Nursing Sep2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2025
      vid: 31
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      pub: Korean Academy of Women's Health Nursing
      place: Seoul, <Blank>
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        188465244
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        10.4069/whn.2025.08.12
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        atl: Exploring the relative importance of the factors associated with menopausal symptoms using a random forest model: a cross-sectional study.
      aug:
        au:
          Meejung Chin
          Sowon Hahn
          Yeon Soo Kim
          Young Hye Kwon
          Yeon-Hwan Park
          Younghwan Choi
          Gahye Kim
          Youjin Kim
          Inju Lee
          Hyun Jeong Yoon
          Hanjin Bae
        affil: Department of Child Development and Family Studies, Seoul National University, Seoul, Korea
      sug:
        subj:
          Perimenopausal Symptoms Risk Factors
          Risk Assessment
          Life Style
          Age Factors
          Psychological Well-Being
          Loneliness
          Grip Strength
          Adipose Tissue Distribution
          Physical Activity
          Diet
          Health Behavior
          Human
          South Korea
          Female
          Middle Age
          Cross Sectional Studies
          Quantitative Studies
          Correlational Studies
          Self Report
          Questionnaires
          Wearable Sensors
          Scales
          Random Forest
          Symptom Burden Evaluation
          Prediction Models
          Predictive Validity
          Sensitivity and Specificity
          Socioeconomic Factors
          Digital Health
          Machine Learning
          Exercise Intensity
          Educational Status
          Income
          Sleep
          Spouses
          Interpersonal Relations
          Time
          Family
          Vegetables
          Food Intake
          Meat
          Eggs
          Association (Research)
          Descriptive Statistics
          Data Analysis Software
          Funding Source
          Middle Aged: 45-64 years
          Female
      ab: Purpose: This study aimed to identify key factors associated with menopausal symptoms among middle-aged women by examining a comprehensive set of physical, psychological, and lifestyle variables. Methods: A cross-sectional study was conducted with 94 women aged 45 to 55 years in Seoul, South Korea. Data were collected through physical assessments, self-reported questionnaires, and monitoring using a wearable device (Fitbit Charge 5, Fitbit Inc.). The Menopause Rating Scale was used to assess symptom severity, with scores dichotomized into no/mild symptoms (0-8) and moderate/severe symptoms (9-44). Random forest analysis was applied to evaluate the relative importance of various factors in relation to menopausal symptoms. Results: Fourteen significant predictors were identified from an initial set of 57 variables using recursive feature elimination with cross-validation. The final random forest model achieved balanced predictive performance, with an accuracy of 74.1%, an area under the curve of 75.7%, sensitivity of 78.9%, and specificity of 62.5%. Age emerged as the most influential predictor, followed by psychological well-being and loneliness as the second and third most important factors. Among physical characteristics, relative grip strength (fourth) and body fat percentage (fifth) were significant predictors. Lifestyle factors, including moderate physical activity (sixth) and health-conscious dietary behaviors (seventh), showed moderate importance, while socioeconomic factors demonstrated lower importance. Conclusion: The findings highlight the multifaceted nature of menopausal symptoms and suggest that effective management strategies should incorporate physical, psychological, and lifestyle interventions. These results provide evidence for developing comprehensive digital healthcare applications that incorporate monitoring and intervention features across multiple domains for effective menopausal symptom management.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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