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Physiological Fitness Landscape v2.0 Optimization

Mortality Hazard Functions & Population Optimization Engine PFL site · Terrain & stability

Biomarkers
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Chronic Diseases
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Multi-Scale Alts
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Hazard Curves
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NHANES Cohorts
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Interventions
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Evidence Sources
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Biomarkers (0) Grouped: None

All-Cause Mortality Hazard Landscape Continuous Spline

Non-linear mortality hazard ratio curve overlaying NHANES representative population distribution.

Hazard Ratio Density
pooled
Optimal Physiological Point ($x^*$)
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Population Median ($P_{50}$)
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Baseline Expected HR $E[HR_0]$
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Valid Domain Boundary
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Early insulin-resistance axes: C-peptide and the TG/HDL ratio

The shared-content proposal names fasting C-peptide above 2.0 ng/mL and a triglyceride/HDL ratio above 2.0 (men) or 1.5 (women) as signs of insulin resistance before HbA1c moves. Both are derived axes with their own all-cause hazard curves (NHANES, 2019 linked mortality, residualised for age and sex) and gap-table rows; the strip gives the survey-weighted share of normoglycaemic adults (HbA1c under 5.7%) past each cut-point.

SHBG and sex hormones

NHANES 2013–2016 measured total testosterone, estradiol and SHBG; free estradiol follows the Vermeulen equation where albumin is on the row. Hazard curves are fitted per sex with the same estimator as the other axes, on three to six years of follow-up, so they are short-horizon and wide. The insulin → SHBG column of the coupling matrix needs a longitudinal cohort with SHBG, which is not on site.

Capacity proxies against mortality and pull-back

Before a capacity proxy stands in for altitude it is validated against the hazard surface it would replace: each proxy's own all-cause hazard curve (NHANES, 2019 linked mortality, the same estimator as the other axes), the C-index gain from adding the composite to a model with the biomarker levels, and the first direct test that the books' altitude and the model's steepness are related: heart-rate recovery after the treadmill against estimated fitness (NHANES 1999–2004), and the slow pull-back k by baseline grip tertile (ELSA).

Test 2: C-index gain
Test 3a: heart-rate recovery k vs fitness
Test 3b: ELSA pull-back k by grip tertile