Acute kidney injury (AKI) is frequently seen in ultrarunners, and in this study, an AKI prediction model for 24-hour ultrarunners was built based on the runner`s prerace blood, urine, and body composition data. Twenty-two ultrarunners participated in the study. The risk of acquiring AKI was evaluated by a support vector machine (SVM) model, which is a statistical model commonly used for classification tasks. The inputs of the SVM model were the data collected 1 hour before the race, and the output of the SVM model was the decision of acquiring AKI. Our best AKI prediction model achieved accuracy of 96% in training and 90% in cross-validation tests. In addition, the sensitivity and specificity of the model were 90% and 100%, respectively. In accordance with the AKI prediction model components, ultra-runners are suggested to have high muscle mass and undergo regular ultra-endurance sports training to reduce the risk of acquiring AKI after participating in a 24-hour ultramarathon.
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