AUTHOR=Liu Jiankang , Wang Bingli , Li Qiuming TITLE=Machine learning model for age related macular degeneration based on pesticides: the National Health and Nutrition Examination Survey 2007–2008 JOURNAL=Frontiers in Public Health VOLUME=Volume 13 - 2025 YEAR=2025 URL=https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2025.1561913 DOI=10.3389/fpubh.2025.1561913 ISSN=2296-2565 ABSTRACT=Age-related macular degeneration (AMD) is the most common cause of irreversible deterioration of vision in older adults. Previous studies have found that exposure to pesticides can lead to a worsening of AMD. In this paper, information on pesticide exposure and AMD from the National Health and Nutrition Examination Survey (NHANES) database was used to divide the data into a training set and a validation set. Firstly, the correlation between the variables in the model is analyzed. The model is then built using nine machine learning algorithms and verified on a validation set. Finally, it is found that the random forest model has high predictive value, and its Receiver Operating Characteristic (ROC) value is 0.75. Finally, SHapley additive interpretation (SHAP) analysis was used to rank the importance of each variable in the random forest model, and it was found that chlorpyrifos and malathion had quite significant effects on the occurrence and development of AMD.