highly significantp < 0.001
The SARC_Cal_score was a consistent, highly significant positive predictor across all models (CatBoost: OR = 2.932 (2.096–4.305), p < 0.001; LightGBM: OR = 2.795 (1.899–4.51), p < 0.001; GBDT: OR = 4.475 (2.934–7.334), p < 0.001).