Department of Computer Science and Information Engineering, Ming Chuan University, Taoyuan 333, Taiwan.
Department of Healthcare Information and Management, Ming Chuan University, Taoyuan 333, Taiwan.
Int J Environ Res Public Health. 2020 Dec 11;17(24):9288. doi: 10.3390/ijerph17249288.
This study investigated the diagnostic accuracy of using an artificial neural network (ANN) for the prediction of metabolic syndrome (MetS) based on socioeconomic status and lifestyle factors. The data of 27,415 subjects who went through examinations and answered questionnaires during three stages from 2006 to 2014 at a health institute in Taiwan were collected and analyzed. The repeated measurements over time were set as predictive factors and used to train and test an ANN for MetS prediction. Among the subjects, 18.3%, 24.6%, and 30.1% were diagnosed with MetS during the respective three stages. ANN analysis applied with an over-sampling technique performed with an area under the curve (AUC) of up to 0.93 based on different models. The over-sampling technique helped improve prediction performance in terms of sensitivity and F measures. The results indicated that waist circumference, socioeconomic status (SES), and lifestyle factors can be utilized in a non-invasive screening tool to assist health workers in making primary care decisions when MetS is suspected. By predicting the occurrence of MetS, individuals or healthcare professionals can then develop preventive strategies in time, thus enhancing the effectiveness of health promotion.
本研究旨在探讨基于社会经济地位和生活方式因素,利用人工神经网络(ANN)预测代谢综合征(MetS)的诊断准确性。研究收集并分析了 2006 年至 2014 年期间,台湾某健康研究所的 27415 名受试者在三个阶段接受检查并回答问卷的数据。将随时间重复测量的结果作为预测因子,用于训练和测试用于 MetS 预测的 ANN。在这些受试者中,分别有 18.3%、24.6%和 30.1%在各自的三个阶段被诊断患有 MetS。使用过采样技术的 ANN 分析,在不同的模型中,曲线下面积(AUC)高达 0.93。过采样技术有助于提高预测性能,提高敏感性和 F 度量。结果表明,腰围、社会经济地位(SES)和生活方式因素可用于非侵入性筛查工具,以帮助卫生工作者在怀疑患有 MetS 时做出初级保健决策。通过预测 MetS 的发生,个人或医疗保健专业人员可以及时制定预防策略,从而提高健康促进的效果。