Trajanoska Milena, Trajanov Risto, Eftimov Tome
Faculty of Computer Science and Engineering, Ss. Cyril and Methodius, University - Skopje, 1000, Macedonia.
Computer Systems Department, Jožef Stefan Institute, Ljubljana 1000, Slovenia.
Expert Syst Appl. 2022 Dec 15;209:118377. doi: 10.1016/j.eswa.2022.118377. Epub 2022 Aug 5.
Many factors significantly influence the outcomes of infectious diseases such as COVID-19. A significant focus needs to be put on dietary habits as environmental factors since it has been deemed that imbalanced diets contribute to chronic diseases. However, not enough effort has been made in order to assess these relations. So far, studies in the field have shown that comorbid conditions influence the severity of COVID-19 symptoms in infected patients. Furthermore, COVID-19 has exhibited seasonal patterns in its spread; therefore, considering weather-related factors in the analysis of the mortality rates might introduce a more relevant explanation of the disease's progression. In this work, we provide an explainable analysis of the global risk factors for COVID-19 mortality on a national scale, considering dietary habits fused with data on past comorbidity prevalence and environmental factors such as seasonally averaged temperature geolocation, economic and development indices, undernourished and obesity rates. The innovation in this paper lies in the explainability of the obtained results and is equally essential in the data fusion methods and the broad context considered in the analysis. Apart from a country's age and gender distribution, which has already been proven to influence COVID-19 mortality rates, our empirical analysis shows that countries with imbalanced dietary habits generally tend to have higher COVID-19 mortality predictions. Ultimately, we show that the fusion of the dietary data set with the geo-economic variables provides more accurate modeling of the country-wise COVID-19 mortality rates with respect to considering only dietary habits, proving the hypothesis that fusing factors from different contexts contribute to a better descriptive analysis of the COVID-19 mortality rates.
许多因素会显著影响诸如新冠病毒肺炎等传染病的结果。由于不均衡饮食被认为会导致慢性病,因此需要高度重视饮食习惯这一环境因素。然而,在评估这些关系方面所做的努力还不够。到目前为止,该领域的研究表明,合并症会影响感染患者新冠病毒肺炎症状的严重程度。此外,新冠病毒肺炎的传播呈现出季节性模式;因此,在分析死亡率时考虑与天气相关的因素可能会为该疾病的发展提供更合理的解释。在这项工作中,我们在国家层面上对新冠病毒肺炎死亡率的全球风险因素进行了可解释分析,考虑了饮食习惯,并融合了过去合并症患病率数据以及环境因素,如季节平均温度、地理位置、经济和发展指数、营养不良率和肥胖率。本文的创新之处在于所得结果的可解释性,在数据融合方法以及分析中所考虑的广泛背景方面同样至关重要。除了一个国家的年龄和性别分布已被证明会影响新冠病毒肺炎死亡率外,我们的实证分析表明,饮食习惯不均衡的国家通常新冠病毒肺炎死亡率预测较高。最终,我们表明,与仅考虑饮食习惯相比,将饮食数据集与地理经济变量相结合能更准确地对各国新冠病毒肺炎死亡率进行建模,证明了融合不同背景因素有助于更好地描述新冠病毒肺炎死亡率这一假设。