Gutiérrez-Esparza Guadalupe, Martinez-Garcia Mireya, Ramírez-delReal Tania, Groves-Miralrio Lucero Elizabeth, Marquez Manlio F, Pulido Tomás, Amezcua-Guerra Luis M, Hernández-Lemus Enrique
Researcher for Mexico CONAHCYT, National Council of Humanities, Sciences and Technologies, Mexico City 08400, Mexico.
Clinical Research, National Institute of Cardiology 'Ignacio Chávez', Mexico City 14080, Mexico.
Nutrients. 2024 Feb 23;16(5):612. doi: 10.3390/nu16050612.
This study investigated the relationship between Metabolic Syndrome (MetS), sleep disorders, the consumption of some nutrients, and social development factors, focusing on gender differences in an unbalanced dataset from a Mexico City cohort. We used data balancing techniques like SMOTE and ADASYN after employing machine learning models like random forest and RPART to predict MetS. Random forest excelled, achieving significant, balanced accuracy, indicating its robustness in predicting MetS and achieving a balanced accuracy of approximately 87%. Key predictors for men included body mass index and family history of gout, while waist circumference and glucose levels were most significant for women. In relation to diet, sleep quality, and social development, metabolic syndrome in men was associated with high lactose and carbohydrate intake, educational lag, living with a partner without marrying, and lack of durable goods, whereas in women, best predictors in these dimensions include protein, fructose, and cholesterol intake, copper metabolites, snoring, sobbing, drowsiness, sanitary adequacy, and anxiety. These findings underscore the need for personalized approaches in managing MetS and point to a promising direction for future research into the interplay between social factors, sleep disorders, and metabolic health, which mainly depend on nutrient consumption by region.
本研究调查了代谢综合征(MetS)、睡眠障碍、某些营养素的摄入量与社会发展因素之间的关系,重点关注来自墨西哥城队列的不平衡数据集中的性别差异。在使用随机森林和RPART等机器学习模型预测MetS之前,我们使用了SMOTE和ADASYN等数据平衡技术。随机森林表现出色,实现了显著的平衡准确率,表明其在预测MetS方面的稳健性,平衡准确率约为87%。男性的关键预测因素包括体重指数和痛风家族史,而腰围和血糖水平对女性最为显著。在饮食、睡眠质量和社会发展方面,男性的代谢综合征与高乳糖和碳水化合物摄入量、教育滞后、与伴侣未婚同居以及缺乏耐用品有关,而在女性中,这些方面的最佳预测因素包括蛋白质、果糖和胆固醇摄入量、铜代谢物、打鼾、抽泣、嗜睡、卫生充足性和焦虑。这些发现强调了在管理MetS方面采用个性化方法的必要性,并为未来研究社会因素、睡眠障碍和代谢健康之间的相互作用指明了一个有前景的方向,这种相互作用主要取决于不同地区的营养物质消费情况。