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    Estimation of Obesity Levels through the Proposed Predictive Approach Based on Physical Activity and Nutritional Habits
    (Mdpi, 2023) Gozukara Bag, Harika Gozde; Yagin, Fatma Hilal; Gormez, Yasin; Gonzalez, Pablo Prieto; Colak, Cemil; Gulu, Mehmet; Badicu, Georgian
    Obesity is the excessive accumulation of adipose tissue in the body that leads to health risks. The study aimed to classify obesity levels using a tree-based machine-learning approach considering physical activity and nutritional habits. Methods: The current study employed an observational design, collecting data from a public dataset via a web-based survey to assess eating habits and physical activity levels. The data included gender, age, height, weight, family history of being overweight, dietary patterns, physical activity frequency, and more. Data preprocessing involved addressing class imbalance using Synthetic Minority Over-sampling TEchnique-Nominal Continuous (SMOTE-NC) and feature selection using Recursive Feature Elimination (RFE). Three classification algorithms (logistic regression (LR), random forest (RF), and Extreme Gradient Boosting (XGBoost)) were used for obesity level prediction, and Bayesian optimization was employed for hyperparameter tuning. The performance of different models was evaluated using metrics such as accuracy, recall, precision, F1-score, area under the curve (AUC), and precision-recall curve. The LR model showed the best performance across most metrics, followed by RF and XGBoost. Feature selection improved the performance of LR and RF models, while XGBoost's performance was mixed. The study contributes to the understanding of obesity classification using machine-learning techniques based on physical activity and nutritional habits. The LR model demonstrated the most robust performance, and feature selection was shown to enhance model efficiency. The findings underscore the importance of considering both physical activity and nutritional habits in addressing the obesity epidemic.
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    Estimation of Obesity Levels with a Trained Neural Network Approach optimized by the Bayesian Technique
    (Mdpi, 2023) Yagin, Fatma Hilal; Gulu, Mehmet; Gormez, Yasin; Castaneda-Babarro, Arkaitz; Colak, Cemil; Greco, Gianpiero; Fischetti, Francesco
    Background: Obesity, which causes physical and mental problems, is a global health problem with serious consequences. The prevalence of obesity is increasing steadily, and therefore, new research is needed that examines the influencing factors of obesity and how to predict the occurrence of the condition according to these factors. This study aimed to predict the level of obesity based on physical activity and eating habits using the trained neural network model. Methods: The chi-square, F-Classify, and mutual information classification algorithms were used to identify the most critical factors associated with obesity. The models' performances were compared using a trained neural network with different feature sets. The hyperparameters of the models were optimized using Bayesian optimization techniques, which are faster and more effective than traditional techniques. Results: The results predicted the level of obesity with average accuracies of 93.06%, 89.04%, 90.32%, and 86.52% for all features using the neural network and for the features selected by the chi-square, F-Classify, and mutual information classification algorithms. The results showed that physical activity, alcohol consumption, use of technological devices, frequent consumption of high-calorie meals, and frequency of vegetable consumption were the most important factors affecting obesity. Conclusions: The F-Classify score algorithm identified the most essential features for obesity level estimation. Furthermore, physical activity and eating habits were the most critical factors for obesity prediction.
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    Explainable Artificial Intelligence Paves the Way in Precision Diagnostics and Biomarker Discovery for the Subclass of Diabetic Retinopathy in Type 2 Diabetics
    (Mdpi, 2023) Yagin, Fatma Hilal; Yasar, Seyma; Gormez, Yasin; Yagin, Burak; Pinar, Abdulvahap; Alkhateeb, Abedalrhman; Ardigo, Luca Paolo
    Diabetic retinopathy (DR), a common ocular microvascular complication of diabetes, contributes significantly to diabetes-related vision loss. This study addresses the imperative need for early diagnosis of DR and precise treatment strategies based on the explainable artificial intelligence (XAI) framework. The study integrated clinical, biochemical, and metabolomic biomarkers associated with the following classes: non-DR (NDR), non-proliferative diabetic retinopathy (NPDR), and proliferative diabetic retinopathy (PDR) in type 2 diabetes (T2D) patients. To create machine learning (ML) models, 10% of the data was divided into validation sets and 90% into discovery sets. The validation dataset was used for hyperparameter optimization and feature selection stages, while the discovery dataset was used to measure the performance of the models. A 10-fold cross-validation technique was used to evaluate the performance of ML models. Biomarker discovery was performed using minimum redundancy maximum relevance (mRMR), Boruta, and explainable boosting machine (EBM). The predictive proposed framework compares the results of eXtreme Gradient Boosting (XGBoost), natural gradient boosting for probabilistic prediction (NGBoost), and EBM models in determining the DR subclass. The hyperparameters of the models were optimized using Bayesian optimization. Combining EBM feature selection with XGBoost, the optimal model achieved (91.25 +/- 1.88) % accuracy, (89.33 +/- 1.80) % precision, (91.24 +/- 1.67) % recall, (89.37 +/- 1.52) % F1-Score, and (97.00 +/- 0.25) % the area under the ROC curve (AUROC). According to the EBM explanation, the six most important biomarkers in determining the course of DR were tryptophan (Trp), phosphatidylcholine diacyl C42:2 (PC.aa.C42.2), butyrylcarnitine (C4), tyrosine (Tyr), hexadecanoyl carnitine (C16) and total dimethylarginine (DMA). The identified biomarkers may provide a better understanding of the progression of DR, paving the way for more precise and cost-effective diagnostic and treatment strategies.
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    Hybrid Explainable Artificial Intelligence Models for Targeted Metabolomics Analysis of Diabetic Retinopathy
    (Mdpi, 2024) Yagin, Fatma Hilal; Colak, Cemil; Algarni, Abdulmohsen; Gormez, Yasin; Guldogan, Emek; Ardigo, Luca Paolo
    Background: Diabetic retinopathy (DR) is a prevalent microvascular complication of diabetes mellitus, and early detection is crucial for effective management. Metabolomics profiling has emerged as a promising approach for identifying potential biomarkers associated with DR progression. This study aimed to develop a hybrid explainable artificial intelligence (XAI) model for targeted metabolomics analysis of patients with DR, utilizing a focused approach to identify specific metabolites exhibiting varying concentrations among individuals without DR (NDR), those with non-proliferative DR (NPDR), and individuals with proliferative DR (PDR) who have type 2 diabetes mellitus (T2DM). Methods: A total of 317 T2DM patients, including 143 NDR, 123 NPDR, and 51 PDR cases, were included in the study. Serum samples underwent targeted metabolomics analysis using liquid chromatography and mass spectrometry. Several machine learning models, including Support Vector Machines (SVC), Random Forest (RF), Decision Tree (DT), Logistic Regression (LR), and Multilayer Perceptrons (MLP), were implemented as solo models and in a two-stage ensemble hybrid approach. The models were trained and validated using 10-fold cross-validation. SHapley Additive exPlanations (SHAP) were employed to interpret the contributions of each feature to the model predictions. Statistical analyses were conducted using the Shapiro-Wilk test for normality, the Kruskal-Wallis H test for group differences, and the Mann-Whitney U test with Bonferroni correction for post-hoc comparisons. Results: The hybrid SVC + MLP model achieved the highest performance, with an accuracy of 89.58%, a precision of 87.18%, an F1-score of 88.20%, and an F-beta score of 87.55%. SHAP analysis revealed that glucose, glycine, and age were consistently important features across all DR classes, while creatinine and various phosphatidylcholines exhibited higher importance in the PDR class, suggesting their potential as biomarkers for severe DR. Conclusion: The hybrid XAI models, particularly the SVC + MLP ensemble, demonstrated superior performance in predicting DR progression compared to solo models. The application of SHAP facilitates the interpretation of feature importance, providing valuable insights into the metabolic and physiological markers associated with different stages of DR. These findings highlight the potential of hybrid XAI models combined with explainable techniques for early detection, targeted interventions, and personalized treatment strategies in DR management.