Subject-Adaptive Sparse Linear Models for Interpretable Personalized Health Prediction from Multimodal Lifelog Data

Improved prediction of personalized health outcomes -- such as sleep quality and stress -- from multimodal lifelog data could have meaningful clinical and practical implications. However, state-of-the-art models, primarily deep neural networks and gradient-boosted ensembles, sacrifice interpretability and fail to adequately address the significant inter-individual variability inherent in lifelog data. To overcome these challenges, we propose the Subject-Adaptive Sparse Linear (SASL) framework, an interpretable modeling approach explicitly designed for personalized health prediction. SASL integrates ordinary least squares regression with subject-specific interactions, systematically distinguishing global from individual-level effects. We employ an iterative backward feature elimination method based on nested F-tests to construct a sparse and statistically robust model. Additionally, recognizing that health outcomes often represent discretized versions of continuous processes, we develop a regression-then-thresholding approach specifically designed to maximize macro-averaged F1 scores for ordinal targets. For intrinsically challenging predictions, SASL selectively incorporates outputs from compact LightGBM models through confidence-based gating, enhancing accuracy without compromising interpretability. Evaluations conducted on the CH-2025 dataset -- which comprises roughly 450 daily observations from ten subjects -- demonstrate that the hybrid SASL-LightGBM framework achieves predictive performance comparable to that of sophisticated black-box methods, but with significantly fewer parameters and substantially greater transparency, thus providing clear and actionable insights for clinicians and practitioners.