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January 1, 2021IEEE Access155 citationsOpen Access

Machine Learning Tools for Long-Term Type 2 Diabetes Risk Prediction

NFNikos FazakisOKOtilia KocsisΗΔΗλίας Δρίτσας

Key Result

The proposed ensemble WeightedVotingLRRFs machine learning model achieved an Area Under the ROC Curve (AUC) of 0.884 for predicting the long-term risk of Type 2 Diabetes.

Study Design

Type

Cohort (n=2,009)

Structured PICO

Does the ensemble WeightedVotingLRRFs ML model improve diabetes risk prediction compared to FINDRISC and Leicester risk scores in the ELSA database population?

P
Population
2,009 adults aged 50 and older from the English Longitudinal Study of Ageing, free of diabetes at baseline, followed for 2 years to predict incident Type 2 Diabetes.
I
Intervention
Ensemble WeightedVotingLRRFs Machine Learning model
C
Comparator
Finnish Diabetes Risk Score (FINDRISC) and Leicester risk score systems
O
Outcome
Diabetes risk prediction (Area Under the ROC Curve)surrogate

An ensemble machine learning model (WeightedVotingLRRFs) demonstrated high predictive accuracy (AUC 0.884) for long-term Type 2 diabetes risk.

Main Result

Effect estimate: AUC 0.884

Limitations

  • Missing or null values were dropped for specific features rather than imputed
  • The original dataset was highly unbalanced, requiring random undersampling to balance the classes

Abstract

A steady rise has been observed in the percentage of elderly people who want and are still able to contribute to society. Therefore, early retirement or exit from the labour market, due to health-related issues, poses a significant problem. Nowadays, thanks to technological advances and various data from different populations, the risk factors investigation and health issues screening are moving towards automation. In the context of this work, a worker-centric, IoT enabled unobtrusive users health, well-being and functional ability monitoring framework, empowered with AI tools, is proposed. Diabetes is a high-prevalence chronic condition with harmful consequences for the quality of life and high mortality rate for people worldwide, in both developed and developing countries. Hence, its severe impact on humans' life, e.g., personal, social, working, can be considerably reduced if early detection is possible, but most research works in this field fail to provide a more personalized approach both in the modeling and prediction process. In this direction, our designed system concerns diabetes risk prediction in which specific components of the Knowledge Discovery in Database (KDD) process are applied, evaluated and incorporated. Specifically, dataset creation, features selection and classification, using different Supervised Machine Learning (ML) models are considered. The ensemble WeightedVotingLRRFs ML model is proposed to improve the prediction of diabetes, scoring an Area Under the ROC Curve (AUC) of 0.884. Concerning the weighted voting, the optimal weights are estimated by their corresponding Sensitivity and AUC of the ML model based on a bi-objective genetic algorithm. Also, a comparative study is presented among the Finnish Diabetes Risk Score (FINDRISC) and Leicester risk score systems and several ML models, using inductive and transductive learning. The experiments were conducted using data extracted from the English Longitudinal Study of Ageing (ELSA) database.

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Cite This Study

Fazakis et al. (2021) conducted a cohort in Type 2 Diabetes (n=2,009). WeightedVotingLRRFs machine learning model vs. FINDRISC, Leicester risk scores, and single ML models was evaluated on Prediction of Type 2 Diabetes (Area Under the ROC Curve) (AUC 0.884). The proposed ensemble WeightedVotingLRRFs machine learning model achieved an Area Under the ROC Curve (AUC) of 0.884 for predicting the long-term risk of Type 2 Diabetes.

synapsesocial.com/papers/6aa39ba8401b0278c3c973c0https://doi.org/10.1109/access.2021.3098691
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