Interpretable machine learning framework to predict gout associated with dietary fiber and triglyceride-glucose index.

Background: Gout prediction is essential for the development of individualized prevention and treatment plans. Our objective was to develop an efficient and interpretable machine learning (ML) model using the SHapley Additive exPlanation (SHAP) to link dietary fiber and triglyceride-glucose (TyG) in...

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Publicado en:Nutrition & Metabolism Vol. 21; pp. 1 - 16
Autores principales: Cao, Shunshun, Hu, Yangyang
Formato: research tables/charts Journal Article
Publicado: BioMed Central 5/14/2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 5/14/2024
      vid: 21
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      pub: BioMed Central
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        10.1186/s12986-024-00802-2
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        atl: Interpretable machine learning framework to predict gout associated with dietary fiber and triglyceride-glucose index.
      aug:
        au:
          Cao, Shunshun
          Hu, Yangyang
        affil: Pediatric Endocrinology, Genetics and Metabolism, The Second Affiliated Hospital, Yuying Children's Hospital of Wenzhou Medical University, 325000, Wenzhou, Zhejiang, China
      sug:
        subj:
          Machine Learning
          Conceptual Framework
          Gout Risk Factors
          Gout Prevention and Control
          Dietary Fiber
          Triglycerides Analysis
          Blood Glucose Analysis
          Prediction Models
          Human
          Surveys
          ROC Curve
          Confidence Intervals
          Age Factors
          Questionnaires
          Uric Acid Blood
          Cross Sectional Studies
      ab: Background: Gout prediction is essential for the development of individualized prevention and treatment plans. Our objective was to develop an efficient and interpretable machine learning (ML) model using the SHapley Additive exPlanation (SHAP) to link dietary fiber and triglyceride-glucose (TyG) index to predict gout. Methods: Using datasets from the National Health and Nutrition Examination Survey (NHANES) (2005–2018) population to study dietary fiber, the TyG index was used to predict gout. After evaluating the performance of six ML models and selecting the Light Gradient Boosting Machine (LGBM) as the optimal algorithm, we interpret the LGBM model for predicting gout using SHAP and reveal the decision-making process of the model. Results: An initial survey of 70,190 participants was conducted, and after a gradual exclusion process, 12,645 cases were finally included in the study. Selection of the best performing LGBM model for prediction of gout associated with dietary fiber and TyG index (Area under the ROC curve (AUC): 0.823, 95% confidence interval (CI): 0.798–0.848, Accuracy: 95.3%, Brier score: 0.077). The feature importance of SHAP values indicated that age was the most important feature affecting the model output, followed by uric acid (UA). The SHAP values showed that lower dietary fiber values had a more pronounced effect on the positive prediction of the model, while higher values of the TyG index had a more pronounced effect on the positive prediction of the model. Conclusion: The interpretable LGBM model associated with dietary fiber and TyG index showed high accuracy, efficiency, and robustness in predicting gout. Increasing dietary fiber intake and lowering the TyG index are beneficial in reducing the potential risk of gout.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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