Application of Logistic Regression and Random Forests to Assess the Relevance of Chrononutrition Information for Prediction of Overweight in Adults: Evidence from the INRAN-SCAI 2005-2006 Italian Nutrition Survey.

Background/Objectives: Obesity represents a growing public health concern worldwide. Chrononutrition, a research field examining the timing and regularity of food intake, has been shown in animal models to influence body weight regulation and obesity-related outcomes. Previous research has also expl...

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Publicado en:Nutrients Vol. 18; no. 10; pp. 1574 - 1599
Autores principales: Bartoszek, Karolina, Almoosawi, Suzana, Palla, Luigi
Formato: research tables/charts Journal Article
Publicado: MDPI May2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2026
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      pub: MDPI
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        atl: Application of Logistic Regression and Random Forests to Assess the Relevance of Chrononutrition Information for Prediction of Overweight in Adults: Evidence from the INRAN-SCAI 2005-2006 Italian Nutrition Survey.
      aug:
        au:
          Bartoszek, Karolina
          Almoosawi, Suzana
          Palla, Luigi
        affil: Department of Public Health and Infectious Diseases, University of Rome La Sapienza, 00185 Rome, Italy
      sug:
        subj:
          Obesity In Adulthood
          Diet Records
          Nutritional Assessment
          Nutritional Status
          Energy Intake
          Body Mass Index
          Time
          Logistic Regression
          Random Forest
          Machine Learning
          Funding Source
          Italy
          Human
          Male
          Female
          Adult
          Middle Age
          Cross Sectional Studies
          Surveys
          Self Report
          Life Style
          Repeated Measures
          Sensitivity and Specificity
          Predictive Value of Tests
          Youden's J Statistic
          ROC Curve
          Data Analysis Software
          Descriptive Statistics
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Background/Objectives: Obesity represents a growing public health concern worldwide. Chrononutrition, a research field examining the timing and regularity of food intake, has been shown in animal models to influence body weight regulation and obesity-related outcomes. Previous research has also explored the association between chrononutrition information and BMI. Using INRAN-SCAI 2005/2006 adult nutrition data based on 3-day diet diaries (n = 2312), this study aims to assess whether chrononutritional information on the distribution of energy intake during the day is able to improve prediction of overweight status (BMI > 25 kg/m2), compared to information on energy from the whole day alone. Methods: This research investigates it using logistic regression and random forest models. For both types of models, three different specifications were compared: a model trained on the mean and irregularity of calorie intake over 3 days for 6 day-time intervals (MI6); a model trained on repeated measures over 3 days of calorie intake from the same 6 time intervals (RM); and a model trained on mean and irregularity of calorie intake over 3 days for the whole day (MID). The performance of the models was compared using risk prediction metrics and ROC curves. Results: When including additional demographic and behavioural predictors beside the energy variables, the results only showed a statistically significant difference in the performance of the logistic regression models if they were trained and tested on the same data. The models trained using chrononutrition information performed better, but the difference in diagnostic accuracy was very small (AUC = 0.7909 for MI6, p = 0.0086; 0.7923 for RM compared to 0.7850 for MID, p = 0.0072) and possibly attributable to overfitting, as it was no longer significant in the comparison within a testing set (70% training and 30% testing samples). For the random forest models, no significant difference was found. In the same models including only the energy variables, the improved performance of MI6 and RM was significantly better than for MID also in the test set (respectively, p = 0.0001 and p = 0.0002), and the gap in AUCs became substantial (AUC = 0.622 for MI6, 0.618 for RM and 0.507 for MID), indicating that socio-demographic and behavioural variables encapsulate information on energy intake by time of the day. Typical under-reporting bias present in nutritional epidemiology and the cross-sectional nature of the sample based on 3-day diaries may have affected these results, although use of diet diaries should minimize recall bias. Conclusions: In conclusion, the impact on health of timing and regularity of calorie intake in the day may act through other mechanisms than via overweight and may be captured by other demographic and behavioural variables; larger and prospective longitudinal studies are warranted to thoroughly investigate the added value of time-of-day information.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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