{"title":"Health Prediction Using Hybrid Deep Learning Models: A Transparent and Interpretable Approach","authors":"Garima Verma, Seema Yadav","doi":"10.1002/hpm.70073","DOIUrl":null,"url":null,"abstract":"<div>\n \n <p>Obesity has become alarming globally, with mounting health emergencies related to a number of chronic conditions like cardiovascular disease, diabetes, and metabolic disorders. Despite growing global awareness, accurately categorising obesity remains challenging due to its multifactorial nature involving genetic, lifestyle, environmental, and psychological determinants. Traditional methods based on pristine Body Mass Index (BMI) fail to encapsulate the multifaceted biological and lifestyle variables responsible for weight gain, leading to misclassification and treatment unresponsiveness. To overcome the challenge of a precise obesity classification, this study proposes two hybrid Artificial Intelligence (AI) models—CNN + TabNet and Self-Attention BiLSTM (SA-BiLSTM) + TabNet—that conjointly employs deep characterisation learning and TabNet's sparse attention–mechanism feature selection. To ensure better comprehension, the proposed models use feature engineering, class-balancing, and Explainable AI (XAI) tools, which include SHAP, LIME, and Integrated Gradients (IG). The performed experiments exhibit improved and better results over other conventional baselines. Viz. CNN + TabNet is 92% correct (recall 0.925, F1 0.917), while SA-BiLSTM + TabNet is 94.1% correct (recall 0.93, F1 0.937). The novel approach of blending TabNet's dynamic sparse-attention feature selection with CNN- and SA-BiLSTM-based deep characterisations enables the joint spatial-temporal learning with interpretable and data-efficient obesity prediction. Former hybrid approaches either combined generic deep networks (like CNN-LSTM and DNN-RF) or used TabNet on its own.</p>\n </div>","PeriodicalId":47637,"journal":{"name":"International Journal of Health Planning and Management","volume":"41 4","pages":"640-657"},"PeriodicalIF":2.5000,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Health Planning and Management","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/hpm.70073","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/4/8 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"HEALTH POLICY & SERVICES","Score":null,"Total":0}
引用次数: 0
Abstract
Obesity has become alarming globally, with mounting health emergencies related to a number of chronic conditions like cardiovascular disease, diabetes, and metabolic disorders. Despite growing global awareness, accurately categorising obesity remains challenging due to its multifactorial nature involving genetic, lifestyle, environmental, and psychological determinants. Traditional methods based on pristine Body Mass Index (BMI) fail to encapsulate the multifaceted biological and lifestyle variables responsible for weight gain, leading to misclassification and treatment unresponsiveness. To overcome the challenge of a precise obesity classification, this study proposes two hybrid Artificial Intelligence (AI) models—CNN + TabNet and Self-Attention BiLSTM (SA-BiLSTM) + TabNet—that conjointly employs deep characterisation learning and TabNet's sparse attention–mechanism feature selection. To ensure better comprehension, the proposed models use feature engineering, class-balancing, and Explainable AI (XAI) tools, which include SHAP, LIME, and Integrated Gradients (IG). The performed experiments exhibit improved and better results over other conventional baselines. Viz. CNN + TabNet is 92% correct (recall 0.925, F1 0.917), while SA-BiLSTM + TabNet is 94.1% correct (recall 0.93, F1 0.937). The novel approach of blending TabNet's dynamic sparse-attention feature selection with CNN- and SA-BiLSTM-based deep characterisations enables the joint spatial-temporal learning with interpretable and data-efficient obesity prediction. Former hybrid approaches either combined generic deep networks (like CNN-LSTM and DNN-RF) or used TabNet on its own.
期刊介绍:
Policy making and implementation, planning and management are widely recognized as central to effective health systems and services and to better health. Globalization, and the economic circumstances facing groups of countries worldwide, meanwhile present a great challenge for health planning and management. The aim of this quarterly journal is to offer a forum for publications which direct attention to major issues in health policy, planning and management. The intention is to maintain a balance between theory and practice, from a variety of disciplines, fields and perspectives. The Journal is explicitly international and multidisciplinary in scope and appeal: articles about policy, planning and management in countries at various stages of political, social, cultural and economic development are welcomed, as are those directed at the different levels (national, regional, local) of the health sector. Manuscripts are invited from a spectrum of different disciplines e.g., (the social sciences, management and medicine) as long as they advance our knowledge and understanding of the health sector. The Journal is therefore global, and eclectic.