Health Prediction Using Hybrid Deep Learning Models: A Transparent and Interpretable Approach

IF 2.5 4区 医学 Q3 HEALTH POLICY & SERVICES
Garima Verma, Seema Yadav
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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.

使用混合深度学习模型的健康预测:透明和可解释的方法。
随着心血管疾病、糖尿病和代谢紊乱等一系列慢性疾病引发的卫生紧急情况日益增多,肥胖在全球范围内已成为令人担忧的问题。尽管全球意识不断提高,但由于涉及遗传、生活方式、环境和心理决定因素的多因素性质,对肥胖进行准确分类仍然具有挑战性。基于原始体重指数(BMI)的传统方法无法涵盖导致体重增加的多方面生物学和生活方式变量,从而导致错误分类和治疗无效。为了克服精确肥胖分类的挑战,本研究提出了两种混合人工智能(AI)模型- cnn + TabNet和自注意BiLSTM (SA-BiLSTM) + TabNet-联合使用深度表征学习和TabNet的稀疏注意机制特征选择。为了确保更好的理解,提出的模型使用特征工程、类平衡和可解释的AI (XAI)工具,包括SHAP、LIME和集成梯度(IG)。与其他常规基线相比,所进行的实验显示出改进和更好的结果。即CNN + TabNet的正确率为92%(召回率0.925,F1 0.917),而SA-BiLSTM + TabNet的正确率为94.1%(召回率0.93,F1 0.937)。将TabNet的动态稀疏注意特征选择与基于CNN和sa - bilstm的深度特征相结合的新方法,使联合时空学习与可解释和数据高效的肥胖预测成为可能。以前的混合方法要么结合通用深度网络(如CNN-LSTM和DNN-RF),要么单独使用TabNet。
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来源期刊
CiteScore
4.50
自引率
3.70%
发文量
197
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.
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