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Environmental chemical exposure dynamics and machine learning-based prediction of diabetes mellitus

2021-09-29 · Science of the Total Environment 2021 9 · Hongcheng Wei a, Jie Sun c, Wenqi Shan a, 1, Wenwen Xiao a, Bingqian Wang a, Xuan Ma a, Weiyue Hua, Xinru Wang a, Yankai Xia a, B, ⁎

Background: With dramatically increasing prevalence, diabetes mellitus has imposed a tremendous toll on indi- vidual well-being. Humans are exposed to various environmental chemicals, which have been postulated as un- derappreciated but potentially modifiable diabetes risk factors. Objectives: To determine the utility of environmental chemical exposure in predicting diabetes mellitus. Methods: A total of 8501 eligible participants from NHANES 2005–2016 were randomly assigned to a discovery (N= 5953) set and a validation (N= 2548) set. We applied random forest (RF) and least absolute shrinkage and selection operator (LASSO) regression with 10-fold cross-validation in the discovery set to select features, and built an optimal model to predict diabetes mellitus, blood insulin, fasting plasma glucose (FPG) and 2-h plasma glucose after oral glucose tolerance test (2-h PG after OGTT). Results: The machine learning model using LASSO regression predicted diabetes with an area under the receiver operating characteristics (AUROC) of0.80 and 0.78 in the discovery set and validation set, respectively. The linear model predicted blood insulin level with an R2 of 0.42 and 0.40 in the discovery set and validation set, respec- tively. For FPG, the discovery set and validation set yielded an R2 of 0.16 and 0.15, respectively. For 2-h PG after OGTT, the discovery set and validation set yielded an R2 of 0.18 and 0.17, respectively. Conclusion: We used environmental chemical exposure, constructedmachine learning models and achieved rel- atively accurate prediction for diabetes, emphasizing the predictive value of widespread environmental chemicals for complicated diseases.

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