基于呼吸商动态特征的代谢灵活性评估方法研究

      Metabolic Flexibility Evaluation Method Based on Dynamic Respiratory Quotient Characteristics

      • 摘要: 为满足代谢性疾病评估需求,构建一种基于呼吸商(RQ)动态特征的代谢灵活性评估模型。选取中国科学技术大学第一附属医院代谢灵活组20例和代谢不灵活组36例受试者。首先,收集临床资料,采用间接测热法,采集受试者在口服葡萄糖耐量试验前后5个时间点呼吸商数据。然后,提取RQ衍生特征,通过分阶段特征选择策略筛选关键特征,应用合成少数类过采样技术处理类别不平衡问题。最后,利用LR、KNN、XGBoost和RF算法构建评估模型。结果表明,所有评估模型综合评分均优于0.920。其中,RF模型表现最优(准确率为0.941,F1分数为0.957,AUC为0.985,综合评分为0.961)。本评估方法兼具高精度与生理可解释性,可为代谢性疾病早期风险筛查提供可靠依据。

         

        Abstract: To address the need for metabolic disorder assessment, an evaluation model of metabolic flexibility is developed based on the dynamic characteristics of the respiratory quotient (RQ). Twenty metabolically flexible and thirty-six metabolically inflexible participants are recruited from the First Affiliated Hospital of the University of Science and Technology of China. Clinical data are collected. Indirect calorimetry is used to measure RQ values at five time points during an oral glucose tolerance test. Features derived from RQ are extracted. A staged feature selection process is conducted to identify the most relevant predictors. The synthetic minority over-sampling technique (SMOTE) is applied to alleviate class imbalance. Evaluation models are established using logistic regression (LR), k-nearest neighbors (KNN), XGBoost, and random forest (RF) algorithms. All models demonstrate strong performance, with comprehensive scores exceeding 0.920. The RF model achieves the best performance, with an accuracy of 0.941, an F1-score of 0.957, an AUC of 0.985, and a comprehensive score of 0.961. The proposed method combines high predictive accuracy with physiological interpretability, providing a reliable basis for early screening of metabolic disease risk.

         

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