Evidence map›Paper›PMID 34888081›Full record

ArticleSultan Qaboos University medical journal2021

Estimate of the HOMA-IR Cut-off Value for Identifying Subjects at Risk of Insulin Resistance Using a Machine Learning Approach.

Abdelhamid Abdesselam, Hamza Zidoum, Fahd Zadjali, Rachid Hedjam, Aliya Al-Ansari, Riad Bayoumi, Said Al-Yahyaee, Mohammed Hassan, Sulayma Albarwani

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Article in Sultan Qaboos University medical journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

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24citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Abdelhamid AbdesselamDepartments of Computer Science.
Hamza ZidoumDepartments of Computer Science.
Fahd ZadjaliBiochemistry.
Rachid HedjamDepartments of Computer Science.
Aliya Al-AnsariBiology.
Riad BayoumiMohammed Bin Rashid University for Medicine and Health Science, Dubai, United Arab Emirates.
Said Al-YahyaeeGenetics.
Mohammed HassanDepartment of Sleep Medicine and Physiological Measurements, Canadian Health Center, Muscat, Oman.
Sulayma AlbarwaniPhysiology, Sultan Qaboos University, Muscat, Oman.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study describes an unsupervised machine learning approach used to estimate the homeostatic model assessment-insulin resistance (HOMA-IR) cut-off for identifying subjects at risk of IR in a given ethnic group based on the clinical data of a representative sample.

methodsThe approach was applied to analyse the clinical data of individuals with Arab ancestors, which was obtained from a family study conducted in Nizwa, Oman, between January 2000 and December 2004. First, HOMA-IR-correlated variables were identified to which a clustering algorithm was applied. Two clusters having the smallest overlap in their HOMA-IR values were retrieved. These clusters represented the samples of two populations, which are insulin-sensitive subjects and individuals at risk of IR. The cut-off value was estimated from intersections of the Gaussian functions, thereby modelling the HOMA-IR distributions of these populations.

resultsA HOMA-IR cut-off value of 1.62 ± 0.06 was identified. The validity of this cut-off was demonstrated by showing the following: 1) that the clinical characteristics of the identified groups matched the published research findings regarding IR; 2) that a strong relationship exists between the segmentations resulting from the proposed cut-off and those resulting from the two-hour glucose cut-off recommended by the World Health Organization for detecting prediabetes. Finally, the method was also able to identify the cut-off values for similar problems (e.g. fasting sugar cut-off for prediabetes).

conclusionThe proposed method defines a HOMA-IR cut-off value for detecting individuals at risk of IR. Such methods can identify high-risk individuals at an early stage, which may prevent or delay the onset of chronic diseases such as type 2 diabetes.

Indexed as

Diabetes Mellitus, Type 2Insulin ResistanceGlucoseHumansInsulinMachine LearningGlucoseInsulinCluster AnalysisDiabetes Mellitus, Type IIInsulin ResistanceUnsupervised Machine Learning

Identifiers

PMID34888081
PMCPMC8631209

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.