ArticleNutrients2026
Empowering Prediction of Resting Energy Expenditure in Free-Living Settings by AI Tools: Application of a Population-Specific Equation from Saudi Arabia.
Article in Nutrients, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
BACKGROUND/
objectivesTraditional predictive equations derived from regression analyses exhibit varying degrees of accuracy in estimating resting energy expenditure (REE). AI models can increase the predictability of such equations, even for population-specific ones. This work aimed to improve the prediction of REE in a dataset of Saudi population-specific equations using suitable AI tools.
methodsThe dataset from the previously published Saudi population-specific equation by Almajwal and Abulmeaty (AA) in 2019 was used to develop an artificial neural network (ANN)-based version to better predict REE in the adult population. Anthropometric and body composition parameters were used as proposed features. The proposed hybrid prediction model underwent an extensive two-stage, iterative training process. First, the Extreme Gradient Boosting (XGBoost) model is used to compute feature importance scores. Then, the most prominent features were identified and incorporated into the ANN model. These significant features were used to train the ANN model to capture nonlinear correlations among them and make accurate predictions. Subsequently, XGBoost and Convolutional Neural Network-Recurrent Neural Network (CNN-RNN) are used for their ability to provide a multi-layer abstraction of complex input data.
resultsA total of 423 participants (208 male, 215 female) were divided into three non-overlapping sets: training (295, 70%), validation (64, 15%), and testing (64, 15%). The ANN model, combined with XGBoost, helped us to develop two equations: AA_ANN1= 2.47 × BMI + 11.9 × AdjBW + 962.5 and AA_ANN2 = 4.29 × age + 9.4 × fat mass + 15.71 × FFMI + 1289.3, where BMI is Body Mass Index (kg/m
conclusionsThe two new predictive equations, developed using an ANN combined with XGBoost, significantly improved REE prediction accuracy to 90.2%, achieved only with the full ANN model. Future external validation in an independent cohort is essential before clinical application of these equations.
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