Risk Factors and Comorbidities Associated to Cardiovascular Disease in Qatar: A Machine Learning Based Case-Control Study

<p dir="ltr">Cardiovascular disease (CVD) is reported to be the leading cause of mortality in the middle eastern countries, including Qatar. But no comprehensive study has been conducted on the Qatar specific CVD risk factors identification. The objective of this case-control study w...

وصف كامل

محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Hamada R. H. Al-Absi (16726299) (author)
مؤلفون آخرون: Mahmoud Ahmed Refaee (16896423) (author), Atiq Ur Rehman (8843024) (author), Mohammad Tariqul Islam (7854059) (author), Samir Brahim Belhaouari (9427347) (author), Tanvir Alam (638619) (author)
منشور في: 2021
الموضوعات:
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author Hamada R. H. Al-Absi (16726299)
author2 Mahmoud Ahmed Refaee (16896423)
Atiq Ur Rehman (8843024)
Mohammad Tariqul Islam (7854059)
Samir Brahim Belhaouari (9427347)
Tanvir Alam (638619)
author2_role author
author
author
author
author
author_facet Hamada R. H. Al-Absi (16726299)
Mahmoud Ahmed Refaee (16896423)
Atiq Ur Rehman (8843024)
Mohammad Tariqul Islam (7854059)
Samir Brahim Belhaouari (9427347)
Tanvir Alam (638619)
author_role author
dc.creator.none.fl_str_mv Hamada R. H. Al-Absi (16726299)
Mahmoud Ahmed Refaee (16896423)
Atiq Ur Rehman (8843024)
Mohammad Tariqul Islam (7854059)
Samir Brahim Belhaouari (9427347)
Tanvir Alam (638619)
dc.date.none.fl_str_mv 2021-02-15T00:00:00Z
dc.identifier.none.fl_str_mv 10.1109/access.2021.3059469
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Risk_Factors_and_Comorbidities_Associated_to_Cardiovascular_Disease_in_Qatar_A_Machine_Learning_Based_Case-Control_Study/24049302
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Cardiovascular medicine and haematology
Clinical sciences
Health sciences
Health services and systems
Information and computing sciences
Machine learning
Diabetes
Obesity
Hypertension
Biological system modeling
Diseases
Lipidomics
Particle measurements
Cardiovascular disease
Coronary heart disease
Cerebrovascular disease
Risk factor
Machine learning
Qatar Biobank (QBB)
Qatar
dc.title.none.fl_str_mv Risk Factors and Comorbidities Associated to Cardiovascular Disease in Qatar: A Machine Learning Based Case-Control Study
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <p dir="ltr">Cardiovascular disease (CVD) is reported to be the leading cause of mortality in the middle eastern countries, including Qatar. But no comprehensive study has been conducted on the Qatar specific CVD risk factors identification. The objective of this case-control study was to develop machine learning (ML) model distinguishing healthy individuals from people having CVD, which could ultimately reveal the list of potential risk factors associated to CVD in Qatar. To the best of our knowledge, this study considered the largest collection of biomedical measurements representing the anthropometric measurements, clinical biomarkers, bioimpedance, spirometry, VICORDER readings, and behavioral factors of the CVD group from Qatar Biobank (QBB). CatBoost model achieved 93% accuracy, thereby outperforming the existing model for the same purpose. Interestingly, combining multimodal datasets into the proposed ML model outperformed the ML model built upon currently known risk factors for CVD, emphasizing the importance of incorporating other clinical biomarkers into consideration for CVD diagnosis plan. The ablation study on the multimodal dataset from QBB revealed that physio-clinical and bioimpedance measurements have the most distinguishing power to classify these two groups irrespective of gender and age of the participants. Multiple feature subset selection techniques confirmed known CVD risk factors (blood pressure, lipid profile, smoking, sedentary life, and diabetes), and identified potential novel risk factors linked to CVD-related comorbidities such as renal disorder (e.g., creatinine, uric acid, homocysteine, albumin), atherosclerosis (intima media thickness), hypercoagulable state (fibrinogen), and liver function (e.g., alkaline phosphate, gamma-glutamyl transferase). Moreover, the inclusion of the proposed novel factors into the ML model provides better performance than the model with traditional known risk factors for CVD. The association of the proposed risk factors and comorbidities are required to be investigated in clinical setup to understand their role in CVD better.</p><h2>Other Information</h2><p dir="ltr">Published in: IEEE Access<br>License: <a href="https://creativecommons.org/licenses/by/4.0/legalcode" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1109/access.2021.3059469" target="_blank">https://dx.doi.org/10.1109/access.2021.3059469</a></p>
eu_rights_str_mv openAccess
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identifier_str_mv 10.1109/access.2021.3059469
network_acronym_str Manara2
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oai_identifier_str oai:figshare.com:article/24049302
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spelling Risk Factors and Comorbidities Associated to Cardiovascular Disease in Qatar: A Machine Learning Based Case-Control StudyHamada R. H. Al-Absi (16726299)Mahmoud Ahmed Refaee (16896423)Atiq Ur Rehman (8843024)Mohammad Tariqul Islam (7854059)Samir Brahim Belhaouari (9427347)Tanvir Alam (638619)Biomedical and clinical sciencesCardiovascular medicine and haematologyClinical sciencesHealth sciencesHealth services and systemsInformation and computing sciencesMachine learningDiabetesObesityHypertensionBiological system modelingDiseasesLipidomicsParticle measurementsCardiovascular diseaseCoronary heart diseaseCerebrovascular diseaseRisk factorMachine learningQatar Biobank (QBB)Qatar<p dir="ltr">Cardiovascular disease (CVD) is reported to be the leading cause of mortality in the middle eastern countries, including Qatar. But no comprehensive study has been conducted on the Qatar specific CVD risk factors identification. The objective of this case-control study was to develop machine learning (ML) model distinguishing healthy individuals from people having CVD, which could ultimately reveal the list of potential risk factors associated to CVD in Qatar. To the best of our knowledge, this study considered the largest collection of biomedical measurements representing the anthropometric measurements, clinical biomarkers, bioimpedance, spirometry, VICORDER readings, and behavioral factors of the CVD group from Qatar Biobank (QBB). CatBoost model achieved 93% accuracy, thereby outperforming the existing model for the same purpose. Interestingly, combining multimodal datasets into the proposed ML model outperformed the ML model built upon currently known risk factors for CVD, emphasizing the importance of incorporating other clinical biomarkers into consideration for CVD diagnosis plan. The ablation study on the multimodal dataset from QBB revealed that physio-clinical and bioimpedance measurements have the most distinguishing power to classify these two groups irrespective of gender and age of the participants. Multiple feature subset selection techniques confirmed known CVD risk factors (blood pressure, lipid profile, smoking, sedentary life, and diabetes), and identified potential novel risk factors linked to CVD-related comorbidities such as renal disorder (e.g., creatinine, uric acid, homocysteine, albumin), atherosclerosis (intima media thickness), hypercoagulable state (fibrinogen), and liver function (e.g., alkaline phosphate, gamma-glutamyl transferase). Moreover, the inclusion of the proposed novel factors into the ML model provides better performance than the model with traditional known risk factors for CVD. The association of the proposed risk factors and comorbidities are required to be investigated in clinical setup to understand their role in CVD better.</p><h2>Other Information</h2><p dir="ltr">Published in: IEEE Access<br>License: <a href="https://creativecommons.org/licenses/by/4.0/legalcode" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1109/access.2021.3059469" target="_blank">https://dx.doi.org/10.1109/access.2021.3059469</a></p>2021-02-15T00:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1109/access.2021.3059469https://figshare.com/articles/journal_contribution/Risk_Factors_and_Comorbidities_Associated_to_Cardiovascular_Disease_in_Qatar_A_Machine_Learning_Based_Case-Control_Study/24049302CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/240493022021-02-15T00:00:00Z
spellingShingle Risk Factors and Comorbidities Associated to Cardiovascular Disease in Qatar: A Machine Learning Based Case-Control Study
Hamada R. H. Al-Absi (16726299)
Biomedical and clinical sciences
Cardiovascular medicine and haematology
Clinical sciences
Health sciences
Health services and systems
Information and computing sciences
Machine learning
Diabetes
Obesity
Hypertension
Biological system modeling
Diseases
Lipidomics
Particle measurements
Cardiovascular disease
Coronary heart disease
Cerebrovascular disease
Risk factor
Machine learning
Qatar Biobank (QBB)
Qatar
status_str publishedVersion
title Risk Factors and Comorbidities Associated to Cardiovascular Disease in Qatar: A Machine Learning Based Case-Control Study
title_full Risk Factors and Comorbidities Associated to Cardiovascular Disease in Qatar: A Machine Learning Based Case-Control Study
title_fullStr Risk Factors and Comorbidities Associated to Cardiovascular Disease in Qatar: A Machine Learning Based Case-Control Study
title_full_unstemmed Risk Factors and Comorbidities Associated to Cardiovascular Disease in Qatar: A Machine Learning Based Case-Control Study
title_short Risk Factors and Comorbidities Associated to Cardiovascular Disease in Qatar: A Machine Learning Based Case-Control Study
title_sort Risk Factors and Comorbidities Associated to Cardiovascular Disease in Qatar: A Machine Learning Based Case-Control Study
topic Biomedical and clinical sciences
Cardiovascular medicine and haematology
Clinical sciences
Health sciences
Health services and systems
Information and computing sciences
Machine learning
Diabetes
Obesity
Hypertension
Biological system modeling
Diseases
Lipidomics
Particle measurements
Cardiovascular disease
Coronary heart disease
Cerebrovascular disease
Risk factor
Machine learning
Qatar Biobank (QBB)
Qatar