用英国膳食调查数据发现可解释的饮食模式,助力营养师高效干预。
An Explainable Unsupervised-to-Supervised Machine Learning Framework for Dietary Pattern Discovery Using UK National Dietary Survey Data
- 从25项营养指标中通过聚类识别4种可解释饮食类型。
- 监督模型复现聚类结果准确率高(宏F1=0.963)。
- SHAP分析揭示关键驱动因素,适合营养师辅助决策。
临床膳食评估生成高维营养与食物组数据,难以快速转化为咨询优先级。本文提出一种可解释的无监督到有监督机器学习框架,利用英国国家膳食与营养调查(NDNS)第12至15年数据,对19岁以上成年人使用25个能量调整后的营养与食物组特征进行建模。比较了K-means、高斯混合模型和层次聚类在k=2~8范围内的表现,结合稳定性与营养学可解释性及内部验证指标,最终选定K-means k=4方案,识别出四种可解释的饮食模式:高脂/肉类/钠型、高纤维蔬果微量营养素型、高游离糖零食与含糖饮料型、乳制品/谷物钙丰富饱和脂肪型。构建的监督代理分类器在保留样本上表现出色(测试宏F1=0.963),但仅作为解释性工具而非独立预测模型。SHAP分析揭示其预测与营养学意义驱动因素相关,提示在营养师参与式评估、咨询优先级设定与随访监测中具有应用潜力。
原文摘要 · Abstract (English)
Clinical dietary assessment can generate detailed but high-dimensional nutrient and food-group information that is difficult to translate quickly into counselling priorities. This paper proposes an explainable unsupervised-to-supervised machine learning framework for discovering, reproducing and interpreting dietary patterns using public UK National Diet and Nutrition Survey data. Adult participants aged 19 years and above from NDNS Years 12-15 were represented using 25 energy-adjusted nutrient and food-group features. K-means, Gaussian Mixture Models and Agglomerative Clustering were compared across k = 2-8, with stability and dietetic interpretability used alongside internal validation metrics. The selected K-means k = 4 solution identified four interpretable dietary patterns: high fat/meat and sodium, higher fibre fruit-vegetable micronutrient, high free-sugar snacks and sugary drinks, and dairy/cereal calcium-rich saturated-fat. A supervised surrogate classifier reproduced held-out cluster membership with high test performance (macro-F1 = 0.963), but was interpreted only as an explanatory surrogate rather than as an independent clinical prediction model. SHAP analysis linked predictions to dietetically meaningful drivers, suggesting potential value for dietitian-in-the-loop assessment, counselling prioritisation and follow-up monitoring.
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