Individual categorisation of glucose profiles using compositional data analysis

2018 ◽  
Vol 28 (12) ◽  
pp. 3550-3567 ◽  
Author(s):  
Lyvia Biagi ◽  
Arthur Bertachi ◽  
Marga Giménez ◽  
Ignacio Conget ◽  
Jorge Bondia ◽  
...  

The aim of this study was to apply a methodology based on compositional data analysis (CoDA) to categorise glucose profiles obtained from continuous glucose monitoring systems. The methodology proposed considers complete daily glucose profiles obtained from six patients with type 1 diabetes (T1D) who had their glucose monitored for eight weeks. The glucose profiles were distributed into the time spent in six different ranges. The time in one day is finite and limited to 24 h, and the times spent in each of these different ranges are co-dependent and carry only relative information; therefore, CoDA is applied to these profiles. A K-means algorithm was applied to the coordinates obtained from the CoDA to obtain different patterns of days for each patient. Groups of days with relatively high time in the hypo and/or hyperglycaemic ranges and with different glucose variability were observed. Using CoDA of time in different ranges, individual glucose profiles were categorised into groups of days, which can be used by physicians to detect the different conditions of patients and personalise patient's insulin therapy according to each group. This approach can be useful to assist physicians and patients in managing the day-to-day variability that hinders glycaemic control.

2019 ◽  
Vol 52 (1) ◽  
pp. 1006-1011
Author(s):  
Lyvia Biagi ◽  
Arthur Bertachi ◽  
Josep Antoni Martín-Fernández ◽  
Josep Vehí

2020 ◽  
pp. 096228022095522
Author(s):  
D Dumuid ◽  
JA Martín-Fernández ◽  
S Ellul ◽  
RS Kenett ◽  
M Wake ◽  
...  

Human body composition is made up of mutually exclusive and exhaustive parts (e.g. %truncal fat, %non-truncal fat and %fat-free mass) which are constrained to sum to the same total (100%). In statistical analyses, individual parts of body composition (e.g. %truncal fat or %fat-free mass) have traditionally been used as proxies for body composition, and have been linked with a range of health outcomes. But analysis of individual parts omits information about the other parts, which are intrinsically co-dependent because of the constant sum constraint of 100%. Further, body mass may be associated with health outcomes. We describe a statistical approach for body composition based on compositional data analysis. The body composition data are expressed as logratios to allow relative information about all the compositional parts to be explored simultaneously in relation to health outcomes. We describe a recent extension to the logratio approach to compositional data analysis which allows absolute information about the total of the compositional parts (body mass) to be considered alongside relative information about body composition. The statistical approach is illustrated by an example that explores the relationships between adults’ body composition, body mass and bone strength.


Sensors ◽  
2021 ◽  
Vol 21 (11) ◽  
pp. 3593
Author(s):  
Lyvia Biagi ◽  
Arthur Bertachi ◽  
Marga Giménez ◽  
Ignacio Conget ◽  
Jorge Bondia ◽  
...  

The time spent in glucose ranges is a common metric in type 1 diabetes (T1D). As the time in one day is finite and limited, Compositional Data (CoDa) analysis is appropriate to deal with times spent in different glucose ranges in one day. This work proposes a CoDa approach applied to glucose profiles obtained from six T1D patients using continuous glucose monitor (CGM). Glucose profiles of 24-h and 6-h duration were categorized according to the relative interpretation of time spent in different glucose ranges, with the objective of presenting a probabilistic model of prediction of category of the next 6-h period based on the category of the previous 24-h period. A discriminant model for determining the category of the 24-h periods was obtained, achieving an average above 94% of correct classification. A probabilistic model of transition between the category of the past 24-h of glucose to the category of the future 6-h period was obtained. Results show that the approach based on CoDa is suitable for the categorization of glucose profiles giving rise to a new analysis tool. This tool could be very helpful for patients, to anticipate the occurrence of potential adverse events or undesirable variability and for physicians to assess patients’ outcomes and then tailor their therapies.


2021 ◽  
Vol 50 (2) ◽  
pp. 1-15 ◽  
Author(s):  
Joanna Morais ◽  
Christine Thomas-Agnan

In the framework of Compositional Data Analysis, vectors carrying relative information, also called compositional vectors, can appear in regression models either as dependent or as explanatory variables. In some situations, they can be on both sides of the regression equation. Measuring the marginal impacts of covariates in these types of models is not straightforward since a change in one component of a closed composition automatically affects the rest of the composition. Previous work by the authors has shown how to measure, compute and interpret these marginal impacts in the case of linear regression models with compositions on both sides of the equation. The resulting natural interpretation is in terms of an elasticity, a quantity commonly used in econometrics and marketing applications. They also demonstrate the link between these elasticities and simplicial derivatives. The aim of this contribution is to extend these results to other situations, namely when the compositional vector is on a single side of the regression equation. In these cases, the marginal impact is related to a semi-elasticity and also linked to some simplicial derivative. Moreover we consider the possibility that a total variable is used as an explanatory variable, with several possible interpretations of this total and we derive the elasticity formulas in that case.


2016 ◽  
Vol 27 (6) ◽  
pp. 1878-1891 ◽  
Author(s):  
Mehmet C Mert ◽  
Peter Filzmoser ◽  
Gottfried Endel ◽  
Ingrid Wilbacher

Compositional data analysis refers to analyzing relative information, based on ratios between the variables in a data set. Data from epidemiology are usually treated as absolute information in an analysis. We outline the differences in both approaches for univariate and multivariate statistical analyses, using illustrative data sets from Austrian districts. Not only the results of the analyses can differ, but in particular the interpretation differs. It is demonstrated that the compositional data analysis approach leads to new and interesting insights.


Author(s):  
Lisa-Marie Larisch ◽  
Emil Bojsen-Møller ◽  
Carla F. J. Nooijen ◽  
Victoria Blom ◽  
Maria Ekblom ◽  
...  

Intervention studies aiming at changing movement behavior have usually not accounted for the compositional nature of time-use data. Compositional data analysis (CoDA) has been suggested as a useful strategy for analyzing such data. The aim of this study was to examine the effects of two multi-component interventions on 24-h movement behavior (using CoDA) and on cardiorespiratory fitness among office workers; one focusing on reducing sedentariness and the other on increasing physical activity. Office workers (n = 263) were cluster randomized into one of two 6-month intervention groups, or a control group. Time spent in sedentary behavior, light-intensity, moderate and vigorous physical activity, and time in bed were assessed using accelerometers and diaries, both for 24 h in total, and for work and leisure time separately. Cardiorespiratory fitness was estimated using a sub-maximal cycle ergometer test. Intervention effects were analyzed using linear mixed models. No intervention effects were found, either for 24-h behaviors in total, or for work and leisure time behaviors separately. Cardiorespiratory fitness did not change significantly. Despite a thorough analysis of 24-h behaviors using CoDA, no intervention effects were found, neither for behaviors in total, nor for work and leisure time behaviors separately. Cardiorespiratory fitness did not change significantly. Although the design of the multi-component interventions was based on theoretical frameworks, and included cognitive behavioral therapy counselling, which has been proven effective in other populations, issues related to implementation of and compliance with some intervention components may have led to the observed lack of intervention effect.


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