Abstract

Obesity is a major global public health problem. Understanding how energy homeostasis is regulated, and can become dysregulated, is crucial for developing new treatments for obesity. Detailed recording of individual behaviour and new imaging modalities offer the prospect of medically relevant models of energy homeostasis that are both understandable and individually predictive. The profusion of data from these sources has led to an interest in applying machine learning techniques to gain insight from these large, relatively unstructured datasets. We review both physiological models and machine learning results across a diverse range of applications in energy homeostasis, and highlight how modelling and machine learning can work together to improve predictive ability. We collect quantitative details in a comprehensive mathematical supplement. We also discuss the prospects of forecasting homeostatic behaviour and stress the importance of characterizing stochasticity within and between individuals in order to provide practical, tailored forecasts and guidance to combat the spread of obesity.

Highlights

  • The growing crises of obesity and metabolic syndrome can be viewed as failures of energy homeostasis: our regulatory systems are poorly adapted to deal with the availability of appetizing high-calorie foods

  • Applications of machine learning to problems in energy homeostasis are most advanced in the modelling of glucostasis, which we review in this subsection

  • It is possible to predict the effects of regulatory dysfunction through modelling techniques, and in the near future it may be possible to optimize the treatment of type 1 diabetes by using models to more accurately predict individual blood glucose response to food or insulin administration

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Summary

Introduction

The growing crises of obesity and metabolic syndrome can be viewed as failures of energy homeostasis: our regulatory systems are poorly adapted to deal with the availability of appetizing high-calorie foods. The trend of increasing bodyweight has been continuing for decades, in recent years new data sources have become available that may transform the way we research and treat obesity. Examples of these data sources include wearable technology such as activity monitors and continuous glucose measuring devices, activity and food logging apps as well as an impressive range of technologies for monitoring neuronal activity in vivo. These technologies differ substantially in their sophistication and intended uses, they share one key feature: the production of orders of magnitude more quantitative data than previous techniques. We discuss approaches to model personalization throughout the review by either reviewing successful examples, or suggesting pathways towards individualizing current models table 1 (box 1 and box 2)

Regulation of glucose and fatty acid metabolism
Statistics and machine learning in glucostasis
Body composition models have a vital role to play in precision medicine
Individualizing energy balance models
The importance of stochastic behavioural models for precision health
Conclusion
90. Heymsfield SB et al 2007 Why do obese patients
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