Research Article
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Year 2023, Volume: 26 Issue: 4, 374 - 380, 31.12.2023
https://doi.org/10.7126/cumudj.1332452

Abstract

References

  • 1. Pihlstrom BL, Michalowicz BS, Johnson NW. Periodontal diseases. Lancet 2005, 366, 1809–1820.
  • 2. Slade GD, Offenbacher S, Beck JD, et al. Acute-phase inflammatory response to periodontal disease in the US population. J Dent Res. 2000;79:49-57.
  • 3. Saito T, Shimazaki Y, Kiyohara Y, et al. The severity of periodontal disease is associated with the development of glucose intolerance in non-diabetics: The Hisayama study. J Dent Res. 2004;83:485-490.
  • 4. Taylor BA, Tofler GH, Carey HM, et al. Full-mouth tooth extraction lowers systemic inflammatory and thrombotic markers of cardiovascular risk. J Dent Res. 2006;85:74-78.
  • 5. Higashi Y, Goto C, Jitsuiki D, et al. Periodontal infection is associated with endothelial dysfunction in healthy subjects and hypertensive patients. Hypertension. 2008;51:446-453.
  • 6. Tonetti MS, D’Aiuto F, Nibali L, et al. Treatment of periodontitis and endothelial function. N Engl J Med. 2007;356:911-920.
  • 7. Katz J, Flugelman MY, Goldberg A, et al. Association between periodontal pockets and elevated cholesterol and low density lipoprotein cholesterol levels. J Periodontol. 2002;73:494 500.
  • 8. Losche W, Karapetow F, Pohl A, et al. Plasma lipid and blood glucose levels in patients with destructive periodontal disease. J Clin Periodontol. 2000;27:537-541.
  • 9. International Diabetes Federation. The IDF Consensus Definition of the Metabolic Syndrome in Children and Adolescents, 2007.
  • 10. Ford ES, Giles WH, Mokdad AH. Increasing prevalence of the metabolic syndrome among U.S. adults. Diabetes Care 2004, 27, 2444–2449.
  • 11. Makkar H, Reynolds MA, Wadhawan A, Dagdag A, Merchant AT, Postolache TT. Periodontal, metabolic, and cardiovascular disease: exploring the role of inflammation and mental health. Pteridines.2018;29:124-163.
  • 12. Grundy SM, Cleeman JI, Daniels SR, et al. Diagnosis and management of the metabolic syndrome: An American Heart Association/National Heart, Lung, and Blood Institute scientific statement. Cardiol Rev. 2005;13:322-327.
  • 13. Nibali L, D’Aiuto F, Griffiths G, Patel K, Suvan J, Tonetti MS. Severe periodontitis is associated with systemic inflammation and a dysmetabolic status: a case-control study. J Clin Periodontol.2007;34:931-937.
  • 14. Menardi G, Torelli N. Training and assessing classification rules with imbalanced data. Data Min. Knowl. Disc. 28(1), 92–122 (2014).
  • 15. Fernndez A, Garca S, del Jesus MJ, Herrera F. A study of the behaviour of linguistic fuzzy rule based classification systems in the framework of imbalanced data-sets, Fuzzy Sets and Systems, 159(18), 23782398, 2008.
  • 16. Tonetti MS, Greenwell H, Kornman KS. Staging and grading of periodontitis: framework and proposal of a new classification and case definition. J Periodontol. 2018; 89(Suppl 1): 159-172.
  • 17. Silness J, Loe H. Periodontal disease in pregnancy. II. Correlation between oral hygiene and periodontal condition. Acta Odontol Scand. 1964;22:121–135.
  • 18. Loe H, Silness J. Periodontal disease in pregnancy. I. Prevalence and Severity. Acta Odontol Scand. 1963;21:533–551.
  • 19. Caglayan F, Miloglu O, Altun O, et al. Oxidative stress and myeloperoxidase levels in saliva of patients with reccurrent aphthous stomatitis. Oral Dis. 2008;12:700–704.
  • 20. Tayman MA, Kurgan Ş, Önder C, Güney Z, Serdar MA, Kantarcı A, Günhan M (2019) Affiliations expandA disintegrin-like and metalloproteinase with thrombospondin-1 (ADAMTS-1) levels in gingival crevicular fluid correlate with vascular endothelial growth factor-A, hypoxia-inducible factor-1α, and clinical parameters in patients with advanced periodontitis. J Periodontol 90(10):1182–1189.
  • 21. El-Sayed AA, Mahmood MAM, Meguid NA, Hefny HA. Handling autism imbalanced data using synthetic minority over-sampling technique (SMOTE), 2015 Third World Conference on Complex Systems (WCCS), Marrakech, 2015, pp. 1-5.
  • 22. Shin D, Lee KJ, Adeluwa T, Hur J. Machine Learning-Based Predictive Modeling of Postpartum Depression. Journal of clinical medicine, 2020. 9(9), 2899.
  • 23. Ramezankhani A, Pournik O, Shahrabi J, Azizi F, Hadaegh F, Khalili D. The Impact of Oversampling with SMOTE on the Performance of 3 Classifiers in Prediction of Type 2 Diabetes. Medical decision making:an international journal of the Society for Medical Decision Making, 2016, 36(1), 137–144.
  • 24. Fotouhi S, Asadi S, Kattan MW. A comprehensive data level analysis for cancer diagnosis on imbalanced data. Journal of biomedical informatics, 2019, 90, 103089.
  • 25. Nguyen BP, Pham HN, Tran H, Nghiem N, Nguyen QH, Do T T T, et al. Predicting the onset of type 2 diabetes using wide and deep learning with electronic health records. Computer methods and programs in biomedicine, 2019, 182, 105055.
  • 26. Cui S, Luo Y, Tseng HH, Ten Haken RK, El Naqa I. Combining handcrafted features with latent variables in machine learning for prediction of radiation-induced lung damage. Medical physics, 2019, 46(5), 2497–2511.

An Oversampling Technique for Handling Imbalanced Data in Patients with Metabolic Syndrome and Periodontitis

Year 2023, Volume: 26 Issue: 4, 374 - 380, 31.12.2023
https://doi.org/10.7126/cumudj.1332452

Abstract

Objectives: Periodontitis has been suggested to be associated with several systemic diseases and conditions including obesity, metabolic syndrome, diabetes, chronic renal disease, respiratory disorders, and cardiovascular diseases. Metabolic syndrome (MetS) is a collection of impairment and is a risk factor for type 2 diabetes and cardiovascular disease. Our study is aimed to handle MetS unbalanced data using the synthetic minority over-sampling technique (SMOTE) to increase accuracy and reliability.
Materials and Methods: Six metabolic syndrome patients and 26 systemically healthy subjects with periodontitis were recruited in this study. Clinical parameters (Plaque index (PI), gingival index (GI), probing pocket depth (PPD), clinical attachment loss (CAL), and bleeding on probing (BOP)) were obtained, smoking status and body-mass index (BMI), systemic diseases, fasting glucose levels, hemoglobin A1c (HbA1c) levels and serum advanced glycation end-products (AGE) levels were recorded by one examiner. First, the data was pre-processed by removing missing values, outliers and normalizing the data. Then, SMOTE technique was used to oversample the minority class. SMOTE works by creating synthetic data points that are similar to the existing minority class instances. The experimental dataset included numerous machine learning algorithms and assessed accuracy using both pre- and post-oversampling methods.
Results: Our findings suggest that by increasing the sample size of a study, researchers can gain more accurate and reliable results. This is especially important when studying a population with a lower sample size, as the results may be skewed.
Conclusion: SMOTE may result in over fitting on numerous copies of minority class samples.

References

  • 1. Pihlstrom BL, Michalowicz BS, Johnson NW. Periodontal diseases. Lancet 2005, 366, 1809–1820.
  • 2. Slade GD, Offenbacher S, Beck JD, et al. Acute-phase inflammatory response to periodontal disease in the US population. J Dent Res. 2000;79:49-57.
  • 3. Saito T, Shimazaki Y, Kiyohara Y, et al. The severity of periodontal disease is associated with the development of glucose intolerance in non-diabetics: The Hisayama study. J Dent Res. 2004;83:485-490.
  • 4. Taylor BA, Tofler GH, Carey HM, et al. Full-mouth tooth extraction lowers systemic inflammatory and thrombotic markers of cardiovascular risk. J Dent Res. 2006;85:74-78.
  • 5. Higashi Y, Goto C, Jitsuiki D, et al. Periodontal infection is associated with endothelial dysfunction in healthy subjects and hypertensive patients. Hypertension. 2008;51:446-453.
  • 6. Tonetti MS, D’Aiuto F, Nibali L, et al. Treatment of periodontitis and endothelial function. N Engl J Med. 2007;356:911-920.
  • 7. Katz J, Flugelman MY, Goldberg A, et al. Association between periodontal pockets and elevated cholesterol and low density lipoprotein cholesterol levels. J Periodontol. 2002;73:494 500.
  • 8. Losche W, Karapetow F, Pohl A, et al. Plasma lipid and blood glucose levels in patients with destructive periodontal disease. J Clin Periodontol. 2000;27:537-541.
  • 9. International Diabetes Federation. The IDF Consensus Definition of the Metabolic Syndrome in Children and Adolescents, 2007.
  • 10. Ford ES, Giles WH, Mokdad AH. Increasing prevalence of the metabolic syndrome among U.S. adults. Diabetes Care 2004, 27, 2444–2449.
  • 11. Makkar H, Reynolds MA, Wadhawan A, Dagdag A, Merchant AT, Postolache TT. Periodontal, metabolic, and cardiovascular disease: exploring the role of inflammation and mental health. Pteridines.2018;29:124-163.
  • 12. Grundy SM, Cleeman JI, Daniels SR, et al. Diagnosis and management of the metabolic syndrome: An American Heart Association/National Heart, Lung, and Blood Institute scientific statement. Cardiol Rev. 2005;13:322-327.
  • 13. Nibali L, D’Aiuto F, Griffiths G, Patel K, Suvan J, Tonetti MS. Severe periodontitis is associated with systemic inflammation and a dysmetabolic status: a case-control study. J Clin Periodontol.2007;34:931-937.
  • 14. Menardi G, Torelli N. Training and assessing classification rules with imbalanced data. Data Min. Knowl. Disc. 28(1), 92–122 (2014).
  • 15. Fernndez A, Garca S, del Jesus MJ, Herrera F. A study of the behaviour of linguistic fuzzy rule based classification systems in the framework of imbalanced data-sets, Fuzzy Sets and Systems, 159(18), 23782398, 2008.
  • 16. Tonetti MS, Greenwell H, Kornman KS. Staging and grading of periodontitis: framework and proposal of a new classification and case definition. J Periodontol. 2018; 89(Suppl 1): 159-172.
  • 17. Silness J, Loe H. Periodontal disease in pregnancy. II. Correlation between oral hygiene and periodontal condition. Acta Odontol Scand. 1964;22:121–135.
  • 18. Loe H, Silness J. Periodontal disease in pregnancy. I. Prevalence and Severity. Acta Odontol Scand. 1963;21:533–551.
  • 19. Caglayan F, Miloglu O, Altun O, et al. Oxidative stress and myeloperoxidase levels in saliva of patients with reccurrent aphthous stomatitis. Oral Dis. 2008;12:700–704.
  • 20. Tayman MA, Kurgan Ş, Önder C, Güney Z, Serdar MA, Kantarcı A, Günhan M (2019) Affiliations expandA disintegrin-like and metalloproteinase with thrombospondin-1 (ADAMTS-1) levels in gingival crevicular fluid correlate with vascular endothelial growth factor-A, hypoxia-inducible factor-1α, and clinical parameters in patients with advanced periodontitis. J Periodontol 90(10):1182–1189.
  • 21. El-Sayed AA, Mahmood MAM, Meguid NA, Hefny HA. Handling autism imbalanced data using synthetic minority over-sampling technique (SMOTE), 2015 Third World Conference on Complex Systems (WCCS), Marrakech, 2015, pp. 1-5.
  • 22. Shin D, Lee KJ, Adeluwa T, Hur J. Machine Learning-Based Predictive Modeling of Postpartum Depression. Journal of clinical medicine, 2020. 9(9), 2899.
  • 23. Ramezankhani A, Pournik O, Shahrabi J, Azizi F, Hadaegh F, Khalili D. The Impact of Oversampling with SMOTE on the Performance of 3 Classifiers in Prediction of Type 2 Diabetes. Medical decision making:an international journal of the Society for Medical Decision Making, 2016, 36(1), 137–144.
  • 24. Fotouhi S, Asadi S, Kattan MW. A comprehensive data level analysis for cancer diagnosis on imbalanced data. Journal of biomedical informatics, 2019, 90, 103089.
  • 25. Nguyen BP, Pham HN, Tran H, Nghiem N, Nguyen QH, Do T T T, et al. Predicting the onset of type 2 diabetes using wide and deep learning with electronic health records. Computer methods and programs in biomedicine, 2019, 182, 105055.
  • 26. Cui S, Luo Y, Tseng HH, Ten Haken RK, El Naqa I. Combining handcrafted features with latent variables in machine learning for prediction of radiation-induced lung damage. Medical physics, 2019, 46(5), 2497–2511.
There are 26 citations in total.

Details

Primary Language English
Subjects Dentistry (Other)
Journal Section Original Research Articles
Authors

Sema Merve Altıngöz 0000-0002-9709-6226

Batuhan Bakırarar 0000-0002-5662-8193

Elif Ünsal 0000-0002-7843-6088

Sivge Kurgan 0000-0002-7868-4217

Meral Günhan 0000-0002-3848-6195

Publication Date December 31, 2023
Submission Date July 25, 2023
Published in Issue Year 2023Volume: 26 Issue: 4

Cite

EndNote Altıngöz SM, Bakırarar B, Ünsal E, Kurgan S, Günhan M (December 1, 2023) An Oversampling Technique for Handling Imbalanced Data in Patients with Metabolic Syndrome and Periodontitis. Cumhuriyet Dental Journal 26 4 374–380.

Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.


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