Machine Learning Refutes Loss of Smell as a Risk Indicator of Diabetes Mellitus

Because it is associated with central nervous changes, and olfactory dysfunction has been reported with increased prevalence among persons with diabetes, this study addressed the question of whether the risk of developing diabetes in the next 10 years is reflected in olfactory symptoms. In a cross-s...

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Main Authors: Jörn Lötsch, Antje Hähner, Peter E. H. Schwarz, Sergey Tselmin, Thomas Hummel
Format: Article
Language:English
Published: MDPI AG 2021-10-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/10/21/4971
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author Jörn Lötsch
Antje Hähner
Peter E. H. Schwarz
Sergey Tselmin
Thomas Hummel
author_facet Jörn Lötsch
Antje Hähner
Peter E. H. Schwarz
Sergey Tselmin
Thomas Hummel
author_sort Jörn Lötsch
collection DOAJ
description Because it is associated with central nervous changes, and olfactory dysfunction has been reported with increased prevalence among persons with diabetes, this study addressed the question of whether the risk of developing diabetes in the next 10 years is reflected in olfactory symptoms. In a cross-sectional study, in 164 individuals seeking medical consulting for possible diabetes, olfactory function was evaluated using a standardized clinical test assessing olfactory threshold, odor discrimination, and odor identification. Metabolomics parameters were assessed via blood concentrations. The individual diabetes risk was quantified according to the validated German version of the “FINDRISK” diabetes risk score. Machine learning algorithms trained with metabolomics patterns predicted low or high diabetes risk with a balanced accuracy of 63–75%. Similarly, olfactory subtest results predicted the olfactory dysfunction category with a balanced accuracy of 85–94%, occasionally reaching 100%. However, olfactory subtest results failed to improve the prediction of diabetes risk based on metabolomics data, and metabolomics data did not improve the prediction of the olfactory dysfunction category based on olfactory subtest results. Results of the present study suggest that olfactory function is not a useful predictor of diabetes.
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spelling doaj.art-29e8f104f6c3496fbaef6b83aca8e50d2023-11-22T21:05:26ZengMDPI AGJournal of Clinical Medicine2077-03832021-10-011021497110.3390/jcm10214971Machine Learning Refutes Loss of Smell as a Risk Indicator of Diabetes MellitusJörn Lötsch0Antje Hähner1Peter E. H. Schwarz2Sergey Tselmin3Thomas Hummel4Institute of Clinical Pharmacology, Goethe University, Theodor Stern Kai 7, 60590 Frankfurt am Main, GermanySmell & Taste Clinic, Department of Otorhinolaryngology, Technische Universität Dresden, Fetscherstrasse 74, 01307 Dresden, GermanyDepartment of Internal Medicine III, Technische Universität Dresden, Fetscherstrasse 74, 01307 Dresden, GermanyDepartment of Internal Medicine III, Technische Universität Dresden, Fetscherstrasse 74, 01307 Dresden, GermanySmell & Taste Clinic, Department of Otorhinolaryngology, Technische Universität Dresden, Fetscherstrasse 74, 01307 Dresden, GermanyBecause it is associated with central nervous changes, and olfactory dysfunction has been reported with increased prevalence among persons with diabetes, this study addressed the question of whether the risk of developing diabetes in the next 10 years is reflected in olfactory symptoms. In a cross-sectional study, in 164 individuals seeking medical consulting for possible diabetes, olfactory function was evaluated using a standardized clinical test assessing olfactory threshold, odor discrimination, and odor identification. Metabolomics parameters were assessed via blood concentrations. The individual diabetes risk was quantified according to the validated German version of the “FINDRISK” diabetes risk score. Machine learning algorithms trained with metabolomics patterns predicted low or high diabetes risk with a balanced accuracy of 63–75%. Similarly, olfactory subtest results predicted the olfactory dysfunction category with a balanced accuracy of 85–94%, occasionally reaching 100%. However, olfactory subtest results failed to improve the prediction of diabetes risk based on metabolomics data, and metabolomics data did not improve the prediction of the olfactory dysfunction category based on olfactory subtest results. Results of the present study suggest that olfactory function is not a useful predictor of diabetes.https://www.mdpi.com/2077-0383/10/21/4971human olfactiondiabetes mellitusmachine-learningdata sciencepatients
spellingShingle Jörn Lötsch
Antje Hähner
Peter E. H. Schwarz
Sergey Tselmin
Thomas Hummel
Machine Learning Refutes Loss of Smell as a Risk Indicator of Diabetes Mellitus
Journal of Clinical Medicine
human olfaction
diabetes mellitus
machine-learning
data science
patients
title Machine Learning Refutes Loss of Smell as a Risk Indicator of Diabetes Mellitus
title_full Machine Learning Refutes Loss of Smell as a Risk Indicator of Diabetes Mellitus
title_fullStr Machine Learning Refutes Loss of Smell as a Risk Indicator of Diabetes Mellitus
title_full_unstemmed Machine Learning Refutes Loss of Smell as a Risk Indicator of Diabetes Mellitus
title_short Machine Learning Refutes Loss of Smell as a Risk Indicator of Diabetes Mellitus
title_sort machine learning refutes loss of smell as a risk indicator of diabetes mellitus
topic human olfaction
diabetes mellitus
machine-learning
data science
patients
url https://www.mdpi.com/2077-0383/10/21/4971
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