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Obesity prediction using an explainable deep learning framework based on LSTM-LIME with integrated visualization.

Norah S Alsulami1,2, Muhammad Sher Ramzan3, Bander A Alzahrani3

  • 1Department of Information Systems, Faculty of Computer Science and Information Technology, King Abdulaziz University, Jeddah, Saudi Arabia. nalsulami0391@stu.kau.edu.sa.

Scientific Reports
|December 21, 2025
PubMed
Summary

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The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in...
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This summary is machine-generated.

This study developed an explainable deep learning model for obesity prediction using Saudi data. The Bidirectional Long Short-Term Memory (Bi-LSTM) model achieved 96% accuracy, offering interpretable insights into obesity risk factors.

Area of Science:

  • Health Informatics
  • Artificial Intelligence in Medicine
  • Public Health

Background:

  • Obesity presents a significant global health challenge, necessitating advanced risk assessment tools.
  • Accurate and interpretable models are crucial for effective early detection and prevention of obesity.
  • Existing models often lack cultural specificity and transparency in factor identification.

Purpose of the Study:

  • To introduce a novel explainable deep learning framework for multiclass obesity prediction.
  • To develop and evaluate models using a unique Saudi-specific dataset integrating diverse health factors.
  • To enhance transparency in obesity risk assessment through interpretable AI.

Main Methods:

  • Evaluation of six deep learning models: LSTM, Bi-LSTM, RNN, DNN (MLP), TabNet, and Autoencoder.
Keywords:
Deep LearningExplainable AIInteractive InterfaceLIME VisualizationLSTMObesity Level Prediction

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  • Utilized a Saudi-specific dataset comprising anthropometric, lifestyle, and dietary data.
  • Integrated Local Interpretable Model-Agnostic Explanations (LIME) with Bi-LSTM for interpretability.
  • Main Results:

    • The Bidirectional LSTM (Bi-LSTM) model demonstrated superior performance with 96% accuracy, 0.96 macro recall, and 0.95 macro F1-score.
    • Regression metrics (MAE, RMSE, R²) were used for model calibration and ordinal misclassification assessment.
    • The developed framework provides accurate predictions and transparent visualization of obesity risk factors.

    Conclusions:

    • The Bi-LSTM model offers a highly accurate and interpretable solution for multiclass obesity prediction in the Saudi population.
    • This research establishes the first culturally specific Saudi multiclass obesity dataset for AI-driven health applications.
    • The integration of explainable AI with region-specific data advances precision public health strategies.