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A refined SMOTE-ENN optimization method based on machine learning for heart rate variability data classification.

Biao Zhang1,2, Muzi Liang1, Yuanlun Zhou1

  • 1School of Artificial Intelligence and Information Technology, Nanjing University of Chinese Medicine, Nanjing, China.

Frontiers in Digital Health
|March 2, 2026
PubMed
Summary
This summary is machine-generated.

A new machine learning method refines imbalanced heart rate variability (HRV) data for depression detection. This approach improves the classification of Autonomic Nervous System (ANS) states, aiding early diagnosis.

Keywords:
depression detectionheart rate variabilityimbalanced datamachine learningover-sampling technique

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Area of Science:

  • Biomedical Engineering
  • Machine Learning
  • Computational Neuroscience

Background:

  • Imbalanced heart rate variability (HRV) data presents challenges for machine learning models in depression detection.
  • Early identification of depression is crucial and can be supported by analyzing Autonomic Nervous System (ANS) states.

Purpose of the Study:

  • To propose a refined SMOTE-ENN hybrid optimization method for precise classification of imbalanced HRV data.
  • To enhance machine learning algorithm performance for early depression detection using HRV analysis.

Main Methods:

  • A refined Synthetic Minority Over-sampling Technique (SMOTE) and Edited Nearest Neighbor (ENN) under-sampling algorithm were developed.
  • Four machine learning algorithms (SVM, Random Forest, Neural Network, KNN) were applied to optimized HRV data from 321 participants.

Main Results:

  • All four machine learning algorithms achieved over 91% classification accuracy and AUC values exceeding 0.92 after refined SMOTE-ENN optimization.
  • Compared to classical SMOTE, the refined method showed significant improvements in accuracy, precision, recall, and F1 score.
  • Standard deviation of NN intervals (SDNN) was identified as the most influential feature in HRV classification.

Conclusions:

  • The refined SMOTE-ENN method effectively enhances machine learning performance for imbalanced HRV data classification.
  • This approach offers valuable technical support for the early detection of depression through improved ANS state analysis.