Machine Learning–Based Prediction of Emotional Eating Patterns in Adolescents Using Psychological and Lifestyle Variables
Keywords:
Emotional eating, Adolescents, Machine learning, Psychological distress, Lifestyle factors, Explainable artificial intelligenceAbstract
Objective: This study aimed to develop and evaluate explainable machine learning models to predict emotional eating patterns among adolescents by integrating psychological distress indicators and lifestyle-related variables.
Methods and Materials: A cross-sectional, school-based study was conducted among adolescents aged 13–18 years in Poland. Participants completed validated self-report measures assessing emotional eating, perceived stress, depressive and anxiety symptoms, emotion regulation difficulties, impulsivity, self-esteem, sleep quality and duration, physical activity, screen time, and dietary habits, alongside sociodemographic information. Data were preprocessed using standardization, imputation, and encoding procedures. Multiple supervised machine learning algorithms, including regularized logistic regression, random forest, gradient boosting, and extreme gradient boosting, were trained and evaluated using nested cross-validation. Model performance was assessed using area under the receiver operating characteristic curve, accuracy, sensitivity, specificity, and F1-score. Explainable artificial intelligence techniques based on SHAP values were applied to interpret predictor contributions.
Findings: Ensemble-based machine learning models significantly outperformed linear models in predicting emotional eating, with extreme gradient boosting demonstrating the highest discriminative performance. Psychological variables, particularly perceived stress, emotion regulation difficulties, and depressive symptoms, showed the strongest positive associations with emotional eating risk, while poor sleep quality and higher impulsivity further increased predicted vulnerability. Protective effects were observed for higher self-esteem and greater physical activity. Explainability analyses revealed consistent directional effects across predictors and identified nonlinear interactions between psychological distress and lifestyle factors. Subgroup analyses indicated higher predictive accuracy among female adolescents compared to males.
Conclusion: Explainable machine learning models provide robust and interpretable tools for identifying adolescents at risk of emotional eating.
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References
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