A PRELIMINARY MACHINE LEARNING APPROACH TO UNDERSTANDING THE RELATIONSHIP BETWEEN GLYCEMIC DYSREGULATION, BIOCHEMICAL MARKERS, AND SCHIZOPHRENIA SEVERITY SCORES

Authors

  • Elena-Rodica POPESCU ‟Grigore Popa” University of Medicine and Pharmacy Iași
  • Bianca Augusta OROIAN ‟Grigore Popa” University of Medicine and Pharmacy Iași
  • A. CIOBICA “Alexandru Ioan Cuza” University of Iasi, Romania
  • Roxana CHIRITA ‟Grigore Popa” University of Medicine and Pharmacy Iași

DOI:

https://doi.org/10.22551/05fdj088

Abstract

Schizophrenia is a multifaceted psychiatric disorder associated with significant metabolic disturbances, including glycemic dysregulation and systemic inflammation. This study aims to explore the relationship between glycemic control, biochemical markers, and schizophrenia severity using a machine learning approach. Materials and methods: A cross-sectional study was conducted on 70 patients diagnosed with schizophrenia, evaluating fasting glucose levels, lipid profiles, inflammatory markers (CRP, ESR), and clinical severity scores (BPRS, PANSS). Statistical and machine learning models, including regression and random forest algorithms, were employed to identify key predictors of psychiatric severity. Results: Results indicated that 18.6% of participants exhibited hyperglycemia, which was significantly correlated with higher BPRS and PANSS scores (p<0.05). Elevated CRP levels were detected in 45% of participants with moderate-to-severe symptoms, reinforcing the role of systemic inflammation in schizophrenia pathophysiology. Machine learning models identified glycemic status and systemic inflammation as key predictors of psychiatric severity, with behavioral dysregulation strongly linked to hyperglycemia. Furthermore, psychiatric symptom severity was positively associated with metabolic disturbances, particularly among individuals exhibiting irritability and agitation. Conclusions: These findings highlight a bidirectional relationship between metabolic dysfunction and schizophrenia severity, suggesting that glycemic control and inflammation may serve as important clinical biomarkers. The integration of machine learning techniques offers a novel approach to identifying metabolic predictors of psychiatric severity, potentially informing personalized treatment strategies.

Author Biographies

  • Elena-Rodica POPESCU, ‟Grigore Popa” University of Medicine and Pharmacy Iași

    “Socola” Institute of Psychiatry Iasi, Romania

  • Roxana CHIRITA, ‟Grigore Popa” University of Medicine and Pharmacy Iași

    “Socola” Institute of Psychiatry Iasi, Romania

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Additional Files

Published

2025-04-07

Issue

Section

INTERNAL MEDICINE - PEDIATRICS