Sequential Random Split with Random Feature Subsetting for imbalanced Iron Deficiency Anemia Classification: A Machine Learning Study

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Author(s)

S. N. Lakshmi Malluvalasa 1,* Sajana T. 1

1. Department of CSE, Koneru Lakshmaiah Education Foundation, Vaddeswaram, Guntur, A.P., India

* Corresponding author.

DOI: https://doi.org/10.5815/ijem.2026.04.03

Received: 11 Jun. 2026 / Revised: 25 Jun. 2026 / Accepted: 20 Jul. 2026 / Published: 8 Aug. 2026

Index Terms

Iron Deficiency Anemia, Anemia, Classification, Machine Learning, Imbalanced Data, Ensemble learning, Diagnostics

Abstract

Iron Deficiency Anemia (IDA) is the most common type of anemia and can adversely affect quality of life by reducing oxygen delivery to body tissues. Accurate diagnosis is essential but remains challenging due to the manual interpretation of Complete Blood Count (CBC) parameters, which can be time-consuming and susceptible to human error. Although machine learning models have explored for early IDA detection, imbalanced datasets often lead to biased predictions and reduced performance for minority classes. Furthermore, conventional feature selection approaches may face challenges when dealing with high-dimensional medical data, potentially affecting predictive performance and model robustness. This study proposed a Sequential Random Split (SRS) framework combined with Random Feature Subsetting strategy for iron deficiency anemia (IDA) classification. The framework explores diverse feature combinations and evaluates their impact on predictive performance using a real-world imbalanced IDA dataset. The proposed approach compared with few ensemble learning methods, including Boosting, Stacking, Random Subspace, Random Patches, Extra Trees, Voting, Bagging, and Gradient Boosting. Model performance assessed using Accuracy, Precision, Recall and F1-Score metrics. The proposed SRS framework achieved the highest classification performance among the evaluated ensemble learning approaches. For class-1 (IDA), the model achieved an accuracy of 94.11%, F1-Score of 96%, and Precision of 96%. For Class-0 (non-IDA), the model achieved a Precision of 88%, F1-Score of 88%, and recall of 88%. These findings indicate that the proposed SRS framework provides strong classification performance on the imbalanced IDA dataset. The experimental results indicate that the proposed SRS framework achieved competitive performance for IDA classification on the evaluated dataset. The combination of Sequential random split and Random Feature Subsetting contributed to improved predictive performance compared with the evaluated ensemble learning approaches. These findings suggest that the proposed framework may serve as a useful machine learning strategy for supporting IDA diagnosis, while further validation on larger and more diverse clinical datasets required to assess its generalizability and robustness.

Cite This Paper

S. N. Lakshmi Malluvalasa, T. Sajana, "Sequential Random Split with Random Feature Subsetting for imbalanced Iron Deficiency Anemia Classification: A Machine Learning Study", International Journal of Engineering and Manufacturing (IJEM), Vol.16, No.4, pp.40-57, 2026. DOI:10.5815/ijem.2026.04.03

Reference

[1]K. N. Kawo, Z. G. Asfaw, and N. Yohannes, "Multilevel analysis of determinants of anemia prevalence among children aged 6–59 months in Ethiopia: Classical and Bayesian approaches," Anemia, vol. 2018, Art. no. 3087354, 2018.
[2]J. E. Feusier et al., "Large-scale identification of clonal hematopoiesis and mutations recurrent in blood cancers," Blood Cancer Discovery, vol. 2, no. 3, pp. 226–237, 2021, Doi: 10.1158/2643-3230.BCD-20-0223.
[3]World Health Organization, Hemoglobin Concentrations for the Diagnosis of Anemia and Assessment of Severity. Geneva, Switzerland: WHO, 2011. WHO/NMH/NHD/MNM/11.1.
[4]A. Baruah and S. Gautam, "Prevalence and predictors of iron deficiency anemia in adolescent girls in India," International Journal of Community Medicine and Public Health, vol. 10, no. 10, pp. 3917–3923, Oct. 2023.
[5]T. K. Yıldız, N. Yurtay, and B. Öneç, "Classifying anemia types using artificial learning methods," Engineering Science and Technology, an International Journal, vol. 25, Art. no. 100996, 2021.
[6]World Health Organization, "Anemia," WHO Fact Sheet, 2023. [Online]. Available: https://www.who.int/news-room/fact-sheets/detail/anaemia. [Accessed: Oct. 3, 2023].
[7]S. A. Ali, U. S. Khan, and A. S. Feroz, "Prevalence and determinants of anemia among women of reproductive age in developing countries," Journal of the College of Physicians and Surgeons Pakistan, 2020 Feb;30(2):177-186. DOI: 10.29271/jcpsp.2020.02.177.
[8]S. Bathla and S. Arora, "Prevalence and approaches to manage iron deficiency anemia (IDA)," Critical Reviews in Food Science and Nutrition, vol. 62, no. 32, pp. 8815–8828, 2022.
[9]R. Lassila and J. W. Weisel, "Role of red blood cells in clinically relevant bleeding tendencies and complications," Journal of Thrombosis and Haemostasias, vol. 21, no. 6, pp. 1415–1425, 2023.
[10]M. D. Cappellini, K. M. Musallam, and A. T. Taher, "Iron deficiency anemia revisited," Journal of Internal Medicine, vol. 287, no. 2, pp. 153–170, 2020.
[11]R. S. Hussien, S. I. A. Jabuk, Z. M. Altaee, and A. M. K. Al-Maamori, "Review of anemia: Types and causes," European Journal of Research Development and Sustainability (EJRDS), Vol. 4 No 07, July 2023, ISSN: 2660-5570,
[12]D. T. Lee and M. L. Plesa, "Anemia," in Family Medicine: Principles and Practice. Cham, Switzerland: Springer, 2022, pp. 1815–1829.
[13]A. Al-Naseem, A. Sallam, S. Choudhury, and J. Thachil, "Iron deficiency without anemia: A diagnosis that matters," Clinical Medicine, vol. 21, no. 2, pp. 107–113, 2021.
[14]B. J. Bain, Blood Cells: A Practical Guide, 6th ed. Hoboken, NJ, USA: Wiley-Blackwell, 2021.
[15]N. V. Chawla, K. W. Bowyer, L. O. Hall, and W. P. Kegelmeyer, "SMOTE: Synthetic minority over-sampling technique," Journal of Artificial Intelligence Research, vol. 16, pp. 321–357, 2002.
[16]Guyon, J. Weston, S. Barnhill, and V. Vapnik, "Gene selection for cancer classification using support vector machines," Machine Learning, vol. 46, nos. 1–3, pp. 389–422, 2002.
[17]R. Tibshirani, "Regression shrinkage and selection via the lasso," Journal of the Royal Statistical Society: Series B (Methodological), vol. 58, no. 1, pp. 267–288, 1996.
[18]E. Tuv, A. Borisov, G. Runger, and K. Torkkola, "Feature selection with ensembles, artificial variables, and redundancy elimination," Journal of Machine Learning Research, vol. 10, pp. 1341–1366, 2009.
[19]S. Sharma, V. Khullar, and A. Luhach, "Comparative study of back-propagation and PSO based back-propagation for anemia diagnosis in pregnant ladies," International Journal of Information Technology, vol. 9, no. 2, pp. 104–110, 2017.
[20]M. Gupta, M. O'Halloran, and A. Gupta, "Investigation of anemia and the dielectric properties of human blood at microwave frequencies," IEEE Access, vol. 6, pp. 3536–3547, 2018.
[21]L. Breiman, "Random forests," Machine Learning, vol. 45, no. 1, pp. 5–32, 2001.
[22]J. H. Friedman, "Greedy function approximation: A gradient boosting machine," The Annals of Statistics, vol. 29, no. 5, pp. 1189–1232, 2001.
[23]L. Liu, S. Tan, Y. Li, J. Luo, and W. Zhang, "An early aortic dissection screening model and applied research based on ensemble learning," Journal of Translational Medicine, vol. 18, Art. no. 18, 2020.
[24]B. Schölkopf, A. J. Smola, and K.-R. Müller, "Estimating the support of a high-dimensional distribution," Neural Computation, vol. 13, no. 7, pp. 1443–1471, 2001.
[25]X. Liu, L. Wang, and L. Zhang, "Discovering the structure of large-scale networks," Journal of Complex Networks, vol. 16, no. 4, pp. 689–704, 2008.
[26]R. Vohra, A. Hussain, A. K. Dudyala, J. Pahareeya, and W. Khan, "Multi-class classification algorithms for the diagnosis of anemia in an outpatient clinical setting," PLoS ONE, vol. 17, no. 7, Art. no. e0269685, 2022.
[27]B. Ç. Yavuz, T. K. Yıldız, N. Yurtay, and Z. Pamuk, "Comparison of K nearest neighbors and regression tree classifiers used with clonal selection algorithm to diagnose hematological diseases," AJIT-e: Online Academic Journal of Information Technology, vol. 5, no. 16, pp. 7–20, 2014.
[28]S. A. Sanap, M. Nagori, and V. Kshirsagar, "Classification of anemia using data mining techniques," in SEMCCO: International Conference on Swarm, Evolutionary, and Memetic Computing, Springer, 2011, pp. 113–124.
[29]N. Amin and A. Habib, "Comparison of different classification techniques using WEKA for hematological data," American Journal of Engineering Research, vol. 4, no. 3, pp. 55–61, 2015.
[30]A. R. Khawaga, E. A. Shehab, and S. A. Shehab, "Anemia diagnosis and prediction based on machine learning," Kafrelsheikh Journal of Information Sciences, vol. 4, no. 2, pp. 1–9, Nov. 2023.
[31]J. R. Khan et al., "Machine learning algorithms to predict the childhood anemia in Bangladesh," Journal of Data Science, vol. 17, no. 1, pp. 195–218, 2019.
[32]M. Jaiswal, A. Srivastava, and T. J. Siddiqui, "Machine learning algorithms for anemia disease prediction," in Recent Trends in Communication, Computing, and Electronics, Singapore: Springer, 2019, pp. 275–285.
[33]E. M. T. El-Kenawy, "A machine learning model for hemoglobin estimation and anemia classification," International Journal of Computer Science and Information Security, vol. 17, no. 1, pp. 100–108, 2019.
[34]A. Dixit et al., "Prediction of anemia disease using machine learning algorithms," in Intelligent Computing and Networking (IC-ICN 2022), Singapore: Springer, 2023, pp. 229–238.
[35]S. Dogan and I. Turkoglu, "Iron deficiency anemia detection from hematology parameters by using decision tree," International Journal of Science and Technology, vol. 3, no. 1, pp. 85–92, 2008.
[36]M. F. Young, B. M. Oaks, S. Tandon, R. Martorell, K. G. Dewey, and A. Wendt, "Maternal hemoglobin concentrations across pregnancy and maternal and child health: A systematic review and meta-analysis," Annals of the New York Academy of Sciences, vol. 1450, no. 1, pp. 47–68, 2019.
[37]Mendeley Data, "Dataset for Anemia Classification Based on Hematological Parameters," ver. 1. [Online]. Available: https://data.mendeley.com/datasets/dy9mfjchm7/1.
[38]P. Appiahene, J. W. Asare, E. T. Donkoh, G. Dimauro, and R. Maglietta, "Detection of iron deficiency anemia by medical images: A comparative study of machine learning algorithms," BioData Mining, vol. 16, Art. no. 2, 2023, Doi: 10.1186/s13040-023-00319-z.
[39]B. S. D. Darshan, N. Sampathila, G. M. Bairy, et al., "Differential diagnosis of iron deficiency anemia from aplastic anemia using machine learning and explainable artificial intelligence utilizing blood attributes," Scientific Reports, vol. 15, Art. no. 505, 2025, Doi: 10.1038/s41598-024-84120-w.
[40]W. Tepakhan, W. Srisintorn, T. Penglong, et al., "Machine learning approach for differentiating iron deficiency anemia and thalassemia using Random Forest and Gradient Boosting algorithms," Scientific Reports, vol. 15, Art. no. 16917, 2025, doi: 10.1038/s41598-025-01458-5.