REVIEW 4 major objections 3 minor 94 references
Uncertainty of high-dimensional genetic data prediction with polygenic risk scores
T0 review · 4 major / 3 minor · reviewed 2026-08-10 · deepseek-v4-flash
Pith's one-line read This paper proves CLTs for polygenic risk score predictions at individual and cohort levels and shows that ignoring prediction-induced uncertainty understates variance.
desk verdict Serious paper, but the central variance normalization in the key quadratic-form lemma is wrong, so the main CLTs are not established as written. read the letter →
The pith
A machine-rendered reading of the paper's core claim, the machinery that carries it, and where it could break.
The reading
What carries the argument
The proofs rest on three named mechanisms. First, a leave-one-out decomposition rewrites each estimator as a sum of quadratic functionals ⟨a, X_0^T X_0 b⟩ and residual functionals ⟨a, ε⟩, whose randomness is isolated sequentially and controlled by Berry-Esseen-type bounds. Second, for the quadratic form β^TΣβ that enters cohort accuracy, a martingale central limit theorem with a Berry-Esseen bound O($m^{{-1/5}}$) handles the correlated off-diagonal terms without Gaussian assumptions. Third, for reference-panel ridge estimators the resolvent (W^T W + n_w λ I_p)^{-1} is handled by anisotropic local laws, whose limits are expressed through the Stieltjes transform m_w of the asymptotic spectral distribution and the tilting factor r_w = $m_w^{2}$/m'_w.
What would settle it
Simulate the marginal estimator with p = 461,488, n = 50,000, heritability 0.3, and m/p from 0.001 to 0.5 using real genotype data, comparing the empirical distribution of √n(z^Tβhat_M - z^TΣβ) against N(0,$σ_M^{2}$) for raw unnormalized rows, where ||z||_2 is about √p, and for rows normalized to ||z||_2 = 1; if only the normalized rows match the normal limit, the bounded-norm assumption is driving the result.
Extended reading notes
Core claim
The paper's central claim is that, conditional on the test subject's genotype z and the true effects β, the marginal estimator βhat_M = $n^{{-1}}$X^T y satisfies sup_t |P($σ_M^{{-1}}$√n(z^Tβhat_M - z^TΣβ) < t) - Φ(t)| ≤ C $n^{{-1/2}}$, with variance $σ_M^{2}$ = E($x_0^{4}$-3) Σ_i ($Σ^{{1/2}}$z)$_i^{2}$($Σ^{{1/2}}$β)$_i^{2}$ + $h_β^{{-2}}$||$Σ^{{1/2}}$z||^2||$Σ^{{1/2}}$β||^2 + 2(z^TΣβ)^2. Predicted values are therefore asymptotically Gaussian about their biased mean z^TΣβ, not about the true phenotype z^Tβ. The paper obtains analogous CLTs for the cohort accuracy A(βhat_M) and for reference-panel ridge estimators, with Berry-Esseen rates max($n_z^{{-1/2}}$, $n^{{-1/2}}$, $m^{{-1/5}}$) and $n^{{-1/5}}$ respectively, all under non-Gaussian genotypes. It also shows that a naive CLT treating βhat as fixed gives a variance smaller by a factor η ≥ 1, so true spread is larger whenever training-data randomness is ignored.
Load-bearing premise
The load-bearing assumption is that each testing individual's genotype vector has bounded Euclidean norm, a fixed constant independent of p, whereas real SNP rows have norm growing like √p, so the theorem as stated needs a normalization step that the variance formulas do not track.
Editorial extensions
If this is right
- Individual-level PRS confidence intervals should use the paper's variance formula; ignoring the estimation noise in βhat understates the interval, especially in low-heritability traits or with small training samples.
- Cohort-level R-squared A^2 is asymptotically normal, but its convergence rate is n_z^{1/2}η^{1/2} with η ≤ 1; when the testing cohort is large relative to training or the signal is very sparse, naive inference at the n_z^{1/2} rate is invalid.
- For marginal estimators, signal sparsity m does not affect the first-order mean of A^2 but does inflate its variance and slow the CLT rate; with a general LD covariance, m enters the mean as well.
- For reference-panel ridge estimators, the variance depends on eigenvectors of the LD matrix through the locations of causal variants, not only on eigenvalues, which first-order analyses miss.
- For the traditional ridge estimator, the paper's supplement requires a Gaussian assumption and obtains the same qualitative conclusion—ignoring prediction variance understates uncertainty—but without an explicit rate.
Reading between the lines
- A practical corollary the paper leaves implicit is that ranking subjects by PRS may be more robust to the bias term than absolute prediction, since a monotone bias shifts all values similarly, whereas tests on absolute predicted values should target z^TΣβ, not z^Tβ.
- The bounded-norm assumption on z suggests that the theorems as stated apply to normalized genotype rows; an explicit normalization of raw SNP data would be needed to make the variance formulas directly usable for p around 461,000, and the effect of that scaling on heritability and σ_M^2 deserves a worked-out check.
- The m^{-1/5} Berry-Esseen rate from the martingale CLT suggests that sparse genetic architectures are the hardest for coverage; testing whether sharper martingale conditions yield m^{-1/2} is a natural next step.
- The same decomposition machinery should transfer to other sparse-free high-dimensional predictions such as transcriptome or metabolome risk scores, since the genetics-specific ingredients enter only through the covariance, heritability, and sparsity pattern.
Editorial analysis
A structured set of objections, weighed in public.
Referee Report
Summary. This paper develops Berry-Esseen-type central limit theorems for polygenic risk score (PRS) predictions in high-dimensional, sparsity-free settings. It studies the marginal estimator and a reference-panel ridge estimator, and derives asymptotic normality for both individual-level predicted values and cohort-level out-of-sample R-squared, under general covariance structure and non-Gaussian predictor distributions. The proof strategy decomposes the prediction into quadratic and residual functionals, applies leave-one-out and martingale CLT arguments, and uses anisotropic local laws for the ridge resolvent. The theoretical results are supported by numerical experiments on UK Biobank genotype data.
Significance. If correct, the results would be a substantial contribution: explicit convergence rates for PRS uncertainty, no Gaussian assumption on the genotype matrix, general LD covariance, and direct relevance to confidence intervals for individual PRS values and for prediction accuracy. The paper is clearly written, the numerical work is extensive, and the supplementary material contains detailed proofs. However, the central variance computation in the quadratic-form CLT is algebraically wrong, and this error propagates into the main theorems. The stated CLTs do not follow from the proof as written, and the numerical normality checks do not test the claimed variance formulas. The main theoretical contribution is therefore not currently established.
major comments (4)
- [Supplementary S.3, Lemma S1/S2] The variance in Lemmas S1 and S2 is the uncentered second moment of (a^T x)(b^T x), not the variance of the centered summand. For iid entries with mean 0 and variance 1, E[(a^T x)^2(b^T x)^2] = (E[x_0^4]-3) Σ a_i^2 b_i^2 + 2(a^T b)^2 + ||a||^2 ||b||^2, which is what the lemma uses as σ^2. But the random variables X_{n,i} in the proof are centered by subtracting a^T b, so their variance is E[(a^T x)^2(b^T x)^2] - (a^T b)^2 = (E[x_0^4]-3) Σ a_i^2 b_i^2 + (a^T b)^2 + ||a||^2 ||b||^2. Thus the paper's σ^2 overstates the true variance by (a^T b)^2. Consequently Σ E(X_{n,i}^2) = 1 - (a^T b)^2/σ^2, not 1, and Lyapunov's second condition fails whenever a^T b ≠ 0. The stated CLT and Berry-Esseen bound in Lemmas S1 and S2 are not valid as written.
- [Theorem 1 and Corollary 3.1] The variance miscalibration directly enters Theorem 1. With a = Σ^{1/2} z and b = Σ^{1/2} β, the correct centered variance for the quadratic part is (E[x_0^4]-3) Σ_i (Σ^{1/2}z)_i^2(Σ^{1/2}β)_i^2 + (z^T Σ β)^2 + ||Σ^{1/2}z||^2 ||Σ^{1/2}β||^2, plus the independent noise contribution. The theorem instead uses a coefficient of 2 on (z^T Σ β)^2. Hence the normalized statistic σ_M^{-1} √n (z^T βhat_M - z^T Σ β) has asymptotic variance strictly less than 1 whenever z^T Σ β ≠ 0, and its Kolmogorov distance to the standard normal cannot vanish. Corollary 3.1 inherits the same error with (z^T β)^2.
- [Theorems 3, 4, 5 and Corollaries 3.2, 4.1, 4.2] The same flawed quadratic-functional CLT is used in the numerator analysis of the cohort-level results and in the ridge-type individual-level results. For example, in Section S.6.3 the variance σ_1^2 for the testing-data quadratic form contains 2{β^T Σ X^T(Xβ+ϵ)}^2, and in Section S.8.3 the analogous quantity contains 2{β^T Σ R X^T y}^2. These terms are the (a^T b)^2 over-counts from Lemma S1. The stated η_M and η_W formulas in Theorems 3 and 5, and their Σ = I_p corollaries, therefore inherit the miscalibration. The Berry-Esseen bounds for the normalized cohort accuracy statistics do not follow from the supplied proofs.
- [Assumption 1(a) and Section 5] Assumption 1(a) requires ||z||_2 ≤ C for a fixed constant C. For the UK Biobank data described in Section 5, p = 461,488 and an unnormalized genotype row has Euclidean norm of order √p, so this assumption does not hold for the raw data as described. The concentration arguments in Sections S.4 and S.7 repeatedly use boundedness of z to control quadratic functionals such as z^T Σ z and quartic sums. If the authors intend a row normalization, it must be stated and tracked through the variance formulas; as written, the theorems do not cover the data regime claimed in the numerical experiments.
minor comments (3)
- [Section 5] The Shapiro-Wilk tests in Figures 1 and 2 only check the shape of the empirical distribution after standardization; they do not compare the empirical variance with the theoretical σ^2 or η formulas. A plot of empirical versus theoretical variance would directly test the main variance claims.
- [Section 1.1] The symbol I_m is described as a p×p diagonal matrix with only the first m diagonal entries equal to 1, which conflicts with the standard use of I_m for an m×m identity matrix. A different notation, such as D_m, would avoid confusion.
- [Throughout] There are several typographical issues, including 'donates' for 'denotes', inconsistent use of p in limiting statements, and undefined scaling in the caption of Figure 3 ('scaled sd(PRS_i)'). These should be corrected in any revision.
Circularity Check
No significant circularity: central CLTs are proven from stated assumptions; self-citations to [62,63] are non-load-bearing.
full rationale
The derivation chain is self-contained. Theorem 1 and Corollary 3.1 are proven in Section S.4 from Lemma S2, a quantitative quadratic-functional CLT, and Lemma S6, a residual-functional CLT, via an explicit leave-one-out decomposition; no parameter is fitted to the quantity whose distribution is being predicted. The cohort-level means in Corollary 3.2, Theorem 3, and Theorem 5 are derived in Theorems S4 and S6 rather than assumed; citations to [62,63] are used only to note consistency with prior first-order limits, and those prior limits do not carry the distributional content of the present paper. The ridge-type results similarly use external anisotropic local laws [35], the fixed-point equation of [6], and an external de-biasing framework [8] for the Gaussian case; the tilting factor r_w is derived from the Stieltjes transform rather than imported as an ansatz from the authors' prior work. The UK Biobank section evaluates the shapes of empirical distributions with Shapiro-Wilk tests and does not fit variance parameters to force agreement with the theorems. The variance normalization issue raised about Lemma S1 is an internal mathematical calibration concern: if the uncentered second moment is used where a centered variance is needed, the standardized statistic would not have unit variance. That is a correctness problem, not a circular reduction, and it does not make any theorem equivalent to its own inputs by construction. No self-definitional, fitted-input-called-prediction, uniqueness-importation, or renamed-known-result pattern is present.
Assumptions & free parameters
assumptions (5)
- domain assumption Assumption 1: rows of X0, Z0, W0 have i.i.d. entries with mean 0, variance 1, bounded eighth moment; Σ has eigenvalues bounded away from 0 and infinity; ||z||2 ≤ C.
- domain assumption Assumption 2: β has i.i.d. entries with mean 0, variance σβ^2/p, only first m nonzero, fourth moment O(p^-1); errors i.i.d. mean 0.
- domain assumption Assumption 4: n ≈ nz ≈ nw ≈ p ≈ m for the reference-panel ridge estimator, with n/nw and p/nw converging.
- domain assumption Assumption S1: Gaussian entries for the traditional ridge estimator.
- standard math Berry-Esseen theorem, martingale CLT, anisotropic local laws, eigenvalue interlacing and Weyl inequalities.
Cite this review
Pith. "Pith review of Uncertainty of high-dimensional genetic data prediction with polygenic risk scores." pith.science (2026). https://pith.science/paper/SWYOPZZP
@misc{pith2026241220611,
author = {Pith},
title = {Pith review of: Uncertainty of high-dimensional genetic data prediction with polygenic risk scores},
year = {2026},
howpublished = {\url{https://pith.science/paper/SWYOPZZP}},
note = {Machine review of arXiv:2412.20611}
}
abstract
In many predictive tasks, there are a large number of true predictors with weak signals, leading to substantial uncertainties in prediction outcomes. The polygenic risk score (PRS) is an example of such a scenario, where many genetic variants are used as predictors for complex traits, each contributing only a small amount of information. Although PRS has been a standard tool in genetic predictions, its uncertainty remains largely unexplored. In this paper, we aim to establish the asymptotic normality of PRS in high-dimensional predictions without sparsity constraints. We investigate the popular marginal and ridge-type estimators in PRS applications, developing central limit theorems for both individual-level predicted values (e.g., genetically predicted human height) and cohort-level prediction accuracy measures (e.g., overall predictive $R$-squared in the testing dataset). Our results demonstrate that ignoring the prediction-induced uncertainty can lead to substantial underestimation of the true variance of PRS-based estimators, which in turn may cause overconfidence in the accuracy of confidence intervals and hypothesis testing. These findings provide key insights omitted by existing first-order asymptotic studies of high-dimensional sparsity-free predictions, which often focus solely on the point limits of predictive risks. We develop novel and flexible second-order random matrix theory results to assess the asymptotic normality of functionals with a general covariance matrix, without assuming Gaussian distributions for the data. We evaluate our theoretical results through extensive numerical analyses using real data from the UK Biobank. Our analysis underscores the importance of incorporating uncertainty assessments at both the individual and cohort levels when applying and interpreting PRS.
Figures
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Pn i=1 E(X2 n,i)→ 1 when n→∞ ; and 29
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[66]
The first two conditions follow trivially from our definition of Xn,i
Pn i=1 E(X4 n,i)→ 0 when n→∞ . The first two conditions follow trivially from our definition of Xn,i. Now we examine the fourth moment of Xn,i. Notice that nX i=1 E(X4 n,i) = E n (a⊤x0b⊤x0− a⊤b)4o σ4n ≤ M n E n (a⊤x0)4(b⊤x0)4o + (a⊤b)4o σ4n for some large constant M. Moreover,...
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[67]
By takingλ =∥b∥4 2/∥a∥4 2, we have ME n (a⊤x0)4(b⊤x0)4o σ4n ≤ 1 n MN r2 → 0, as n→∞
= 1 n MN r2 λ ∥a∥4 2 ∥b∥4 2 + 1 λ ∥b∥4 2 ∥a∥4 2 . By takingλ =∥b∥4 2/∥a∥4 2, we have ME n (a⊤x0)4(b⊤x0)4o σ4n ≤ 1 n MN r2 → 0, as n→∞ . Since σ2≥ Op{(a⊤b)2}≥ s(a⊤b)2 for some small s, we have (a⊤b)4 σ4n ≤ (a⊤b)4 s2(a⊤b)4n = 1 s2n→ 0 as n→∞ . Combining two results a...
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[68]
Pn i=1 E X2 n,i → 1 when n→∞ ; and
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[69]
Pn i=1 E X4 n,i ≤ Op(n−1). Define Lyapunov coefficients as Lt = nX i=1 E Xn,i t , and by using the Berry-Esseen Theorem with Lyapunov coefficient L4, we have the following result sup t∈R |Fn(t)− Φ(t)|≤ cL3≤ c p L4 =⇒ sup t∈R |Fn(t)− Φ(t)|≤ c r τ n for some constantτ decided by...
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[70]
Denote Xn,i = aix⊤ i b q E ∥a∥2 2 ∥b∥2 , we proceed by checking Lyapunov’s conditions
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[71]
Pn i=1 E X2 n,i = nPn i=1 E a2 i ∥b∥2 2 o / n E ∥a∥2 2 ∥b∥2 2 o = 1; and
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31 □ Lemma S4 (Quantitative CLT for linear functional)
Pn i=1 E X4 n,i = hPn i=1 E a4 i n E x4 0− 3 Pp j=1 b4 j + 3∥b∥4 2 oi / E ∥a∥2 2 2 ∥b∥4 2 = Op Pn i=1 E a4 i ∥b∥4 2 / E ∥a∥2 2 2 ∥b∥4 2 → 0 as n→∞. 31 □ Lemma S4 (Quantitative CLT for linear functional). Under Assumption 1, assume X0 is a n× p matrix and some non-deterministic...
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[73]
Pn i=1 E X2 n,i = 1; and
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[74]
Pn i=1 E X4 n,i = Op Pn i=1 E a4 i /E ∥a∥2 2 2 . Define Lyapunov coefficientss as Lt = nX i=1 E Xn,i t , using Berry-Esseen Theorem with the Lyapunov coefficient L4, we have the following result sup t∈R |Fn(t)− Φ(t)|≤ cL3≤ c p L4 =⇒ sup t∈R |Fn(t)− Φ(t)|≤ c vuuutτPn i=1 E a4 i...
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[75]
Pn i=1 E X2 n,i = nPn i=1 E ϵ2 i a2 i o / σ2 ϵ∥a∥2 2 = 1; and
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□ Lemma S6 (Quantiative CLT for residue functional)
Pn i=1 E X4 n,i = n E ϵ4 i Pn i=1 a4 i o / σ4 ϵ∥a∥4 → 0 as n→∞ . □ Lemma S6 (Quantiative CLT for residue functional). Under Assumption 1, assume a to be a deterministic vector, and assume thatϵ is a n×1 random vector where each entry are i.i.d with bounded second and fourth mo...
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[77]
Pn i=1 E X2 n,i = nPn i=1 E ϵ2 i a2 i o / n σ2 ϵ a⊤a o = 1; and
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[78]
Pn i=1 E X4 n,i = n E ϵ4 i Pn i=1 a4 i o / n σ4 ϵ∥a∥4 2 o . Define Lyapunov coefficients as Lt = nX i=1 E Xn,i t , using Berry-Esseen Theorem with the Lyapunov coefficient L4, we have the following result sup t∈R |Fn(t)− Φ(t)|≤ cL3≤ c p L4 =⇒ sup t∈R |Fn(t)− Φ(t)|≤ c vutτE ϵ4 ...
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[79]
ξt is adapted to the filtration Ft
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[80]
Tm = Pm t=1ξt = peβ⊤Σ′eβ−σ2 βTr(Σ′); and
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[81]
o ff-diagonal
var (Tm) = p2 n E(eβ4)− 3σ4 β/p2oPm i=1 Σ′ i,i 2 + 2σ4 βTr(Σ′2) = Θp(m). Denote the conditional variance S m = var(Tm)−1 Pm i=1 E ξ2 t|Ft−1 , we aim to check E|S m− 1|2 → 0 as m→∞ , which leads to S m p → 1 in martingale CLT. We also aim to quantify the convergence behavior in...
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[82]
Pm i=1 E ξ2 m,i = 1; and
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[83]
Recall Lyapunov coefficients are defined as Lt = nX i=1 E Xn,i t
Pm i=1 E ξ4 m,i ≤ Op(m−1). Recall Lyapunov coefficients are defined as Lt = nX i=1 E Xn,i t . Using the Berry-Esseen Theorem [2] with the Lyapunov coefficient L4, we have the following result sup t∈R P mX i=1 ξi < t − Φ(t) ≤ CL3≤ C p L4 =⇒ sup t∈R P mX i...
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[84]
Moreover, we have EZ0 y⊤XZ⊤ZX⊤y = Op(nzn2κ1) and EX0 ∥z⊤ 0iΣ1/2X⊤y∥4 2 = E z4 0− 3 pX j=1 ΣX⊤y 4 j + 3∥Σ1/2X⊤y∥4 2 = Op(n4κ2 1)
Using Lemma S7, for ∀δ∈ (0, 1/2) and∀ϵ1 > 0, we have P y⊤XZ⊤ZX⊤y− nzy⊤XΣX⊤y < n1/2+δ z n2κ1ϵ1 ≥ 1− C ϵ2 1n2δz . Moreover, we have EZ0 y⊤XZ⊤ZX⊤y = Op(nzn2κ1) and EX0 ∥z⊤ 0iΣ1/2X⊤y∥4 2 = E z4 0− 3 pX j=1 ΣX⊤y 4 j + 3∥Σ1/2X⊤y∥4 2 = Op(n4κ2 1). Similarly, note that E z⊤ 0 ΣX⊤y 8 =...
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[85]
A B C D #−1 =
It helps us eliminate all higher moment terms in our later analysis. Proposition S3. (Originally proposed in [4]) Let x = (x1,··· , xn)⊤ be i.i.d. standardized entries and A be an n× n matrix. For any p≥ 2, we have E x⊤Ax− Tr(A) p ≤ Kp n E|x1|4Tr(AA⊤) op/2 + E|x1|2pTr(AA⊤)p/2 ...
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[86]
eκ2 = Tr(Σ1/2RΣRΣ1/2)
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eκ5 = Tr n (ΣRΣIm)2o ; and
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[88]
Notice that for β∈ Ξ5, we can further simplify our Berry-Esseen upper bounds in eq
eκ6 = Tr(ΣRΣIm). Notice that for β∈ Ξ5, we can further simplify our Berry-Esseen upper bounds in eq. (S.10) as follows Op vuuuuuut nz n2 neω1 +eκ2∥Σ1/2β∥2 2 2 + n2eκ2 2 + Op(p1/2+δ) n2z n2 neω1 +eκ2∥Σ1/2β∥2 2 2 + n2eκ2 2 + Op(p3/2+δ) = Op ...
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[89]
−Σ(1 + mnΣ)−1 0 0 mn # , and Σ =
Tr n (ΣRΣIm)2o . The matrix Im does not cause trouble for the first three quantities as we only sum up tom terms. However, the last quantity requires more non-trivial analysis, as we cannot avoid the matrix Im in its complicated structure. This makes the analysis much di ffere...
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[90]
de-biased
First, we decompose∥y− Xbβ∥2 2 as follows ∥y− Xbβ∥2 2 = y⊤y− 2y⊤X(X⊤X + nλIp)−1X⊤y + y⊤X(X⊤X + nλIp)−1X⊤X(X⊤X + nλIp)−1X⊤y. The concentration of the first term can be obtained by applying Proposition S3, where we have y⊤y n β⊤Σβ +σ2ϵ p → 1. The second term can be further decom...
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[91]
y⊤X(X⊤X + nλIp)−1Σ(X⊤X + nIp)−1X⊤y and
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[92]
S.10.4.1 Concentration for the first quantity In this section, we provide concentration for y⊤X(X⊤X + nλIp)−1Σ(X⊤X + nλIp)−1X⊤y in three steps
β⊤Σ(X⊤X + nλIp)−1X⊤y. S.10.4.1 Concentration for the first quantity In this section, we provide concentration for y⊤X(X⊤X + nλIp)−1Σ(X⊤X + nλIp)−1X⊤y in three steps. Step 1: Decomposing y⊤X(X⊤X + nλIp)−1Σ(X⊤X + nλIp)−1X⊤y, we have y⊤XRΣRX⊤y = β⊤X⊤XRΣRX⊤Xβ + ϵ⊤XRΣRX⊤ϵ + 2ϵ⊤XRΣR...
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[93]
( ϵ⊤ z + β⊤Z)(Z⊤β + ϵz) and
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[94]
For the first quantity (ϵ⊤ z + β⊤Z)(Z⊤β + ϵz), recall in eq
y⊤X(X⊤X + nλIp)−1Z⊤Z(X⊤X + nλIp)−1X⊤y. For the first quantity (ϵ⊤ z + β⊤Z)(Z⊤β + ϵz), recall in eq. (S.13) we have shown that P ∥Zβ + ϵz∥2 2− nz(σ2 βγ1 +σ2 ϵz) ≤ Op(n1/2+δ z ) ≥ 1− Op(n−2δ z ). (S.7) For the second quantity y⊤X(X⊤X + nλIp)−1Z⊤Z(X⊤X + nλIp)−1X⊤y, we have shown ...
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