Using data mining to predict success in a weight loss trial.

作者: M. Batterham , L. Tapsell , K. Charlton , J. O'Shea , R. Thorne

DOI: 10.1111/JHN.12448

关键词: Data miningAdditive modelConfidence intervalRegressionLogistic regressionMedicineMultivariate adaptive regression splinesLogitDecision treeWeight loss

摘要: Background Traditional methods for predicting weight loss success use regression approaches, which make the assumption that relationships between independent and dependent (or logit of dependent) variable are linear. The aim present study was to investigate relationship common demographic early variables predict at 12 months without making this assumption. Methods Data mining (decision trees, generalised additive models multivariate adaptive splines), in addition logistic regression, were employed predict: (i) (defined as ≥5%) end a 12-month dietary intervention using [body mass index (BMI), sex age]; percentage 1 month; (iii) difference actual predicted an energy balance model. compared by assessing model parsimony area under curve (AUC). Results The decision tree provided most clinically useful had good accuracy (AUC 0.720 95% confidence interval = 0.600–0.840). Percentage month (≥0.75%) strongest predictor successful loss. Within those individuals losing ≥0.75%, with BMI (≥27 kg m–2) more likely be than 25 27 m–2. Conclusions Data can provide accurate way when conventional assumptions not met. In study, parsimonious Given cannot before randomisation, incorporating information into post randomisation trial design may give better results.

参考文章(34)
Marijka Batterham, Linda C. Tapsell, Karen E. Charlton, Predicting dropout in dietary weight loss trials using demographic and early weight change characteristics: Implications for trial design Obesity Research & Clinical Practice. ,vol. 10, pp. 189- 196 ,(2016) , 10.1016/J.ORCP.2015.05.005
Jessica L. Unick, Patricia E. Hogan, Rebecca H. Neiberg, Lawrence J. Cheskin, Gareth R. Dutton, Gina Evans-Hudnall, Robert Jeffery, Abbas E. Kitabchi, Julie A. Nelson, F. Xavier Pi-Sunyer, Delia Smith West, Rena R. Wing, , Evaluation of early weight loss thresholds for identifying nonresponders to an intensive lifestyle intervention. Obesity. ,vol. 22, pp. 1608- 1616 ,(2014) , 10.1002/OBY.20777
Inês Santos, Jutta Mata, Marlene N. Silva, Luís B. Sardinha, Pedro J. Teixeira, Predicting long‐term weight loss maintenance in previously overweight women: A signal detection approach Obesity. ,vol. 23, pp. 957- 964 ,(2015) , 10.1002/OBY.21082
Donald A. Williamson, George A. Bray, Donna H. Ryan, Is 5% weight loss a satisfactory criterion to define clinically significant weight loss? Obesity. ,vol. 23, pp. 2319- 2320 ,(2015) , 10.1002/OBY.21358
I. Moroshko, L. Brennan, P. O'Brien, Predictors of dropout in weight loss interventions: A systematic review of the literature Obesity Reviews. ,vol. 12, pp. 912- 934 ,(2011) , 10.1111/J.1467-789X.2011.00915.X
A E Ivanescu, P Li, B George, A W Brown, S W Keith, D Raju, D B Allison, The importance of prediction model validation and assessment in obesity and nutrition research. International Journal of Obesity. ,vol. 40, pp. 887- 894 ,(2016) , 10.1038/IJO.2015.214
Marijka J. Batterham, Linda C. Tapsell, Karen E. Charlton, Analyzing weight loss intervention studies with missing data: Which methods should be used? Nutrition. ,vol. 29, pp. 1024- 1029 ,(2013) , 10.1016/J.NUT.2013.01.017
Daniel Almirall, Inbal Nahum-Shani, Nancy E. Sherwood, Susan A. Murphy, Introduction to SMART designs for the development of adaptive interventions: with application to weight loss research Translational behavioral medicine. ,vol. 4, pp. 260- 274 ,(2014) , 10.1007/S13142-014-0265-0
Carsten F Dormann, Jane Elith, Sven Bacher, Carsten Buchmann, Gudrun Carl, Gabriel Carré, Jaime R García Marquéz, Bernd Gruber, Bruno Lafourcade, Pedro J Leitão, Tamara Münkemüller, Colin McClean, Patrick E Osborne, Björn Reineking, Boris Schröder, Andrew K Skidmore, Damaris Zurell, Sven Lautenbach, None, Collinearity: a review of methods to deal with it and a simulation study evaluating their performance Ecography. ,vol. 36, pp. 27- 46 ,(2013) , 10.1111/J.1600-0587.2012.07348.X
Miao Jiang, E. Michael Foster, Duration of Breastfeeding and Childhood Obesity: A Generalized Propensity Score Approach Health Services Research. ,vol. 48, pp. 628- 651 ,(2013) , 10.1111/J.1475-6773.2012.01456.X