Evidence map›Paper›PMID 39613928›Full record

ArticleNPJ digital medicine2024

A machine-learned model for predicting weight loss success using weight change features early in treatment.

Farzad Shahabi, Samuel L Battalio, Angela Fidler Pfammatter, Donald Hedeker, Bonnie Spring, Nabil Alshurafa

Abstract read
In one paragraph

Article in NPJ digital medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Farzad ShahabiDepartment of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA. farzad.shahabi@northwestern.edu.
Samuel L BattalioDepartment of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Angela Fidler PfammatterCollege of Education, Health, and Human Sciences, University of Tennessee, Knoxville, TN, USA.
Donald HedekerDepartment of Public Health Sciences, The University of Chicago, Chicago, IL, USA.
Bonnie SpringDepartment of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.ORCID http://orcid.org/0000-0003-0692-9868
Nabil AlshurafaDepartment of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.ORCID http://orcid.org/0000-0001-6681-7564

Funding

SMARTer weight loss managementR01DK134629 · NIDDK · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Bonnie Spring · 2023 to 2026
$2.3M
Methodological and data-driven approach to infer durable behavior change from mHealth dataR01DK125414 · NIDDK · NORTHWESTERN UNIVERSITY AT CHICAGO · PI HEDEKER, DONALD, SPRING, BONNIE · 2020 to 2023
$2.0M
A Mixed-Methods Evaluation of mHealth Weight Management for Racial/Ethnic MinoritiesF31HL162555 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI BATTALIO, SAMUEL LOUIS · 2022 to 2024
$130k
NHLBI NIH HHS F31 HL162555NIDDK NIH HHS R01 DK125414NIDDK NIH HHS R01 DK134629U.S. Department of Health & Human Services | NIH | National Heart, Lung, and Blood Institute (NHLBI) F31HL162555
6 · The paper itself

Abstract

Stepped-care obesity treatments aim to improve efficiency by early identification of non-responders and adjusting interventions but lack validated models. We trained a random forest classifier to improve the predictive utility of a clinical decision rule (>0.5 lb weight loss/week) that identifies non-responders in the first 2 weeks of a stepped-care weight loss trial (SMART). From 2009 to 2021, 1058 individuals with obesity participated in three studies: SMART, Opt-IN, and ENGAGED. The model was trained on 80% of the SMART data (224 participants), and its in-distribution generalizability was tested on the remaining 20% (remaining 57 participants). The out-of-distribution generalizability was tested on the ENGAGED and Opt-IN studies (472 participants). The model predicted weight loss at month 6 with an 84.5% AUROC and an 86.3% AUPRC. SHAP identified predictive features: weight loss at week 2, ranges/means and ranges of weight loss, slope, and age. The SMART-trained model showed generalizable performance with no substantial difference across studies.

Identifiers

PMID39613928
PMCPMC11607303

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.