Obesity

Longitudinal prediction of body mass index (BMI) using explainable AI: integrating polygenic scores, maternal, early-life and familial factors

Int J Obes (Lond)Published Prospective cohort study

Authors' conclusion

The interpretable KAN model revealed the dynamic interplay of childhood BMI z-score and PGS emerging as key drivers of BMI trajectories across life stages. The finding underscores the potential of BMI at critical time in early childhood as a biomarker for obesity risk. Our interpretable model offers actionable insights for targeted obesity prevention strategies.

Study context

Population
Raine Study Gen2 cohort; BMI measured at ages 8, 10, 14, 17, 20, 23 and 27 years; predictors: maternal and paternal anthropometrics, parental education, early-life skinfold measurements and seven BMI-related polygenic scores (PGS)recruited
Participants
2,868 participants
Outcome
Prediction of BMI trajectories from childhood to early adulthood
Follow-up
Ages 8 to 27 years
Methodological detailsprediction modelling with explainable AI, longitudinal, observational, Kolmogorov-Arnold Networks (KAN) alongside conventional machine learning models
  • Prediction modelling with explainable AI
  • Longitudinal
  • Observational
  • Kolmogorov-Arnold Networks (KAN) alongside conventional machine learning models

Main finding

As reported in the abstract

Predictive performance of KAN model (epidemiological + PGS data) for BMI

R² for BMI at age 8

0.81

R² for BMI at age 27

0.34

Observational data: associations, not effects.

Original publication

Longitudinal prediction of BMI using explainable AI: integrating polygenic scores, maternal, early-life and familial factors. Int J Obes (Lond). Published 16 March 2026. doi:10.1038/s41366-026-02050-1

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