Obesity

A prediction model for childhood obesity risk based on maternal thyroid status and related parameters using machine learning: a mother–newborn–offspring study in a mild-to-moderate iodine deficiency area

Int J Obes (Lond)Published Diagnostic accuracy study

Authors' conclusion

Machine learning approaches show promise in predicting childhood obesity risk using maternal and dietary factors during pregnancy. If validated, these findings could support interventions to reduce childhood obesity rates.

Study context

Population
Mother–newborn–offspring prospective cohort in a mild-to-moderate iodine deficiency region; maternal iodine status and thyroid function (incl. FT3) assessed in the second half of pregnancy87 parameters
Participants
191 participants
Comparison
Six machine learning models predicting overweight at 2 years
Outcome
Overweight at 2 years (gender-adjusted weight percentile >85%)
Follow-up
2 years
Methodological detailsmachine learning, prospective mother–newborn–offspring cohort, 5-fold cross-validation, 80% training / 20% test split, synthetic datasets
  • Machine learning
  • Prospective mother–newborn–offspring cohort
  • 5-fold cross-validation
  • 80% training / 20% test split
  • Synthetic datasets

Performance

As reported in the abstract

Prediction of overweight at 2 years on unseen test data
Test or modelAccuracyKappaOutcome F1-scoreWeighted F1
Neural networks (Nnet)0.7430.3470.5000.769

Neural networks (Nnet)

Accuracy0.743
Kappa0.347
Outcome F1-score0.500
Weighted F10.769

Further findings

Significant predictors

Gravidity, maternal height, newborn head circumference, maternal consumption and dietary intake of iodine-rich foods (popsicle, selected fish, yogurt) and FT3

Original publication

A prediction model for childhood obesity risk based on maternal thyroid status and related parameters using machine learning: a mother–newborn–offspring study in a mild-to-moderate iodine deficiency area. Int J Obes (Lond). Published 26 December 2025. doi:10.1038/s41366-025-01988-y

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