Predicting childhood overweight and obesity using maternal and early life risk factors: a systematic review

N Ziauddeen1, P J Roderick1, N S Macklon2

  • 1Academic Unit of Primary Care and Population Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.

Insights

Identifying childhood obesity risk is crucial. This review found many prediction models exist, but most lack external validation and standardized reporting, hindering their use in preventing childhood obesity.

Area of Science:

  • Public Health
  • Pediatrics
  • Epidemiology

Background:

  • Childhood obesity presents a significant public health concern.
  • Early identification of at-risk children is a priority for intervention.
  • Systematic review of prediction models for childhood overweight/obesity is needed.

Purpose of the Study:

  • To systematically review existing prediction models for childhood overweight/obesity.
  • To critically assess the methodology used in developing and validating these models.
  • To evaluate the reporting standards of childhood obesity prediction models.

Main Methods:

  • Systematic literature search of Medline and Embase databases.
  • Inclusion of studies developing or validating prediction models for ages 1-13 years.
  • Data extraction using the Cochrane CHARMS checklist for Prognosis Methods.

Main Results:

  • Ten studies were identified, developing or validating prediction models.
  • Six of eight models used automated variable selection; two employed multiple imputation for missing data.
  • Common predictors included maternal body mass index, birthweight, and gender, though only seven were used across multiple models.

Conclusions:

  • Multiple prediction models for childhood obesity are available.
  • Most models lack external validation and comparative analysis for improved performance.
  • Methodological limitations and non-standard reporting impede the practical implementation of these models for obesity prevention.
Abstract

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