H. Timothy Bunnell

Hamed Fayyaz, Thao-Ly T. Phan, H. Timothy Bunnell et al.

Childhood obesity is a major public health concern. Multidisciplinary pediatric weight management programs are considered standard treatment for children with obesity and severe obesity who are not able to be successfully managed in the primary care setting; however, high drop-out rates (referred to as attrition) are a major hurdle in delivering successful interventions. Predicting attrition patterns can help providers reduce the attrition rates. Previous work has mainly focused on finding static predictors of attrition using statistical analysis methods. In this study, we present a machine learning model to predict (a) the likelihood of attrition, and (b) the change in body-mass index (BMI) percentile of children, at different time points after joining a weight management program. We use a five-year dataset containing the information related to around 4,550 children that we have compiled using data from the Nemours Pediatric Weight Management program. Our models show strong prediction performance as determined by high AUROC scores across different tasks (average AUROC of 0.75 for predicting attrition, and 0.73 for predicting weight outcomes). Additionally, we report the top features predicting attrition and weight outcomes in a series of explanatory experiments.

Mehak Gupta, Thao-Ly T. Phan, Timothy Bunnell et al.

Childhood obesity is a major public health challenge. Early prediction and identification of the children at a high risk of developing childhood obesity may help in engaging earlier and more effective interventions to prevent and manage obesity. Most existing predictive tools for childhood obesity primarily rely on traditional regression-type methods using only a few hand-picked features and without exploiting longitudinal patterns of children data. Deep learning methods allow the use of high-dimensional longitudinal datasets. In this paper, we present a deep learning model designed for predicting future obesity patterns from generally available items on children medical history. To do this, we use a large unaugmented electronic health records dataset from a large pediatric health system. We adopt a general LSTM network architecture which are known to better represent the longitudinal data. We train our proposed model on both dynamic and static EHR data. Our model is used to predict obesity for ages between 2-20 years. We compared the performance of our LSTM model with other machine learning methods that aggregate over sequential data and ignore temporality. To add interpretability, we have additionally included an attention layer to calculate the attention scores for the timestamps and rank features of each timestamp.