Accuracy of a mixed effects model interpolation technique for the estimation of pregnancy weight values.


Journal

Journal of epidemiology and community health
ISSN: 1470-2738
Titre abrégé: J Epidemiol Community Health
Pays: England
ID NLM: 7909766

Informations de publication

Date de publication:
08 2019
Historique:
received: 25 05 2018
revised: 17 04 2019
accepted: 04 05 2019
pubmed: 4 6 2019
medline: 28 11 2020
entrez: 2 6 2019
Statut: ppublish

Résumé

Interpolation of missing weight values is sometimes used in studies of gestational weight gain, but the accuracy of these methods has not been established. Our objective was to assess the accuracy of estimated weight values obtained by interpolating from the nearest observed weight values and by linear and spline regression models when compared with measured weight values. The study population included participants enrolled in the LIFECODES cohort at Brigham and Women's Hospital. We estimated weights at 28 (n=764) and 40 (n=382) weeks of gestation using participants' two nearest observed weights and subject-specific slopes and intercepts derived from repeated measures mixed effects models. In separate models, gestational age was parameterised as a linear and restricted cubic spline variable. Mean differences, absolute error measures and correlation coefficients comparing observed and estimated weights were calculated. Mean differences and mean absolute error for weights derived from the 28-week linear model (0.18 lbs (SD 6.92), 2.73 lbs (SD 6.35)) and 40-week linear model (-0.40 lbs (SD 5.43) and 2.84 lbs (SD 4.65)) were low. Mean differences were somewhat greater at 28 weeks for weight values derived from the nearest two observed values (mean difference -1.97 lbs (SD 8.74)) and from spline models (mean difference -2.25 lbs (SD 7.13)). Results were similar at 40 weeks. Overall, weight values estimated using this interpolation approach showed good agreement with observed values. When repeated measures of weight are available, mixed effects models may be used to interpolate of missing weight values with minimal error.

Sections du résumé

BACKGROUND
Interpolation of missing weight values is sometimes used in studies of gestational weight gain, but the accuracy of these methods has not been established. Our objective was to assess the accuracy of estimated weight values obtained by interpolating from the nearest observed weight values and by linear and spline regression models when compared with measured weight values.
METHODS
The study population included participants enrolled in the LIFECODES cohort at Brigham and Women's Hospital. We estimated weights at 28 (n=764) and 40 (n=382) weeks of gestation using participants' two nearest observed weights and subject-specific slopes and intercepts derived from repeated measures mixed effects models. In separate models, gestational age was parameterised as a linear and restricted cubic spline variable. Mean differences, absolute error measures and correlation coefficients comparing observed and estimated weights were calculated.
RESULTS
Mean differences and mean absolute error for weights derived from the 28-week linear model (0.18 lbs (SD 6.92), 2.73 lbs (SD 6.35)) and 40-week linear model (-0.40 lbs (SD 5.43) and 2.84 lbs (SD 4.65)) were low. Mean differences were somewhat greater at 28 weeks for weight values derived from the nearest two observed values (mean difference -1.97 lbs (SD 8.74)) and from spline models (mean difference -2.25 lbs (SD 7.13)). Results were similar at 40 weeks.
CONCLUSIONS
Overall, weight values estimated using this interpolation approach showed good agreement with observed values. When repeated measures of weight are available, mixed effects models may be used to interpolate of missing weight values with minimal error.

Identifiants

pubmed: 31152073
pii: jech-2018-211094
doi: 10.1136/jech-2018-211094
doi:

Types de publication

Journal Article Research Support, N.I.H., Extramural

Langues

eng

Sous-ensembles de citation

IM

Pagination

786-792

Subventions

Organisme : NICHD NIH HHS
ID : T32 HD052458
Pays : United States

Informations de copyright

© Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

Auteurs

Anne Marie Darling (AM)

Epidemiology, Boston University School of Public Health, Boston, Massachusetts, USA annemarie.darling@gmail.com.

Martha M Werler (MM)

Department of Epidemiology, Boston University School of Public Health, Boston, Massachusetts, USA.
BUSPH Epidemiology.

David E Cantonwine (DE)

Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.

Wafaie W Fawzi (WW)

Department of Epidemiology, Harvard School of Public Health, Boston, Massachusetts, USA.

Thomas F McElrath (TF)

Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.

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