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        <identifier>oai:figshare.com:article/33971194</identifier>
        <datestamp>2026-09-23T05:53:42Z</datestamp>
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          <dc:title>Supplementary file 1_An interpretable machine-learning model identifies obesity-related metabolic complications in children attending a tertiary obesity clinic.zip</dc:title>
          <dc:creator>Tingting Li (10553)</dc:creator>
          <dc:creator>Nan Nan (589273)</dc:creator>
          <dc:creator>Wenjie Wei (777256)</dc:creator>
          <dc:creator>Ying Zhu (90057)</dc:creator>
          <dc:creator>Jiayue Li (5819225)</dc:creator>
          <dc:creator>Lingzhi Zhang (1290495)</dc:creator>
          <dc:creator>Bingwu Wang (2038567)</dc:creator>
          <dc:creator>Zhenqiang Da (25094605)</dc:creator>
          <dc:creator>Jiaxin Chai (24530792)</dc:creator>
          <dc:creator>Cheng Wang (102692)</dc:creator>
          <dc:creator>Xingwen Xie (15364183)</dc:creator>
          <dc:subject>Foetal Development and Medicine</dc:subject>
          <dc:subject>body composition</dc:subject>
          <dc:subject>childhood obesity</dc:subject>
          <dc:subject>LASSO</dc:subject>
          <dc:subject>machine learning</dc:subject>
          <dc:subject>metabolic complications</dc:subject>
          <dc:subject>risk prediction</dc:subject>
          <dc:description>&lt;p&gt;Childhood obesity-related metabolic complications are common in Northwest China, yet region-specific evidence and risk-stratification tools are lacking. In a single-visit cross-sectional study of 131 children (3–18 years) with overweight or obesity attending a Gansu maternal and child-care hospital, obesity-related metabolic complications (ORMC) were present in 31.3% (dyslipidaemia 16.0%, hyperuricaemia 9.2%, elevated blood pressure 7.6%). An interpretable model combining LASSO-selected adiposity measures (body mass index, neck circumference, body fat percentage) with penalised logistic regression achieved moderate, internally cross-validated discrimination (AUC 0.72, 95% CI 0.62-0.82) that awaits external validation, comparable to a random forest (0.73). Screen time was the strongest modifiable behavioural correlate. Routine metabolic screening and simple body-composition measures should be embedded in paediatric obesity clinics, with screen-time reduction as a counselling priority.&lt;/p&gt;</dc:description>
          <dc:date>2026-09-23T05:53:42Z</dc:date>
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          <dc:identifier>10.3389/fped.2026.1969179.s002</dc:identifier>
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