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1.
PLoS Comput Biol ; 20(3): e1011976, 2024 Mar.
Article in English | MEDLINE | ID: mdl-38483981

ABSTRACT

The potential effects of conservation actions on threatened species can be predicted using ensemble ecosystem models by forecasting populations with and without intervention. These model ensembles commonly assume stable coexistence of species in the absence of available data. However, existing ensemble-generation methods become computationally inefficient as the size of the ecosystem network increases, preventing larger networks from being studied. We present a novel sequential Monte Carlo sampling approach for ensemble generation that is orders of magnitude faster than existing approaches. We demonstrate that the methods produce equivalent parameter inferences, model predictions, and tightly constrained parameter combinations using a novel sensitivity analysis method. For one case study, we demonstrate a speed-up from 108 days to 6 hours, while maintaining equivalent ensembles. Additionally, we demonstrate how to identify the parameter combinations that strongly drive feasibility and stability, drawing ecological insight from the ensembles. Now, for the first time, larger and more realistic networks can be practically simulated and analysed.


Subject(s)
Ecosystem , Monte Carlo Method , Forecasting
2.
J Math Biol ; 88(3): 28, 2024 02 15.
Article in English | MEDLINE | ID: mdl-38358410

ABSTRACT

Agent-based models (ABMs) are readily used to capture the stochasticity in tumour evolution; however, these models are often challenging to validate with experimental measurements due to model complexity. The Voronoi cell-based model (VCBM) is an off-lattice agent-based model that captures individual cell shapes using a Voronoi tessellation and mimics the evolution of cancer cell proliferation and movement. Evidence suggests tumours can exhibit biphasic growth in vivo. To account for this phenomena, we extend the VCBM to capture the existence of two distinct growth phases. Prior work primarily focused on point estimation for the parameters without consideration of estimating uncertainty. In this paper, approximate Bayesian computation is employed to calibrate the model to in vivo measurements of breast, ovarian and pancreatic cancer. Our approach involves estimating the distribution of parameters that govern cancer cell proliferation and recovering outputs that match the experimental data. Our results show that the VCBM, and its biphasic extension, provides insight into tumour growth and quantifies uncertainty in the switching time between the two phases of the biphasic growth model. We find this approach enables precise estimates for the time taken for a daughter cell to become a mature cell. This allows us to propose future refinements to the model to improve accuracy, whilst also making conclusions about the differences in cancer cell characteristics.


Subject(s)
Neoplasms , Humans , Calibration , Bayes Theorem , Cell Proliferation , Cell Shape
3.
Sci Rep ; 14(1): 3191, 2024 Feb 08.
Article in English | MEDLINE | ID: mdl-38326402

ABSTRACT

Soil carbon accounting and prediction play a key role in building decision support systems for land managers selling carbon credits, in the spirit of the Paris and Kyoto protocol agreements. Land managers typically rely on computationally complex models fit using sparse datasets to make these accounts and predictions. The model complexity and sparsity of the data can lead to over-fitting, leading to inaccurate results when making predictions with new data. Modellers address over-fitting by simplifying their models and reducing the number of parameters, and in the current context this could involve neglecting some soil organic carbon (SOC) components. In this study, we introduce two novel SOC models and a new RothC-like model and investigate how the SOC components and complexity of the SOC models affect the SOC prediction in the presence of small and sparse time series data. We develop model selection methods that can identify the soil carbon model with the best predictive performance, in light of the available data. Through this analysis we reveal that commonly used complex soil carbon models can over-fit in the presence of sparse time series data, and our simpler models can produce more accurate predictions.

4.
BMC Bioinformatics ; 25(1): 3, 2024 Jan 02.
Article in English | MEDLINE | ID: mdl-38166586

ABSTRACT

BACKGROUND: Uniform random sampling of mass-balanced flux solutions offers an unbiased appraisal of the capabilities of metabolic networks. Unfortunately, it is impossible to avoid thermodynamically infeasible loops in flux samples when using convex samplers on large metabolic models. Current strategies for randomly sampling the non-convex loopless flux space display limited efficiency and lack theoretical guarantees. RESULTS: Here, we present LooplessFluxSampler, an efficient algorithm for exploring the loopless mass-balanced flux solution space of metabolic models, based on an Adaptive Directions Sampling on a Box (ADSB) algorithm. ADSB is rooted in the general Adaptive Direction Sampling (ADS) framework, specifically the Parallel ADS, for which theoretical convergence and irreducibility results are available for sampling from arbitrary distributions. By sampling directions that adapt to the target distribution, ADSB traverses more efficiently the sample space achieving faster mixing than other methods. Importantly, the presented algorithm is guaranteed to target the uniform distribution over convex regions, and it provably converges on the latter distribution over more general (non-convex) regions provided the sample can have full support. CONCLUSIONS: LooplessFluxSampler enables scalable statistical inference of the loopless mass-balanced solution space of large metabolic models. Grounded in a theoretically sound framework, this toolbox provides not only efficient but also reliable results for exploring the properties of the almost surely non-convex loopless flux space. Finally, LooplessFluxSampler includes a Markov Chain diagnostics suite for assessing the quality of the final sample and the performance of the algorithm.


Subject(s)
Algorithms , Models, Biological , Metabolic Networks and Pathways , Research Design , Adaptation, Physiological
5.
PLoS One ; 18(7): e0288445, 2023.
Article in English | MEDLINE | ID: mdl-37471391

ABSTRACT

Ecological dynamics are strongly influenced by the relationship between prey density and predator feeding behavior-that is, the predatory functional response. A useful understanding of this relationship requires us to distinguish between competing models of the functional response, and to robustly estimate the model parameters. Recent advances in this topic have revealed bias in model comparison, as well as in model parameter estimation in functional response studies, mainly attributed to the quality of data. Here, we propose that an adaptive experimental design framework can mitigate these challenges. We then present the first practical demonstration of the improvements it offers over standard experimental design. Our results reveal that adaptive design can efficiently identify the preferred functional response model among the competing models, and can produce much more precise posterior distributions for the estimated functional response parameters. By increasing the efficiency of experimentation, adaptive experimental design will lead to reduced logistical burden.


Subject(s)
Predatory Behavior , Research Design , Animals , Female , Male , Models, Biological , Predatory Behavior/physiology , Reproducibility of Results
6.
Am J Drug Alcohol Abuse ; 49(5): 566-575, 2023 09 03.
Article in English | MEDLINE | ID: mdl-37358833

ABSTRACT

Background: The numbers of days people consume alcohol and other drugs over a fixed interval, such as 28 days, are often collected in surveys of substance use. The presence of an upper bound on these variables can result in response distributions with "ceiling effects." Also, if some peoples' substance use behaviors are characterized by weekly patterns of use, summaries of substance days-of-use over longer periods can exhibit multiple modes.Objective: To highlight advantages of ordinal models with a separate level for each distinct survey response, for bounded, and potentially multimodal, count data.Methods: We fitted a Bayesian proportional odds ordinal model to longitudinal cannabis days-of-use reported by 443 individuals who used illicit drugs (206 female, 214 male, 23 non-binary). We specified an ordinal level for each unique response to allow the exact numeric distribution implied by the predicted ordinal response to be inferred. We then compared the fit of the proportional odds model with binomial, negative binomial, hurdle negative binomial and beta-binomial models.Results: Posterior predictive checks and the leave one out information criterion both suggested that the proportional odds model gave a better fit to the cannabis days-of-use data than the other models. Cannabis use among the target population declined during the COVID-19 pandemic in Australia, with the odds of a member of the population exceeding any specified frequency of cannabis use in Wave 4 estimated to be 73% lower than in Wave 1 (median odds ratio 0.27, 90% credible interval 0.19, 0.38).Conclusion: Ordinal models can be suitable for complex count data.


Subject(s)
COVID-19 , Substance-Related Disorders , Humans , Male , Female , Pandemics , Bayes Theorem , Models, Statistical , Substance-Related Disorders/epidemiology , COVID-19/epidemiology
8.
Philos Trans A Math Phys Eng Sci ; 381(2247): 20220156, 2023 May 15.
Article in English | MEDLINE | ID: mdl-36970822

ABSTRACT

Building on a strong foundation of philosophy, theory, methods and computation over the past three decades, Bayesian approaches are now an integral part of the toolkit for most statisticians and data scientists. Whether they are dedicated Bayesians or opportunistic users, applied professionals can now reap many of the benefits afforded by the Bayesian paradigm. In this paper, we touch on six modern opportunities and challenges in applied Bayesian statistics: intelligent data collection, new data sources, federated analysis, inference for implicit models, model transfer and purposeful software products. This article is part of the theme issue 'Bayesian inference: challenges, perspectives, and prospects'.

9.
Placenta ; 131: 23-27, 2023 01.
Article in English | MEDLINE | ID: mdl-36469959

ABSTRACT

INTRODUCTION: Ultrasound elastography shows diagnostic promise via the non-invasive determination of placental elastic properties. A limitation is a potential for inadequate measurements from posterior placentae. This study aimed to analyse placental position's influence on measures of shear wave elastography (SWV). METHODS: SWV elastography measurements were obtained via ultrasound at 24, 28 and 36 weeks gestation from 238 pregnancies. . The placental position was labelled as either anterior, posterior or fundal/lateral. Average SWV measurements (m/s) and the corresponding standard deviations (SD) were used for data analysis. RESULTS: There was a statistically significant difference between SWV recorded from anterior (1.33 ± 0.19)m/s and posterior (1.39 ± 0.18)m/s placentae (p < 0.001). However, the average sampling depth between these groups was significantly different (3.98 cm vs. 5.38 cm, p < 0.001). There was no statistically significant difference between SWV when measurements were compared at similar depths, regardless of placental location. The addition of placental position to a previously developed mixed-effects model confirmed placental position did not result in improved SWV measurements. In this model, sampling depth remained the best predictor for SWV. CONCLUSIONS: This study showed that placental position does not influence the accuracy or reliability of SWV.


Subject(s)
Elasticity Imaging Techniques , Placenta , Pregnancy , Humans , Female , Placenta/diagnostic imaging , Reproducibility of Results , Ultrasonography , Gestational Age
10.
Ultrasound Med Biol ; 49(1): 398-409, 2023 01.
Article in English | MEDLINE | ID: mdl-36266142

ABSTRACT

Shear wave elastography is an emerging diagnostic tool used to assess for changes in the stiffness of muscle. Each region of the muscle may have a different stiffness; therefore, the anatomical region should be carefully selected. Machine vendors each have unique methods for calculating the returned stiffness values and, consequently, a high level of agreement in measurement between machines (quantified using the intraclass correlation coefficient [ICC] and Bland-Altman analysis) will allow research findings to be translated to the clinic. This study assessed three locations within the biceps muscle (50% and 75% of the distance between the acromioclavicular joint and antecubital fossa, and superior to distal myotendinous junction [MTJ]) of 32 healthy volunteers with two different machines, the Canon Aplio i600 and SuperSonic Imagine Aixplorer (SSI), to compare the reported shear wave velocities and the variability by coefficient of variation (CV) and ICC. There was no difference in the CV between machines, but a significant difference in the CV at muscle regions, with the 75% location having a 40.2% reduction in CV. The 75% location had the highest ICC values with good posterior mean ICCs of 0.84 on the Canon and 0.83 on the SSI. The 50% and MTJ locations had poor ICC values. The 75% location provided the lowest CV and highest ICC and should be used for future stiffness assessments.


Subject(s)
Elasticity Imaging Techniques , Humans , Elasticity Imaging Techniques/methods , Ultrasonography/methods , Arm/diagnostic imaging , Muscle, Skeletal/diagnostic imaging , Elbow , Reproducibility of Results
11.
Eur J Sport Sci ; 23(8): 1731-1740, 2023 Aug.
Article in English | MEDLINE | ID: mdl-36106465

ABSTRACT

This randomized cross-over study tested the hypothesis that heat acclimation training would detrimentally affect sleep variables and alter incidental physical activity compared to a thermoneutral training control condition. Eight recreationally trained males (V̇O2peak 49±4.9 mL.kg-1.min-1) completed two separate interventions separated by at least 31 days: 5 consecutive day training blocks of moderate-intensity cycling (60 min·day-1 at 50% peak power output) in a hot (34.9±0.7 °C and 53±4 % relative humidity) and a temperate (22.2±2.6 °C; 65±8 % relative humidity) environment. Wrist-mounted accelerometers were worn continuously for the length of the training blocks and recorded physical activity, sleep quality and quantity. Data were analysed in a Bayesian framework, with the results presented as the posterior probability that a coefficient was greater or less than zero. Compared to the temperate training environment, heat acclimation impaired sleep efficiency (Pr ß<0 = .979) and wake on sleep onset (Pr ß>0 = .917). Daily sedentary time was, on average, 35 min longer (Pr ß>0 = .973) and light physical activity time 18 min shorter (Pr ß>0 = .960) during the heat acclimation period. No differences were observed between conditions in sleep duration, subjective sleep quality, or moderate or vigorous physical activity. These findings may suggest that athletes and coaches need to be cognisant that heat acclimation training may alter sleep quality and increase sedentary behaviour.HighlightsFive consecutive days of heat training negatively affected some objective measures of sleep quality and incidental physical activity in recreationally trained athletes.Athletes and coaches need to be aware of the potential unintended consequences of using heat acclimation on sleep behaviours.


Subject(s)
Acclimatization , Hot Temperature , Male , Humans , Bayes Theorem , Exercise , Sleep
12.
PLoS Comput Biol ; 18(11): e1010599, 2022 11.
Article in English | MEDLINE | ID: mdl-36383612

ABSTRACT

Parameter estimation for mathematical models of biological processes is often difficult and depends significantly on the quality and quantity of available data. We introduce an efficient framework using Gaussian processes to discover mechanisms underlying delay, migration, and proliferation in a cell invasion experiment. Gaussian processes are leveraged with bootstrapping to provide uncertainty quantification for the mechanisms that drive the invasion process. Our framework is efficient, parallelisable, and can be applied to other biological problems. We illustrate our methods using a canonical scratch assay experiment, demonstrating how simply we can explore different functional forms and develop and test hypotheses about underlying mechanisms, such as whether delay is present. All code and data to reproduce this work are available at https://github.com/DanielVandH/EquationLearning.jl.


Subject(s)
Uncertainty , Normal Distribution
13.
PLoS Comput Biol ; 18(11): e1010734, 2022 11.
Article in English | MEDLINE | ID: mdl-36441811

ABSTRACT

Heterogeneity is a dominant factor in the behaviour of many biological processes. Despite this, it is common for mathematical and statistical analyses to ignore biological heterogeneity as a source of variability in experimental data. Therefore, methods for exploring the identifiability of models that explicitly incorporate heterogeneity through variability in model parameters are relatively underdeveloped. We develop a new likelihood-based framework, based on moment matching, for inference and identifiability analysis of differential equation models that capture biological heterogeneity through parameters that vary according to probability distributions. As our novel method is based on an approximate likelihood function, it is highly flexible; we demonstrate identifiability analysis using both a frequentist approach based on profile likelihood, and a Bayesian approach based on Markov-chain Monte Carlo. Through three case studies, we demonstrate our method by providing a didactic guide to inference and identifiability analysis of hyperparameters that relate to the statistical moments of model parameters from independent observed data. Our approach has a computational cost comparable to analysis of models that neglect heterogeneity, a significant improvement over many existing alternatives. We demonstrate how analysis of random parameter models can aid better understanding of the sources of heterogeneity from biological data.


Subject(s)
Research Design , Bayes Theorem , Likelihood Functions
14.
Sci Adv ; 8(38): eabm5952, 2022 Sep 23.
Article in English | MEDLINE | ID: mdl-36129974

ABSTRACT

This work introduces a comprehensive approach to assess the sensitivity of model outputs to changes in parameter values, constrained by the combination of prior beliefs and data. This approach identifies stiff parameter combinations strongly affecting the quality of the model-data fit while simultaneously revealing which of these key parameter combinations are informed primarily by the data or are also substantively influenced by the priors. We focus on the very common context in complex systems where the amount and quality of data are low compared to the number of model parameters to be collectively estimated, and showcase the benefits of this technique for applications in biochemistry, ecology, and cardiac electrophysiology. We also show how stiff parameter combinations, once identified, uncover controlling mechanisms underlying the system being modeled and inform which of the model parameters need to be prioritized in future experiments for improved parameter inference from collective model-data fitting.

15.
Int J Sports Physiol Perform ; 17(8): 1289-1295, 2022 Aug 01.
Article in English | MEDLINE | ID: mdl-35894986

ABSTRACT

PURPOSE: Sport-science research consistently contains repeated measures and imbalanced data sets. This study calls for further adoption of mixed models when analyzing longitudinal sport-science data sets. Mixed models were used to understand whether the level of competition affected the intensity of women's rugby league match play. METHODS: A total of 472 observations were used to compare the mean speed of female rugby league athletes recorded during club-, state-, and international-level competition. As athletes featured in all 3 levels of competition and there were multiple matches within each competition (ie, repeated measures), the authors demonstrated that mixed models are the appropriate statistical approach for these data. RESULTS: The authors determined that if a repeated-measures analysis of variance (ANOVA) were used for the statistical analysis in the present study, at least 48.7% of the data would have been omitted to meet ANOVA assumptions. Using a mixed model, the authors determined that mean speed recorded during Trans-Tasman Test matches was 73.4 m·min-1, while the mean speeds for National Rugby League Women and State of Origin matches were 77.6 and 81.6 m·min-1, respectively. Random effects of team, athlete, and match all accounted for variations in mean speed, which otherwise could have concealed the main effects of position and level of competition had less flexible ANOVAs been used. CONCLUSION: These data clearly demonstrate the appropriateness of applying mixed models to typical data sets acquired in the professional sport setting. Mixed models should be more readily used within sport science, especially in observational, longitudinal data sets such as movement pattern analyses.


Subject(s)
Athletic Performance , Football , Running , Athletes , Female , Geographic Information Systems , Humans
16.
J R Soc Interface ; 19(190): 20220019, 2022 05.
Article in English | MEDLINE | ID: mdl-35611619

ABSTRACT

Biological heterogeneity is a primary contributor to the variation observed in experiments that probe dynamical processes, such as the internalization of material by cells. Given that internalization is a critical process by which many therapeutics and viruses reach their intracellular site of action, quantifying cell-to-cell variability in internalization is of high biological interest. Yet, it is common for studies of internalization to neglect cell-to-cell variability. We develop a simple mathematical model of internalization that captures the dynamical behaviour, cell-to-cell variation, and extrinsic noise introduced by flow cytometry. We calibrate our model through a novel distribution-matching approximate Bayesian computation algorithm to flow cytometry data of internalization of anti-transferrin receptor antibody in a human B-cell lymphoblastoid cell line. This approach provides information relating to the region of the parameter space, and consequentially the nature of cell-to-cell variability, that produces model realizations consistent with the experimental data. Given that our approach is agnostic to sample size and signal-to-noise ratio, our modelling framework is broadly applicable to identify biological variability in single-cell data from internalization assays and similar experiments that probe cellular dynamical processes.


Subject(s)
Endocytosis , Bayes Theorem , Cell Line , Flow Cytometry , Humans
17.
J Sci Med Sport ; 25(8): 690-695, 2022 Aug.
Article in English | MEDLINE | ID: mdl-35637124

ABSTRACT

OBJECTIVES: Australian football goal kicking is vital to team success, but its study is limited. Develop and apply Bayesian models incorporating temporal, spatial and situational variables to predict shot outcomes. The models aim to (i) rank players on their goal kicking and (ii) create clusters of statistically similar players and rank these clusters to provide generalised recommendations about player types. DESIGN: Retrospective longitudinal study with goal kicking data from three seasons, 2018-2020, 576 official Australian Football League matches, containing 26,818 attempts at goal from 778 players. METHODS: The Bayesian ordinal regression model enables descriptive analysis of goal kicking performance. The models include spatial variables of distance and kick angle, situational variables of shot type and player or cluster with interaction terms. Alternative models included situational variables of weather and player characteristics, spatial variables of stadium location and temporal variables of time and quarter. Approximate leave-one-out cross validation was used to test the model. RESULTS: Overall goal rate of 47% (12,600), behind rate of 35% (9373) with misses the remaining 18% (4845). Accuracy of both player and cluster model achieved 0.51 against an uninformed (predict goal) model result of 0.47. The models allow for analysis of goal kicking accuracy by distance and angle and analysis of player and player-type performance. CONCLUSIONS: While credible intervals for all players for set shots and general play were relatively large, some 95% credible intervals excluded zero. Therefore, it may be concluded that some players' goal kicking skill can be quantified and differentiated from other players.


Subject(s)
Athletic Performance , Team Sports , Humans , Australia , Bayes Theorem , Longitudinal Studies , Retrospective Studies
18.
Sci Rep ; 12(1): 6985, 2022 04 28.
Article in English | MEDLINE | ID: mdl-35484268

ABSTRACT

During the COVID-19 pandemic, many countries implemented international travel restrictions that aimed to contain viral spread while still allowing necessary cross-border travel for social and economic reasons. The relative effectiveness of these approaches for controlling the pandemic has gone largely unstudied. Here we developed a flexible network meta-population model to compare the effectiveness of international travel policies, with a focus on evaluating the benefit of policy coordination. Because country-level epidemiological parameters are unknown, they need to be estimated from data; we accomplished this using approximate Bayesian computation, given the nature of our complex stochastic disease transmission model. Based on simulation and theoretical insights we find that, under our proposed policy, international airline travel may resume up to 58% of the pre-pandemic level with pandemic control comparable to that of a complete shutdown of all airline travel. Our results demonstrate that global coordination is necessary to allow for maximum travel with minimum effect on viral spread.


Subject(s)
COVID-19 , Influenza, Human , Bayes Theorem , COVID-19/epidemiology , COVID-19/prevention & control , Humans , Influenza, Human/epidemiology , Pandemics/prevention & control , Travel
19.
Trials ; 23(1): 292, 2022 Apr 11.
Article in English | MEDLINE | ID: mdl-35410363

ABSTRACT

BACKGROUND: Globally, bronchiectasis (BE) unrelated to cystic fibrosis (CF) is recognized as a major cause of respiratory morbidity, mortality, and healthcare utilization. Children with BE regularly experience exacerbations of their condition resulting in frequent hospitalizations and decreased health-related quality of life (HR-QoL). Guidelines for the treatment and management of BE call for regular exercise as a means of improving aerobic fitness and HR-QoL. Moreover, research in adults with BE has shown that exercise can reduce the frequency of exacerbations, a potent predictor of future lung function decline and respiratory morbidity. Yet, to date, the health benefits resulting from therapeutic exercise have not been investigated in children with BE. The BREATH, Bronchiectasis - Exercise as Therapy, trial will test the efficacy of a novel 8-week, play-based therapeutic exercise program to reduce the frequency of acute exacerbations over 12 months in children with BE (aged ≥ 4 and < 13 years). Secondary aims are to determine the cost-effectiveness of the intervention and assess the program's impact on aerobic fitness, fundamental movement skill (FMS) proficiency, habitual physical activity, HR-QoL, and lung function. METHODS: This multi-center, observer-blinded, parallel-group (1:1 allocation), randomized controlled trial (RCT) will be conducted at three sites. One hundred and seventy-four children ≥ 4 and < 13 years of age with BE will be randomized to a developmentally appropriate, play-based therapeutic exercise program (eight, 60-min weekly sessions, supplemented by a home-based program) or usual care. After completing the baseline assessments, the number of exacerbations and secondary outcomes will be assessed immediately post-intervention, after 6 months of follow-up, and after 12 months of follow-up. Monthly, parental contact and medical review will document acute respiratory exacerbations and parameters for cost-effectiveness outcomes. DISCUSSION: The BREATH trial is the first fully powered RCT to test the effects of a therapeutic exercise on exacerbation frequency, fitness, movement competence, and HR-QoL in children with bronchiectasis. By implementing a developmentally appropriate, play-based exercise program tailored to the individual needs of children with bronchiectasis, the results have the potential for a major paradigm shift in the way in which therapeutic exercise is prescribed and implemented in children with chronic respiratory conditions. The exercise program can be readily translated. It does not require expensive equipment and can be delivered in a variety of settings, including the participant's home. The program has strong potential for translation to other pediatric patient groups with similar needs for exercise therapy, including those with obesity, childhood cancers, and neurological conditions such as cerebral palsy. TRIAL REGISTRATION: Australian and New Zealand Clinical Trials Register (ANZCTR) ACTRN12619001008112.


Subject(s)
Bronchiectasis , Adolescent , Adult , Australia , Bronchiectasis/drug therapy , Bronchiectasis/therapy , Child , Disease Progression , Exercise , Exercise Therapy , Humans , Multicenter Studies as Topic , Randomized Controlled Trials as Topic
20.
Placenta ; 121: 1-6, 2022 04.
Article in English | MEDLINE | ID: mdl-35245719

ABSTRACT

INTRODUCTION: Maternal obesity is a significant risk factor for poor pregnancy outcomes. Obesity is linked to abnormalities in placental tissue at term. The purpose of this study was to correlate changes in placental stiffness, measured via ultrasound elastography, with maternal pre-pregnancy body mass index and gestational weight gain. METHODS: Body Mass Index and gestation weight gain data was collected from 238 women. Elastography measurements were obtained via ultrasound at 24-, 28- and 36-weeks' gestation. An analysis using a linear mixed regression model assessed for the statistical significance of pre-pregnancy BMI, pregnancy weight gain and placental SWV (Shear Wave Velocity). RESULTS: Pre-pregnancy weight status has a significant impact on placental tissue stiffness detectable via ultrasound elastography. Placental tissue stiffness was highest in obese women, followed by overweight women. Obese women, on average, had a MeanSWV 0.11 m/s (95% CI (0.061-0.15) m/s, p < 0.001) above the healthy group throughout the 3rd trimester. Weight gain during pregnancy had a small impact on placental stiffness at the end of pregnancy. MeanSWV was 0.06 m/s (95% CI (0.03-0.10) m/s, p < 0.001) higher in the excessive weight gain group. DISCUSSION: Structural changes of the placenta detected via ultrasound elastography techniques are not exclusive to placental dysfunction conditions (pre-eclampsia and growth restriction) but are also associated with maternal obesity.


Subject(s)
Elasticity Imaging Techniques , Gestational Weight Gain , Obesity, Maternal , Placenta , Pregnancy Outcome , Body Mass Index , Elasticity Imaging Techniques/methods , Female , Humans , Linear Models , Obesity/complications , Obesity/diagnostic imaging , Placenta/diagnostic imaging , Pregnancy
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