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New Risk Score Predicts 10-Year Risk for 18 Obesity-Linked Diseases

Policymakers see a path to fairer access to scarce weight-loss drugs pending broader validation.

Overview

  • This model, published Thursday in Nature Medicine, estimates a person’s 10-year risk of 18 conditions using 20 routine measures such as blood tests, blood pressure and medical history.
  • Researchers used interpretable machine learning on data from about 200,000 UK Biobank participants with a BMI of 27 or higher, narrowing more than 2,000 variables to the strongest predictors.
  • The tool, called Obscore, was externally validated in the Genes & Health and EPIC-Norfolk cohorts, and the authors call for wider testing and cost-effectiveness trials before clinical use.
  • A sizable share of those flagged as highest risk were classed as overweight rather than obese by BMI, pointing to earlier identification and possible use to prioritize GLP-1 treatments like semaglutide or tirzepatide.
  • Experts caution that some inputs are not routinely collected in NHS care, UK Biobank volunteers are healthier than average, and real-world rollout would need checks on data availability, equity and practicality.