Pair‐Feeding Study Designs Can Create Biases and Inflate Type I Error Rates: A Simulation Study

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Main Authors: Wasiuddin Najam, Daniel E. Kpormegbey, Deependra K. Thapa, Bret Rust, Lilian Golzarri‐Arroyo, Lance H. Baumgard, Louis Wai‐Tong Fan, Joseph G. Ibrahim, Edith J. Mayorga, David B. Allison
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Published: Wiley 2025
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author Wasiuddin Najam
Daniel E. Kpormegbey
Deependra K. Thapa
Bret Rust
Lilian Golzarri‐Arroyo
Lance H. Baumgard
Louis Wai‐Tong Fan
Joseph G. Ibrahim
Edith J. Mayorga
David B. Allison
author_facet Wasiuddin Najam
Daniel E. Kpormegbey
Deependra K. Thapa
Bret Rust
Lilian Golzarri‐Arroyo
Lance H. Baumgard
Louis Wai‐Tong Fan
Joseph G. Ibrahim
Edith J. Mayorga
David B. Allison
Wasiuddin Najam
Daniel E. Kpormegbey
Deependra K. Thapa
Bret Rust
Lilian Golzarri‐Arroyo
Lance H. Baumgard
Louis Wai‐Tong Fan
Joseph G. Ibrahim
Edith J. Mayorga
David B. Allison
collection Wiley Open Access
contents Pair‐Feeding Study Designs Can Create Biases and Inflate Type I Error Rates: A Simulation Study Wasiuddin Najam Daniel E. Kpormegbey Deependra K. Thapa Bret Rust Lilian Golzarri‐Arroyo Lance H. Baumgard Louis Wai‐Tong Fan Joseph G. Ibrahim Edith J. Mayorga David B. Allison Obesity ABSTRACT Objective Pair‐feeding is a study design element where one group's food intake is provided to another group to assess whether a treatment effect is independent of food intake. Investigators often assume equivalent food intake across experimental conditions and exclude it from the statistical analysis. However, the impact of this practice on type I error (T1Er) rates has not been quantified. Methods We conducted a Monte Carlo simulation in which animals were assigned baseline weights and food intakes, then randomized to non‐pair‐fed or pair‐fed groups. Daily food intake for both groups was initially drawn from the baseline food intake distribution. For pair‐fed animals, food intake was truncated if it exceeded the previous day's intake of the matched non‐pair‐fed animal (individual pair‐feeding) or the group's average (group pair‐feeding). Weight changes were calculated as a function of food intake, and final weight change was analyzed with and without adjusting for mean food intake. Results Both individual and group pair‐feeding inflated T1Er rates ranging from 0.12 to 0.71 in unadjusted models. However, adjustment for food intake reduced error rates to around 0.05. Conclusions Under some circumstances, pair‐feeding designs can inflate T1Er rates. Investigators can mitigate this inflation by adjusting the analyses for food intake. 10.1002/oby.70079 http://creativecommons.org/licenses/by/4.0/
doi_str_mv 10.1002/oby.70079
format Artículo Open Access
id wiley_oa_10_1002_oby_70079
institution Wiley Open Access
license_str_mv http://creativecommons.org/licenses/by/4.0/
publishDate 2025
publisher Wiley
record_format wiley_oa
spellingShingle Pair‐Feeding Study Designs Can Create Biases and Inflate Type I Error Rates: A Simulation Study
Wasiuddin Najam
Daniel E. Kpormegbey
Deependra K. Thapa
Bret Rust
Lilian Golzarri‐Arroyo
Lance H. Baumgard
Louis Wai‐Tong Fan
Joseph G. Ibrahim
Edith J. Mayorga
David B. Allison
Obesity
Pair‐Feeding Study Designs Can Create Biases and Inflate Type I Error Rates: A Simulation Study Wasiuddin Najam Daniel E. Kpormegbey Deependra K. Thapa Bret Rust Lilian Golzarri‐Arroyo Lance H. Baumgard Louis Wai‐Tong Fan Joseph G. Ibrahim Edith J. Mayorga David B. Allison Obesity ABSTRACT Objective Pair‐feeding is a study design element where one group's food intake is provided to another group to assess whether a treatment effect is independent of food intake. Investigators often assume equivalent food intake across experimental conditions and exclude it from the statistical analysis. However, the impact of this practice on type I error (T1Er) rates has not been quantified. Methods We conducted a Monte Carlo simulation in which animals were assigned baseline weights and food intakes, then randomized to non‐pair‐fed or pair‐fed groups. Daily food intake for both groups was initially drawn from the baseline food intake distribution. For pair‐fed animals, food intake was truncated if it exceeded the previous day's intake of the matched non‐pair‐fed animal (individual pair‐feeding) or the group's average (group pair‐feeding). Weight changes were calculated as a function of food intake, and final weight change was analyzed with and without adjusting for mean food intake. Results Both individual and group pair‐feeding inflated T1Er rates ranging from 0.12 to 0.71 in unadjusted models. However, adjustment for food intake reduced error rates to around 0.05. Conclusions Under some circumstances, pair‐feeding designs can inflate T1Er rates. Investigators can mitigate this inflation by adjusting the analyses for food intake. 10.1002/oby.70079 http://creativecommons.org/licenses/by/4.0/
title Pair‐Feeding Study Designs Can Create Biases and Inflate Type I Error Rates: A Simulation Study
topic Obesity
url https://onlinelibrary.wiley.com/doi/10.1002/oby.70079