{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T10:17:31Z","timestamp":1784629051361,"version":"3.55.0"},"reference-count":49,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2024,7,30]],"date-time":"2024-07-30T00:00:00Z","timestamp":1722297600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003593","name":"National Council for Scientific and Technological Development","doi-asserted-by":"publisher","award":["402391\/2021\u20137"],"award-info":[{"award-number":["402391\/2021\u20137"]}],"id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003593","name":"National Council for Scientific and Technological Development","doi-asserted-by":"publisher","award":["088\/2022"],"award-info":[{"award-number":["088\/2022"]}],"id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003593","name":"National Council for Scientific and Technological Development","doi-asserted-by":"publisher","award":["FAPT\/CNPQ No. 01\/2022"],"award-info":[{"award-number":["FAPT\/CNPQ No. 01\/2022"]}],"id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Federal University of Tocantins","award":["402391\/2021\u20137"],"award-info":[{"award-number":["402391\/2021\u20137"]}]},{"name":"Federal University of Tocantins","award":["088\/2022"],"award-info":[{"award-number":["088\/2022"]}]},{"name":"Federal University of Tocantins","award":["FAPT\/CNPQ No. 01\/2022"],"award-info":[{"award-number":["FAPT\/CNPQ No. 01\/2022"]}]},{"name":"Program to Support the Establishment of Young Doctors in Tocantins","award":["402391\/2021\u20137"],"award-info":[{"award-number":["402391\/2021\u20137"]}]},{"name":"Program to Support the Establishment of Young Doctors in Tocantins","award":["088\/2022"],"award-info":[{"award-number":["088\/2022"]}]},{"name":"Program to Support the Establishment of Young Doctors in Tocantins","award":["FAPT\/CNPQ No. 01\/2022"],"award-info":[{"award-number":["FAPT\/CNPQ No. 01\/2022"]}]},{"name":"Institute of Higher Education of Southern Maranh\u00e3o","award":["402391\/2021\u20137"],"award-info":[{"award-number":["402391\/2021\u20137"]}]},{"name":"Institute of Higher Education of Southern Maranh\u00e3o","award":["088\/2022"],"award-info":[{"award-number":["088\/2022"]}]},{"name":"Institute of Higher Education of Southern Maranh\u00e3o","award":["FAPT\/CNPQ No. 01\/2022"],"award-info":[{"award-number":["FAPT\/CNPQ No. 01\/2022"]}]},{"name":"Institutional Master\u2019s Scholarship Program of the Graduate Program in Science and Health Teaching (PPGECS), Federal University of Tocantins","award":["402391\/2021\u20137"],"award-info":[{"award-number":["402391\/2021\u20137"]}]},{"name":"Institutional Master\u2019s Scholarship Program of the Graduate Program in Science and Health Teaching (PPGECS), Federal University of Tocantins","award":["088\/2022"],"award-info":[{"award-number":["088\/2022"]}]},{"name":"Institutional Master\u2019s Scholarship Program of the Graduate Program in Science and Health Teaching (PPGECS), Federal University of Tocantins","award":["FAPT\/CNPQ No. 01\/2022"],"award-info":[{"award-number":["FAPT\/CNPQ No. 01\/2022"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JPM"],"abstract":"<jats:p>Background: Metabolic syndrome increases the risk of heart disease and diabetes. Early identification and management are crucial, especially in economically challenged regions with limited healthcare access. Aims: To develop nomograms for individualized risk estimation for metabolic syndrome in young people from low-income regions. Methods: We assessed 496 college students from two Brazilian cities with Gini indices \u22640.56. Of these, 69.9% were female, 65.1% were younger than 20 years, 71.8% were non-white, and 64.3% were enrolled in health-related courses. For external validity, we assessed metabolic syndrome in a subset of 375 students. Results: We found 10 variables associated with abdominal obesity by logistic regression: age, biological sex, physical education facilities, enrollment in sports competitions during elementary school, grade retention, physical education as the preferred subject, physical education classes per week, and enrollment in sports training in secondary school (score A); adherence to 24 h movement behaviors (B score); and body weight (score C). We designed three nomograms (for scores A, B, and C), all of which showed acceptable performance according to the area under the receiver operating characteristic curve (\u22650.70) and calibration (Hosmer\u2013Lemeshow test, p &gt; 0.05). In the external validation, we observed higher predictive capability for the A and B scores, while the C score had lower but still acceptable predictive ability. Conclusions: User-friendly self-reported data accurately predict metabolic syndrome among youths from economically challenging areas.<\/jats:p>","DOI":"10.3390\/jpm14080810","type":"journal-article","created":{"date-parts":[[2024,7,30]],"date-time":"2024-07-30T17:08:34Z","timestamp":1722359314000},"page":"810","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Development of a User-Friendly Self-Screening Tool for Assessing Metabolic Syndrome Risk in Youths from Economically Challenged Regions"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1994-3530","authenticated-orcid":false,"given":"Jacqueline Fernandes de Sa","family":"Xavier","sequence":"first","affiliation":[{"name":"Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group, Universidade Federal do Tocantins, Miracema do Tocantins 77650-000, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4589-694X","authenticated-orcid":false,"given":"Shirley C.","family":"Feuerstein","sequence":"additional","affiliation":[{"name":"Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group, Universidade Federal do Tocantins, Miracema do Tocantins 77650-000, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5763-435X","authenticated-orcid":false,"given":"Augusto Cesar Ferreira","family":"De Moraes","sequence":"additional","affiliation":[{"name":"Texas PARC\u2014Texas Physical Activity Research Collaborative Lab, Michael and Susan Dell Center for Healthy Living, Department of Epidemiology, School of Public Health in Austin, The University of Texas Health Science Center at Houston, Austin, TX 78701, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4147-7721","authenticated-orcid":false,"given":"Tiago Almeida","family":"de Oliveira","sequence":"additional","affiliation":[{"name":"Statistic Department, State University of Paraiba, Campina Grande 58429-900, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evellyn Ravena","family":"da Silva Gomes","sequence":"additional","affiliation":[{"name":"Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group, Universidade Federal do Tocantins, Miracema do Tocantins 77650-000, Brazil"},{"name":"Instituto de Ensino Superior do Sul do Maranh\u00e3o (IESMA\/UNISULMA), Imperatriz 65907-070, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2948-7364","authenticated-orcid":false,"given":"Maria Isabela Alves","family":"de Almeida Silva","sequence":"additional","affiliation":[{"name":"Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group, Universidade Federal do Tocantins, Miracema do Tocantins 77650-000, Brazil"},{"name":"Instituto de Ensino Superior do Sul do Maranh\u00e3o (IESMA\/UNISULMA), Imperatriz 65907-070, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6682-688X","authenticated-orcid":false,"given":"Luiz Fernando","family":"de Oliveira","sequence":"additional","affiliation":[{"name":"Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group, Universidade Federal do Tocantins, Miracema do Tocantins 77650-000, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7037-5655","authenticated-orcid":false,"given":"Heraclito Barbosa","family":"de Carvalho","sequence":"additional","affiliation":[{"name":"YCARE (Youth\/Child and Cardiovascular Risk and Environmental) Research Group, School of Medicine, University of Sao Paulo, S\u00e3o Paulo 17012-900, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kliver Antonio","family":"Marin","sequence":"additional","affiliation":[{"name":"Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group, Universidade Federal do Tocantins, Miracema do Tocantins 77650-000, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6344-1044","authenticated-orcid":false,"given":"Marcus Vinicius","family":"Nascimento-Ferreira","sequence":"additional","affiliation":[{"name":"Health, Physical Activity and Behavior Research (HEALTHY-BRA) Group, Universidade Federal do Tocantins, Miracema do Tocantins 77650-000, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,7,30]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1640","DOI":"10.1161\/CIRCULATIONAHA.109.192644","article-title":"Harmonizing the metabolic syndrome: A joint interim statement of the International Diabetes Federation Task Force on Epidemiology and Prevention; 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