Artificial Neural Networks to Predict Metabolic Syndrome without Invasive Methods in Adolescents.

Autor: Júnior AC; Coordenação do Curso de Medicina, Centro de Ciências de Pinheiro, Universidade Federal do Maranhão, São Luís 65200-000, Brazil.; Programa de Pós-Graduação em Saúde Coletiva, Departamento de Saúde Pública, Universidade Federal do Maranhão, São Luís 65020-070, Brazil., França AK; Programa de Pós-Graduação em Saúde Coletiva, Departamento de Saúde Pública, Universidade Federal do Maranhão, São Luís 65020-070, Brazil., Santos ED; Departamento de Enfermagem, Universidade Federal do Maranhão, São Luís 65080-805, Brazil., Silveira V; Programa de Pós-Graduação em Saúde Coletiva, Departamento de Saúde Pública, Universidade Federal do Maranhão, São Luís 65020-070, Brazil., Santos AD; Programa de Pós-Graduação em Saúde Coletiva, Departamento de Saúde Pública, Universidade Federal do Maranhão, São Luís 65020-070, Brazil.
Jazyk: angličtina
Zdroj: Journal of clinical medicine [J Clin Med] 2024 Oct 03; Vol. 13 (19). Date of Electronic Publication: 2024 Oct 03.
DOI: 10.3390/jcm13195914
Abstrakt: Background/Objectives: The prevalence of metabolic syndrome (MetS) is increasing worldwide, and an increasing number of cases are diagnosed in younger age groups. This study aimed to propose predictive models based on demographic, anthropometric, and non-invasive clinical variables to predict MetS in adolescents. Methods : A total of 2064 adolescents aged 18-19 from São Luís-Maranhão, Brazil were enrolled. Demographic, anthropometric, and clinical variables were considered, and three criteria for diagnosing MetS were employed: Cook et al., De Ferranti et al. and the International Diabetes Federation (IDF). A feed-forward artificial neural network (ANN) was trained to predict MetS. Accuracy, sensitivity, and specificity were calculated to assess the ANN's performance. The ROC curve was constructed, and the area under the curve was analyzed to assess the discriminatory power of the networks. Results : The prevalence of MetS in adolescents ranged from 5.7% to 12.3%. The ANN that used the Cook et al. criterion performed best in predicting MetS. ANN 5, which included age, sex, waist circumference, weight, and systolic and diastolic blood pressure, showed the best performance and discriminatory power (sensitivity, 89.8%; accuracy, 86.8%). ANN 3 considered the same variables, except for weight, and exhibited good sensitivity (89.0%) and accuracy (87.0%). Conclusions : Using non-invasive measures allows for predicting MetS in adolescents, thereby guiding the flow of care in primary healthcare and optimizing the management of public resources.
Databáze: MEDLINE
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