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8%) had statistically significant (p0.01) higher values for W1 CMR Z-scores (0.92 vs.-0.21), W4 CMR Z-scores (1.69 vs.-0.28), W7 CMR Z-scores (2.21 vs.-0.55), W1-W4 CMR-avg (1.53 vs.-0.27), W1-W7 CMR-diff (1.29 vs.-0.21), and W1-W7 CMR-avg (1.46 vs.-0.48) than those not meeting MetS criteria. Most results were similar for males and females in the sex-stratified analyses. The areas under the ROC curve were 0.61, 0.71, and 0.75 for W1, W4 and W7 Z-scores. Findings support the validity of the continuous CMR Z-scores calculated using line