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After exclusion of factors related to MetS structure, multivariate evaluation identified BMR (odds ratio [OR] = 0.205, 95% self-confidence interval [CI] 0.078-0.541, P = 0.001) and Charlson comorbidity list score (OR = 2.191, 95% CI 1.280-3.751, P = 0.004) as considerable predictors of MetS. CONCLUSIONS Our research indicated that the annual occurrence rate of MetS had been 11.5% in customers with RA. Moreover, the introduction of MetS ended up being related to BMR and Charlson como