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Insulin resistance was measured using the homeostasis model assessment of insulin resistance (HOMA-IR) developed by the Diabetes Trials Unit at the Oxford Center for Diabetes, Endocrinology, and Metabolism (avail- able at Definition of MetS MetS was defined according to the modified National Cholesterol Education Program Adult Treatment Panel III Criteria, which have been used in numerous published studies of the Taiwanese population

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However, due to the limited number of included studies, additional sensitivity and subgroup analyses were not performed