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In diabetic patients, MetS elevates the risks of cardiovascular disease, stroke, and cardiovascular mortality. Its predictors are context-dependent, varying by diagnostic criteria and population characteristics, thus requiring localized studies to identify specific determinant factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess predictors of MetS among type II diabetic patients (T2DM) visiting public hospitals in Sidama Region, Ethiopia, from January 25- March 25, 2025.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>An institutional unmatched case control study design was employed among 132 cases and 268 controls. Data were collected using a structured, interviewer-administered questionnaire adapted from the World Health Organization (WHO) STEPS instrument, complemented by laboratory investigations and standardized anthropometric measurements. MetS was diagnosed using the International Diabetes Federation (IDF) criteria. Bivariable and multivariable logistic regression models were fitted to determine predictors of MetS. Results were presented using adjusted odds ratios (AOR) with 95% confidence intervals (CI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Result<\/jats:title>\n                    <jats:p>The mean age (\u00b1\u2009standard deviation) of the cases and controls was 56.9 (\u00b1\u20098.2) and 49.5 (\u00b1\u20098.1) years, respectively. MetS was found to be higher in female (61.4%) study participants than in male (38.6%). The identified predictors of MetS with 95% CI (AOR) were older age: 5.74 (2.56, 12.88), female sex: 2.91 (1.61, 5.26), urban residence: 2.59 (1.41, 4.75), monthly income\u2009&gt;\u20093500 Ethiopian Birr: 4.30 (2.23, 8.28), family history of hypertension: 2.79 (1.47, 5.29), duration with DM: 5\u20139 years: 3.06 (1.57, 5.99) and \u2265\u200910 years: 3.61 (1.54, 8.48), and poor glycemic control: 3.93 (2.17, 7.13).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The findings call for prioritizing targeted screening, lifestyle interventions, health education, and community-based programs to enhance the prevention, early detection, and management of MetS among T2DM patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12872-026-05982-8","type":"journal-article","created":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T09:54:27Z","timestamp":1778925267000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Predictors of metabolic syndrome among type II diabetic patients visiting public hospitals in Sidama Region, Ethiopia: unmatched case control study"],"prefix":"10.1186","volume":"26","author":[{"given":"Bereket Sisay","family":"Gebremichael","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amelo","family":"Bolka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaleb Philipos","family":"Rekiso","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Assefa Philipos","family":"Kare","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,5,16]]},"reference":[{"issue":"1","key":"5982_CR1","doi-asserted-by":"publisher","first-page":"279","DOI":"10.1186\/s10020-024-01019-y","volume":"30","author":"MS Islam","year":"2024","unstructured":"Islam MS, Wei P, Suzauddula M, Nime I, Feroz F, Acharjee M, et al. 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The Institutional Review Board of YHMC granted ethical clearance for this study (Protocol Number: YHMC\/IRB\/003\/0051\/17). An official letter of permission was obtained from the respective hospitals. Written informed consent was acquired from all participants after a comprehensive explanation of the study\u2019s objectives. Participant confidentiality was maintained through the use of pseudonymous codes.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"584"}}