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The most common modifiable risk factors for metabolic syndrome include: Excess weight, especially in the abdomen or belly A diet high in ultra-processed foods Lack of exercise, or sedentary lifestyle Tobacco and alcohol use Sleep apnea and impaired sleep Other metabolic syndrome risk factors are out of our control and cant be changed: Family history of type 2 diabetes or metabolic syndrome Advanced age Presence of polycystic ovarian syndrome (PCOS) in women How Is Metabolic Syndrome Diagnosed