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After adjustment for various confounders, less than 6 h of sleep among sleeping pill users was associated with increased rates of MetS ( 6 h, OR [95% CI] 3.08 [1.29-7.34]). The frequency of sleeping pill use in individuals with short sleep duration showed a positive association with the prevalence of MetS and its components. Sleeping pill users with a short sleep duration had a 3-fold higher chance of having MetS than non-users with a short sleep duration. Sleeping pill users with a short sleep duration had a 3-fold higher chance of