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Background and objectives: Despite reports of high prevalence of metabolic syndrome (MetS) in the Arabian Gulf, there are no reports on acutely ill persons with severe mental disorders from Arabia. Conclusions: The correlation of MetS with age and duration of illness, and prevalence of additional subjects with two abnormal indices (25.5%), call for cardio-metabolic monitoring. The result of using the Arab WC and the pattern of correlation of WC, supports use of region-specific WC values.

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