OBJECTIVES: To develop a measurement model to assess the relationship between metabolic syndrome (MetS) progression and health behavior changes. METHODS: Medical records of checkup patients of a private hospital from 2006-2017. Data on exercise (EXE), smoking (SMK), and failure to control weight (FCW) were included as health behaviors. FCW was derived from waist circumference (WC) and body mass index (BMI).  Blood pressure, high and low density lipoproteins (HDL, LDL), triglycerides (TG), and fasting blood sugar (FBS) were used for MetS diagnosis ...