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1993 May;42(5):548-51. Links lipids Body fat topography as lipids an independent predictor of fatty liver.Kral JG, Schaffner F, Pierson RN Jr, Wang J.Department of Surgery, State University of New York Health Science Center, Brooklyn 11203.Abdominal (truncal) fat distribution reflected by an elevated waist to hip ratio (WHR) predicts metabolic abnormalities such as diabetes and dyslipidemia as well as lipids hypertension and stroke, all of which are associated with obesity. The pathogenesis is not known, although elevated splanchnic serum free fatty acid levels and reduced hepatic insulin clearance have been implicated. WHR and body fat (BF) by 40K-counting and 3H2O were measured before liver biopsy during antiobesity surgery in 68 severely obese women (body mass index [BMI], 48.9 +/- 1.1 SEM) and 15 men (BMI, 49.0
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