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In this regard, our data based on community add more information from Chinese elders http://www.selleckchem.com/products/obeticholic-acid.html to the fact that neck circumference, as a proxy of upper-body subcutaneous (SC) fat, is a better marker of metabolic risk than waist circumference. The mechanism underneath neck circumference with risk of metabolic problem is not well understood. The lipolytic activity of upper body fat may be one mechanism to explain the association of neck circumference with cardiometabolic risk. Obesity and elevated systemic free fatty acids are associated with insulin resistance, increased very-low-density lipoprotein triglyceride production, oxidative stress, vascular injury and the development of hypertension [28-30]. Studies about regional lipolysis have demonstrated that upper-body SC fat is responsible for a much larger proportion of systemic free fatty acid release than visceral fat, particularly in obese individuals [31, 32]. Although upper-body SC fat is the primary resource of free fatty acid in obese individuals, lipolysis of VAT is also an important contributor to elevated plasma free fatty acid [33], which may explain why we observed that neck circumference and waist circumference were independent predictors of MetS. Waist circumference has been especially useful in evaluating central adiposity http://www.selleckchem.com/products/Adriamycin.html and as a criteria in diagnosing MetS; however, waist circumference measurement may have cultural or environmental problems, especially in cold weather and heavy clothing because clothes have to be removed for its accurate measurement. In addition, waist circumference may be affected by abdominal distension. Neck circumference shows a strong correlation with both obesity and MetS, and it is reasonable to consider it as http://www.selleck.cn/products/sch772984.html a screening test. Men with neck circumference?
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