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. 2016 Jan 20;149(6):1525–1534. doi: 10.1016/j.chest.2015.12.034

Figure 1.

Figure 1

Potential mechanisms of the effect of metabolic syndrome on lung function are shown. Based on current data, multiple pathways related to metabolic syndrome may affect lung function, including changes in leptin and adiponectin, dietary effects of excess obesity, alterations in circulating growth hormone and subsequently insulin-like growth factor I, the effect of hyperglycemia and hyperinsulinemia, and the mechanical effect of abdominal obesity.