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Chart showing the effects of the metabolic syndrome on skeletal physiology. Abd C = abdominal circumference, HDL-c = high density lipoprotein c, IL = interleukin, TNF = tumor necrosis factor. (Reproduced with permission from da Silva VN, Fiorelli LNM, da Silva CC, Kurokawa CS, Goldberg TBL: Do metabolic syndrome and its components have an impact on bone mineral density in adolescents? Nutrition Metab 2017;14:1.)
