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. 2021 Jun 8;11:12057. doi: 10.1038/s41598-021-91592-7

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© The Author(s) 2021

Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.

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Coexistence of obesity (BMI ≥ 30.0), hypertension (systolic ≥ 140 mmHg or diastolic ≥ 90 mmHg), elevated HbA1c (≥ 5.7%) and inflammation (CRP > 3 mg/L and/ or AGP > 1 g/L) in the same woman (includes only the 1391 women with data on all cardio metabolic risk factors); grey = proportion of women without risk factor, blue = proportion of women with one risk factor, green = proportion of women with two risk factors, orange = proportion of women with three risk factors, purple = proportion of women with four risk factors.