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Abstract Obesity is an increase of the total body fat and occurs as the result of the imbalance between energy expenditure and caloric intake. This imbalance has been thought to be under genetic and environmental influence (Arner, ٢٠٠٠). In recent years, we have begun to realize that adipose tissue is more than just a passive depot for excess energy (Ahima and Flier, ٢٠٠٠). Indeed, as several studies have shown, adipose tissue is a metabolically active tissue that expresses and secretes a large number of proteins. Such molecules, called adipocytokines, have a hormonelike action and interfere with basal and glucose metabolism (Bouret and Simerly, ٢٠٠٤, Hoffstedt et al., ٢٠٠٤, Valsamakis et al., ٢٠٠٤, Voros et al., ٢٠٠٤). Epidemiologic and clinical data show that obesity is associated with an increased risk of cardiovascular disease, hypertension, type II diabetes (Benzi, et al., ١٩٩٩), dyslipidemia, and other metabolic diseases. Therefore, it is generally agreed that obesity also is associated with increased morbidity and mortality, and that this increased health risk is positively correlated with regional fat distribution, not simply . |