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===Other factors=== The prevalence of abdominal obesity is increasing in Western populations, possibly due to a combination of low physical activity and high-calorie diets, and also in developing countries, where it is associated with the urbanization of populations.<ref name="Carey1998">{{cite journal |last=Carey |first=D. G. P. |year=1998 |title=Abdominal Obesity |journal=Current Opinion in Lipidology |pages=35–40 |volume=9 |issue=1|doi=10.1097/00041433-199802000-00008 |pmid=9502333 }}</ref><ref>{{cite journal |vauthors=Després J |year=2006 |title=Abdominal obesity: the most prevalent cause of the metabolic syndrome and related cardiometabolic risk |journal=European Heart Journal |volume=8 |issue=Supplements |pages=B4–B12 |doi=10.1093/eurheartj/sul002 |doi-access=free}}</ref> Other environmental factors, such as [[Smoking and pregnancy|maternal smoking]], [[estrogenic]] [[Chemical compound|compound]]s in the diet, and [[endocrine]]-disrupting chemicals may be important also.<ref>{{cite book | vauthors = Heindel J |title=Obesity Before Birth |chapter=The Obesogen Hypothesis of Obesity: Overview and Human Evidence |series=Endocrine Updates |year=2011 |volume=4 |pages=355–365 |doi=10.1007/978-1-4419-7034-3_17 |isbn=978-1-4419-7033-6|publisher=Springer }}</ref> [[Hypercortisolism]], such as in [[Cushing's syndrome]], also leads to central obesity. Many [[prescription drug]]s, such as [[dexamethasone]] and other [[steroid]]s, can also have [[side effect]]s resulting in central obesity,<ref name="Does central obesity reflect Cushi"/> especially in the presence of elevated insulin levels.
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