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Stress and Body Shape: Stress-Induced Cortisol Secretion Is Consistently Greater Among Women With Central Fat

Elissa S. Epel, PhD, Bruce McEwen, PhD, Teresa Seeman, PhD, Karen Matthews, PhD, Grace Castellazzo, RN, BSN, Kelly D. Brownell, PhD, Jennifer Bell, BA and Jeannette R. Ickovics, PhD

From the Health Psychology Program, University of California, San Francisco (E.S.E.), San Francisco, CA; Rockefeller University (B.M.), New York, NY; University of California, Los Angeles (T.S.), Los Angeles, CA; University of Pittsburgh (K.M.), Pittsburgh, PA; and Yale University (G.C., K.D.B., J.B., J.R.I.), New Haven, CT.



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Fig. 1. Fat distribution phenotypes by level of obesity. A, Lean with peripheral fat. B, Lean with central fat. C, Overweight with peripheral fat. D, Overweight with central fat.

 


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Fig. 2. Average cortisol response to stress sessions among lean women with a high or low WHR. Top, Mean cortisol response to first exposure to stressors (novel stress). Middle, Mean cortisol response to second exposure to stressors (familiar stress). Bottom, Mean cortisol response to third exposure to stressors (familiar stress).

 





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