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Background: Fetuin A, a predictor of cardio-vascular (CV) mortality in dialysis patients, has been associated with dyslipidemia in non-diabetic coronary artery disease. Truncal obesity is linked to dyslipidemia and also predicts CV mortality. This study aimed to investigate the associations among fetuin A, truncal obesity, and dyslipidemia in hemodialysis (HD) patients. Methods: One hundred and nine (109) non-diabetic HD patients were evaluated. Waist circumference (WC), highly sensitive C-reactive protein (hs-CRP), fetuin A, and lipoprotein levels [i.e. total cholesterol (T-CHO), low-density lipoprotein (LDL-C), high-density lipoprotein (HDL-C), non-high-density lipoprotein (non-HDL-C) and triglyceride (TG)] were measured for analysis of correlations. The patients were divided into tertiles by fetuin A concentrations. Results: Data from 63 women and 46 men aged 60±13 years were analyzed. Patients in the highest tertile of fetuin A (0.33~0.51 g/L) had higher serum creatinine, albumin, T-CHO, LDL-C, non-HDL-C and TG, more truncal obesity, and lower hs-CRP tha