Further adjustment for smoking, alcohol consumption, diabetes, obesity, body mass index, resting heart rate, systolic and diastolic blood pressure, fasting plasma glucose, triglycerides, total cholesterol, uric acid, blood urea nitrogen, creatinine, LDL-C, HDL-C, WBC, ALT, and AST (Model 3) only slightly weakened the association but did not affect the significant association between cumulative mean serum albumin. Here, ALB is linked to obesity due to melanocortin 4 receptor deficiency.