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The links between fatty acids (FAs) and cardiometabolic outcomes are topics of debate. Our aim was to investigate the associations between serum standardized FA percentages and cardiometabolic outcomes. We used cross-sectional (n=2187-2200 subjects, age 24-39 y, women 54%) and 10-year prospective data (n=975-1414 subjects) from the Young Finns Study. Outcomes included prevalent and incident obesity, insulin resistance (HOMA-IR index in the upper quintile), elevated blood pressure (BP; taking medication, or diastolic or systolic BP in the