Background:The amount and type of fat in the diet influence the development of obesity and related inflammatory activity. Knowledge of the possible influence of dietary habits on circulating adiponectin, a molecule with putative antiinflammatory properties, may be helpful in preventing atherosclerosis and type 2 diabetes. Methods: The association between dietary fat, as inferred from plasma fatty acid composition (gas-liquid chromatography), and circulating adiponectin (RIA) was evaluated in 116 healthy individuals. Results: The proportion of saturated fatty acids in plasma was significantly associated with circulating adiponectin concentration (r ؍ ؊0.24; P ؍ 0.01). Specifically, percentage of palmitic acid (C16:0) was significantly associated with lower adiponectin concentration (r ؍ ؊0.28; P ؍ 0.002), particularly among women (r ؍ ؊0.37; P ؍ 0.02) and nonsmokers (r ؍ ؊0.30; P ؍ 0.007). Percentage of myristic acid (C14:0) was also significantly associated with lower adiponectin among nonsmokers (r ؍ ؊0.26; P ؍ 0.02) and women (r ؍ ؊0.39; P ؍ 0.01). The other fatty acids were not significantly associated with adiponectin except for eicosanoic acid (C20:1 -9), which was significantly and positively associated with adiponectin in all individuals (r ؍ 0.23; P ؍ 0.01). This latter association was most significant in smokers (r ؍ 0.43; P ؍ 0.007). In a multivariate regression analysis to predict circulating adiponectin, after controlling for age, body mass index, waist-to-hip ratio, and the individual remaining fatty acids, the percentages of palmitic (P ؍ 0.005) and eicosanoic acid (P ؍ 0.03) contributed independently (6% and 3%, respectively) to adiponectin