Obesity and its cardiovascular effects.

adipose tissue cardiovascular disease inflammation obesity

Journal

Diabetes/metabolism research and reviews
ISSN: 1520-7560
Titre abrégé: Diabetes Metab Res Rev
Pays: England
ID NLM: 100883450

Informations de publication

Date de publication:
05 2019
Historique:
received: 20 11 2018
revised: 29 01 2019
accepted: 30 01 2019
pubmed: 5 2 2019
medline: 7 1 2020
entrez: 5 2 2019
Statut: ppublish

Résumé

Obesity is described in terms of body fat percentage or body mass index (BMI), despite the fact that these measures do not give full insight about the body fat distribution. It is presently a consistently growing universal challenge since it has tripled in the last 10 years, killing approximately 28 million people each year. In this review, we aim to clarify the different results of obesity on the working and physiology of the cardiovascular system and to reveal changes in the obesity "paradox"-a variety of cardiovascular outcomes in typical/overweight people. Central fat build-up in ordinary/overweight populaces has been related to expanded occurrences of myocardial infarction, heart failure, or all-cause mortality when contrasted with the obese populace. These discoveries are additionally clarified as the abundance and prolonged vulnerability to free fatty acids (FFAs) in obesity. This has been believed to cause the myocardial substrate to move from glucose to FFAs digestion, which causes lipid gathering in cardiomyocytes, spilling over to other lean tissues, and prompting a general atherogenic impact. This cardiomyocyte lipid aggregation has been demonstrated to cause insulin resistance and cardiovascular hypertrophy, and to lessen the heart functions in general. There is a proof backing the fact that fat tissue is not only an energy reservoir, it also coordinates hormones and proinflammatory cytokines and deals with the energy transition of the body by putting away abundant lipids in diverse tissues.

Identifiants

pubmed: 30715772
doi: 10.1002/dmrr.3135
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

e3135

Informations de copyright

© 2019 John Wiley & Sons, Ltd.

Auteurs

Christian Ortega-Loubon (C)

Department of Pediatric Cardiac Surgery, Universidad Autonoma de Barcelona, Barcelona, Spain.

Manuel Fernández-Molina (M)

Department of Cardiac Surgery, Clinic University Hospital of Valladolid, Valladolid, Spain.

Gauri Singh (G)

Department of Medicine, University of Miami, Miller School of Medicine, Miami, Florida.

Ricardo Correa (R)

Department of Medicine, University of Arizona College of Medicine-Phoenix, Phoenix, Arizona.

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Classifications MeSH