Obesity and its cardiovascular effects.
Christian Ortega-LoubonManuel Fernández-MolinaGauri SinghRiccardo CorreaPublished in: Diabetes/metabolism research and reviews (2019)
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.
Keyphrases
- insulin resistance
- weight loss
- weight gain
- metabolic syndrome
- adipose tissue
- body mass index
- high fat diet induced
- fatty acid
- heart failure
- type diabetes
- bariatric surgery
- skeletal muscle
- high fat diet
- left ventricular
- polycystic ovary syndrome
- physical activity
- gene expression
- dna methylation
- postmenopausal women
- angiotensin ii
- glycemic control
- blood pressure
- genome wide
- endothelial cells
- antibiotic resistance genes