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Obesity and its cardiovascular effects.
Ortega-Loubon, Christian; Fernández-Molina, Manuel; Singh, Gauri; Correa, Ricardo.
Affiliation
  • Ortega-Loubon C; Department of Pediatric Cardiac Surgery, Universidad Autonoma de Barcelona, Barcelona, Spain.
  • Fernández-Molina M; Department of Cardiac Surgery, Clinic University Hospital of Valladolid, Valladolid, Spain.
  • Singh G; Department of Medicine, University of Miami, Miller School of Medicine, Miami, Florida.
  • Correa R; Department of Medicine, University of Arizona College of Medicine-Phoenix, Phoenix, Arizona.
Diabetes Metab Res Rev ; 35(4): e3135, 2019 05.
Article in En | MEDLINE | ID: mdl-30715772
ABSTRACT
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.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Cardiovascular Diseases / Obesity Type of study: Prognostic_studies Limits: Humans Language: En Journal: Diabetes Metab Res Rev Journal subject: ENDOCRINOLOGIA / METABOLISMO Year: 2019 Type: Article Affiliation country: Spain

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Cardiovascular Diseases / Obesity Type of study: Prognostic_studies Limits: Humans Language: En Journal: Diabetes Metab Res Rev Journal subject: ENDOCRINOLOGIA / METABOLISMO Year: 2019 Type: Article Affiliation country: Spain