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Abnormal neurovascular control during sympathoexcitation in obesity.
Kuniyoshi, Fátima H S; Trombetta, Ivani C; Batalha, Luciana T; Rondon, Maria U P B; Laterza, Mateus C; Gowdak, Márcia M G; Barretto, Antonio C P; Halpern, Alfredo; Villares, Sandra M F; Lima, Eliudem G; Negrão, Carlos E.
Afiliação
  • Kuniyoshi FH; Heart Institute (InCor), Medical School, University of São Paulo, São Paulo CEP 05403-000, Brazil.
Obes Res ; 11(11): 1411-9, 2003 Nov.
Article em En | MEDLINE | ID: mdl-14627763
OBJECTIVE: We tested the hypothesis that muscle sympathetic nerve activity (MSNA) and forearm vascular resistance (FVR) would be augmented during mental stress or cold pressor test in healthy obese individuals compared with healthy lean individuals. RESEARCH METHODS AND PROCEDURES: Twenty-nine healthy obese women and 12 age-matched healthy lean women were involved in the study. MSNA was directly measured from the peroneal nerve using microneurography. Forearm blood flow was measured by venous occlusion plethysmography. Blood pressure (BP) was monitored noninvasively by an automatic BP cuff, and heart rate (HR) was measured by electrocardiogram. Stroop color word test was performed for 4 minutes, and the cold pressor test was performed for 2 minutes. RESULTS: Baseline MSNA and FVR were greater in the obese group than in the lean group. BP and HR were similar between groups. During mental stress, MSNA and FVR were greater in obese individuals than in lean individuals, although the magnitude of response was similar between groups. BP and HR similarly increased in obese and lean individuals. During the cold pressor test, MSNA, FVR, and BP were greater in obese individuals, but the magnitude of response was similar between groups. HR increased similarly during the cold pressor test in both obese and lean individuals. DISCUSSION: Obesity increases MSNA and FVR during mental stress and the cold pressor test. This inappropriate neurovascular control can be expected to have an adverse effect on the risk factors for cardiovascular events and, hence, should be considered in the treatment of obese patients.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Sistema Nervoso Simpático / Músculos / Obesidade Tipo de estudo: Risk_factors_studies Limite: Adult / Female / Humans Idioma: En Revista: Obes Res Assunto da revista: CIENCIAS DA NUTRICAO / FISIOLOGIA / METABOLISMO Ano de publicação: 2003 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Sistema Nervoso Simpático / Músculos / Obesidade Tipo de estudo: Risk_factors_studies Limite: Adult / Female / Humans Idioma: En Revista: Obes Res Assunto da revista: CIENCIAS DA NUTRICAO / FISIOLOGIA / METABOLISMO Ano de publicação: 2003 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos