The sympathetic nervous system and the metabolic syndrome

Mancia, Giuseppe; Bousquet, Pascal; Jl, Elghozi; Esler, Murray; Grassı, Guıdo; Julius, Stevo; Reid, John L.; Zwieten, P. A. van

doi:10.1097/hjh.0b013e328048d004

Cited by 348 publications

(273 citation statements)

References 134 publications

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“…Furthermore, several studies identified in obese subjects an increase in plasma catecholamine levels (35,37), cardiovascular autonomic abnormalities, and activation in renin-angiotensin system (18). Moreover, the sympathetic nervous system seems to play a primary role in metabolic and cardiovascular alterations present in metabolic syndrome (18,23,29).…”

Section: Discussionmentioning

confidence: 99%

Preventive role of exercise training in autonomic, hemodynamic, and metabolic parameters in rats under high risk of metabolic syndrome development

Moraes‐Silva

Mostarda

Moreira

et al. 2013

Journal of Applied Physiology

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Moraes-Silva IC, Mostarda C, Moreira ED, Silva KAS, dos Santos F, de Angelis K, Farah VMA V, Irigoyen MC. Preventive role of exercise training in autonomic, hemodynamic, and metabolic parameters in rats under high risk of metabolic syndrome development. J Appl Physiol 114: 786 -791, 2013. First published January 17, 2013 doi:10.1152/japplphysiol.00586.2012.-High fructose consumption contributes to metabolic syndrome incidence, whereas exercise training promotes several beneficial adaptations. In this study, we demonstrated the preventive role of exercise training in the metabolic syndrome derangements in a rat model. Wistar rats receiving fructose overload in drinking water (100 g/l) were concomitantly trained on a treadmill (FT) or kept sedentary (F) for 10 wk. Control rats treated with normal water were also submitted to exercise training (CT) or sedentarism (C). Metabolic evaluations consisted of the Lee index and glycemia and insulin tolerance test (kITT). Blood pressure (BP) was directly measured, whereas heart rate (HR) and BP variabilities were evaluated in time and frequency domains. Renal sympathetic nerve activity was also recorded. F rats presented significant alterations compared with all the other groups in insulin resistance (in mg·dl Ϫ1 ·min Ϫ1 : F: 3.4 Ϯ 0.2; C: 4.7 Ϯ 0.2; CT: 5.0 Ϯ 0.5 FT: 4.6 Ϯ 0.4), mean BP (in mmHG: F: 117 Ϯ 2; C: 100 Ϯ 2; CT: 98 Ϯ 2; FT: 105 Ϯ 2), and Lee index (in g/mm: F ϭ 0.31 Ϯ 0.001; C ϭ 0.29 Ϯ 0.001; CT ϭ 0.27 Ϯ 0.002; FT ϭ 0.28 Ϯ 0.002), confirming the metabolic syndrome diagnosis. Exercise training blunted all these derangements. Additionally, FS group presented autonomic dysfunction in relation to the others, as seen by an ϳ50% decrease in baroreflex sensitivity and 24% in HR variability, and increases in sympathovagal balance (140%) and in renal sympathetic nerve activity (45%). These impairments were not observed in FT group, as well as in C and CT. Correlation analysis showed that both Lee index and kITT were associated with vagal impairment caused by fructose. Therefore, exercise training plays a preventive role in both autonomic and hemodynamic alterations related to the excessive fructose consumption.fructose; exercise training; autonomic nervous system SEVERAL STUDIES HAVE SHOWN that poor eating habits and a large increase in fructose consumption in recent years has contributed to the epidemic of metabolic syndrome (2, 5). These unhealthy habits may result in physiological changes that contribute to a higher morbidity and mortality in humans (14). Among these changes, increase of blood pressure, plasma lipids, obesity, glucose intolerance, insulin resistance, and hyperinsulinemia are the most evident. Additionally, studies have shown an association between these factors as hyperinsulinemia and hypertension, in both humans and animals (10, 21, 36), indicating that once these alterations are present, the higher is the incidence of cardiovascular diseases.Autonomic nervous system dysfunction also accompanies these metabolic disturbances. Our research group has ...

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Section: Discussionmentioning

confidence: 99%

Preventive role of exercise training in autonomic, hemodynamic, and metabolic parameters in rats under high risk of metabolic syndrome development

Moraes‐Silva

Mostarda

Moreira

et al. 2013

Journal of Applied Physiology

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“…30,31 Many mechanisms also influence the positive correlation between MetS and IOP, but the direct mechanism for this is currently unknown. Sympathetic hyperactivation, 39 and aquaporins that are known to be related with insulin resistance 40 are considered as potential pathophysiological mechanisms of the relationship between MetS and IOP.…”

Section: Discussionmentioning

confidence: 99%

High intraocular pressure is associated with cardiometabolic risk factors in South Korean men: Korean National Health and Nutrition Examination Survey, 2008–2010

Kim

Jung

Nam

et al. 2014

Eye

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“…Modest restriction of salt intake, low intake of saturated fats and cholesterol with increased consumption of fruits, vegetables and whole grains is recommended. 79,80 Moderate physical activity should accompany every dietary program. 81 Supplementary behavioral therapy including self-monitoring, psychological support and stress management could also be helpful.…”

Section: Endothelial Dysfunction and Changes In Vascular Structurementioning

confidence: 99%

Mechanisms of obesity-induced hypertension

et al. 2010

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The relationship between obesity and hypertension is well established both in children and adults. The mechanisms through which obesity directly causes hypertension are still an area of research. Activation of the sympathetic nervous system has been considered to have an important function in the pathogenesis of obesity-related hypertension. The arterial-pressure control mechanism of diuresis and natriuresis, according to the principle of infinite feedback gain, seems to be shifted toward higher blood-pressure levels in obese individuals. During the early phases of obesity, primary sodium retention exists as a result of increase in renal tubular reabsorption. Extracellular-fluid volume is expanded and the kidney-fluid apparatus is resetted to a hypertensive level, consistent with a model of hypertension because of volume overload. Plasma renin activity, angiotensinogen, angiotensin II and aldosterone values display significant increase during obesity. Insulin resistance and inflammation may promote an altered profile of vascular function and consequently hypertension. Leptin and other neuropeptides are possible links between obesity and the development of hypertension. Obesity should be considered as a chronic medical condition, which is likely to require long-term treatment. Understanding of the mechanisms associated with obesity-related hypertension is essential for successful treatment strategies. Hypertension Research (2010) 33, 386-393; doi:10.1038/hr.2010.9Keywords: leptin; obesity; pressure natriuresis; rennin-angiotensin-aldosterone system; sympathetic nervous system INTRODUCTION Obesity is a common disorder that develops from the interaction between the genotype and the environment and involves social, behavioral, cultural, physiological, metabolic and genetic factors. A large number of studies have shown that obesity has an important negative impact on health in a population, leading to the recommendation for general practitioners to have an important function in the management of this condition and of its associated comorbidities such as hypertension, hyperlipidemia and hyperinsulinemia/insulin resistance. The relationship between obesity and hypertension is well established both in adults and children. 1,2 Obese individuals exhibit higher levels of office as well as ambulatory blood pressure (BP) from childhood to old age. Obese subjects display higher BP levels than non-obese individuals even in the normotensive range. The combination of obesity, hypertension and other cardiovascular risk factors significantly increases the probability of adverse cardiovascular outcomes, and raises considerations for aggressive treatment strategies. 3 The mechanisms through which obesity directly causes hypertension are still an area of research. Human and animal studies have elucidated the function of adipose tissue derivatives (adipokines and cytokines), neurohumoral pathways, metabolic functions and modulation of pressor/depressor mechanisms. Although obesity-related hypertension may be the result of a combinatio...

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The sympathetic nervous system and the metabolic syndrome

Cited by 348 publications

References 134 publications

Preventive role of exercise training in autonomic, hemodynamic, and metabolic parameters in rats under high risk of metabolic syndrome development

Preventive role of exercise training in autonomic, hemodynamic, and metabolic parameters in rats under high risk of metabolic syndrome development

High intraocular pressure is associated with cardiometabolic risk factors in South Korean men: Korean National Health and Nutrition Examination Survey, 2008–2010

Mechanisms of obesity-induced hypertension

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