Andrew M. Wilson and Marno C. Ryan Pages 208 - 215 ( 8 )
The prevalence of overweight (currently defined as body mass index (BMI) > 25 kg/m2) and obesity (BMI > 30 kg/m2) is rapidly increasing and has been associated with increased morbidity and mortality. Obesity is associated strongly with insulin resistance and type 2 diabetes, which are major risk factors for hypertension and cardiovascular disease. Recent evidence has emerged that adipocytes function as highly active endocrine cells and secrete a wide range of inflammatory and vaso-active agents. These include leptin and adiponectin which appear to display a range of effects on the cardiovascular system, particularly in vitro. A better understanding of the roles for these and other adiopcyte derived agents in cardiovascular disease pathogenesis may lead to the development of better prevention strategies and novel therapies.
Obesity, cardiovascular disease, atherosclerosis, diabetes, hypertension, inflammation
Falk Cardiovascular Institute, Stanford University Medical Center, 300 Pasteur Drive, Stanford, CA 94305, USA.