Pathophysiology of obesity hypertension

被引:118
作者
Hall J.E. [1 ]
机构
[1] Department of Physiology and Biophysics, University of Mississippi, Medical Center, Jackson, MS 39216-4505
关键词
Brown Adipose Tissue; Sympathetic Activity; Sodium Reabsorption; Obese Person; Excess Weight Gain;
D O I
10.1007/s11906-000-0073-4
中图分类号
学科分类号
摘要
Excess weight gain is a major cause of essential hypertension, and abnormal kidney function appears to be a cause as well as a consequence of obesity hypertension. Excess renal sodium reabsorption and a hypertensive shift of pressure natriuresis play a major role in mediating increased blood pressure associated with weight gain. Activation of the renin-angiotensin and sympathetic nervous systems and physical compression of the kidneys appear to contribute to obesity-induced increases in sodium reabsorption and hypertension. Copyright © 2000 by Current Science Inc.
引用
收藏
页码:139 / 147
页数:8
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  • [1] Flegal K.M., Carroll M.D., Kuczmarski R.J., Et al., Overweight and obesity in the United States: Prevalence and trends, 1960-1994, Int J Obes Relat Metab Disord, 22, pp. 39-47, (1998)
  • [2] Kumanyika S., Obesity in black women, Epidemiol Rev, 9, pp. 31-50, (1987)
  • [3] Cooper R.S., Rotimi C.N., Ward R., The puzzle of hypertension in African-Americans, Sci Am, 280, pp. 56-63, (1999)
  • [4] Jones D.W., Kim J.S., Andrew M.E., Et al., Body mass index and blood pressures in Korean men and women: The Korean National Blood Pressure Survey, J Hypertens, 12, pp. 1433-1437, (1994)
  • [5] Garrison R.J., Kannel W.B., Stokes III J., Et al., Incidence and precursors of hypertension in young adults: The Framingham Offspring Study, Prev Med, 16, pp. 234-251, (1987)
  • [6] Van Vliet B.N., Hall J.E., Mizelle H.L., Et al., Reduced parasympathetic control of heart rate in obese dogs, Am J Physiol, 269, (1995)
  • [7] Verwaerde P., Senard J.M., Galinier M., Et al., Changes in shortterm variability of blood pressure and heart rate during the development of obesity-associated hypertension in high-fat fed dogs, J Hypertens, 17, pp. 1135-1143, (1999)
  • [8] Hall J.E., Brands M.W., Henegar J.R., Et al., Abnormal kidney function as a cause and a consequence of obesity hypertension, Clin Exp Pharmacol Physiol, 25, pp. 58-64, (1998)
  • [9] Carrol J.F., Huang M., Hester R.L., Et al., Hemodynamic alterations in hypertensive obese rabbits, Hypertension, 26, (1995)
  • [10] Carroll J.F., Summers R.L., Dzielak D.J., Et al., Diastolic compliance is reduced in obese rabbits, Hypertension, 33, pp. 811-815, (1999)