Relationship of obesity and insulin resistance with the cerebrovascular reactivity: a case control study View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2014-01-03

AUTHORS

Marcela Rodríguez-Flores, Eduardo García-García, Claudia Vanessa Cano-Nigenda, Carlos Cantú-Brito

ABSTRACT

BACKGROUND: Obesity is associated with increased risk for stroke. The breath-holding index (BHI) is a measure of vasomotor reactivity of the brain which can be measured with the transcranial Doppler (TCD). We aim to evaluate obesity as an independent factor for altered cerebrovascular reactivity. METHODS: Cerebrovascular hemodynamics (mean flow velocities MFV, pulsatility index, PI, resistance index, RI, and BHI) was determined in 85 non-obese (Body Mass Index, BMI ≤27 kg/m2) and 85 obese subjects (BMI ≥35 kg/m2) without diabetes mellitus and hypertension. Anthropometric and metabolic variables, and scores to detect risk for obstructive sleep apnea (OSA) were analyzed for their association with the cerebrovascular reactivity. RESULTS: The BHI was significantly lower in subjects with obesity according to BMI and in subjects with abdominal obesity, but the PI and RI were not different between groups. There was a linear association between the BMI, the HOMA-IR, the Matsuda index, the waist circumference, and the neck circumference, with the cerebrovascular reactivity. After adjusting for insulin resistance, neck circumference, and abdominal circumference, obesity according to BMI was negatively correlated with the cerebrovascular reactivity. CONCLUSIONS: We found a diminished vasomotor reactivity in individuals with obesity which was not explained by the presence of insulin resistance. More... »

PAGES

2-2

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/1475-2840-13-2

DOI

http://dx.doi.org/10.1186/1475-2840-13-2

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1014873510

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/24383894


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