Cited by 171Diabetes, Cardiovascular Risks, and LipoproteinsBlood Pressure and Hypertension StudiesAdipokines, Inflammation, and Metabolic Diseases

Metabolic syndrome: a sympathetic disease?

Schlaich, Markus, Straznicky, Nora, Lambert, Elisabeth, Lambert, Gavin·2015·The Lancet Diabetes & Endocrinology

Abstract

Metabolic syndrome is associated with adverse health outcomes and is a growing problem worldwide. Although efforts to harmonise the definition of metabolic syndrome have helped to better understand the prevalence and the adverse outcomes associated with the disorder on a global scale, the mechanisms underpinning the metabolic changes that define it are incompletely understood. Accumulating evidence from laboratory and human studies suggests that activation of the sympathetic nervous system has an important role in metabolic syndrome. Indeed, treatment strategies commonly recommended for patients with metabolic syndrome, such as diet and exercise to induce weight loss, are associated with sympathetic inhibition. Pharmacological and device-based approaches to target activation of the sympathetic nervous system directly are available and have provided evidence to support the important part played by sympathetic regulation, particularly for blood pressure and glucose control. Preliminary evidence is encouraging, but whether therapeutically targeting sympathetic overactivity could help to prevent metabolic syndrome and attenuate its adverse outcomes remains to be determined.

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Crossref · 10.1016/s2213-8587(14)70033-6

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Authors
Schlaich, M., Straznicky, N., Lambert, E., & Lambert, G.
Affiliations
Baker Heart and Diabetes Institute (AU)
Corresponding author
Schlaich, Markus
Venue
The Lancet Diabetes & Endocrinology
Publisher
Elsevier BV
Published
2015-02
Volume
3
Issue
2
Pages
148-157
ISSN
2213-8587 (ISSN-L)
OpenAlex
W2123892282
Cited by
171
References
110
Citations by year
2026: 12 · 2025: 16 · 2024: 16 · 2023: 21 · 2022: 13 · 2021: 16 · 2020: 19 · 2019: 12 · 2018: 16 · 2017: 15 · 2016: 5 · 2015: 8 · 2014: 2
FWCI
1.59
Type
journal article
Language
en
Open access
closed
Locations
  • The Lancet Diabetes & Endocrinology (publishedVersion)
  • PubMed (publishedVersion)
  • Swinburne figshare (Swinburne University of Technology) (submittedVersion)
Funders
National Health and Medical Research Council
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
  • Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
Keywords
metabolic syndrome, sympathetic nervous system, sympathetic hyperactivity, sympathoinhibition, weight loss, blood pressure regulation, glycemic control, pharmacotherapy, device therapy
MeSH terms
Animals, Female, Humans, Hypothalamus, Male, Obesity, Pituitary-Adrenal System, Sympathetic Nervous System, Sleep Apnea, Obstructive, Metabolic Syndrome

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