The DOI matches its Crossref record; 44 of the 44 references it cites were found in a registry or an index.
Subcutaneous obesity is not associated with sympathetic neural activation
Abstract
We tested the hypothesis that muscle sympathetic nerve activity (MSNA) would not differ in subcutaneously obese (SUBOB) and nonobese (NO) men with similar levels of abdominal visceral fat despite higher plasma leptin concentrations in the former. We further hypothesized that abdominal visceral fat would be the strongest body composition- or regional fat distribution-related correlate of MSNA among these individuals. To accomplish this, we measured MSNA (via microneurography), body composition (via dual-energy X-ray absorptiometry), and abdominal fat distribution (via computed tomography) in 15 NO (body mass index ≤ 25 kg/m 2; 22.4 ± 1.4 yr) and 9 SUBOB (25 ≤ body mass index ≤ 35 kg/m 2; 23.4 ± 2.1 yr) sedentary men. As expected, body mass (94 ± 4 vs. 71 ± 2 kg), total fat mass (25 ± 2 vs. 12 ± 1 kg), and abdominal subcutaneous fat (307 ± 36 vs. 132 ± 12 cm 2) were significantly higher in the SUBOB group compared with NO peers. However, the level of abdominal visceral fat did not differ significantly in the two groups (69 ± 7 vs. 55 ± 5 cm 2). MSNA was not different between SUBOB and NO men (23 ± 3 vs. 24 ± 2 bursts/min; P > 0.05, respectively) despite ∼2.6-fold higher ( P < 0.05) plasma leptin concentration in the SUBOB men. Furthermore, abdominal visceral fat was the only body composition- or regional fat distribution-related correlate ( r = 0.45; P < 0.05) of MSNA in the pooled sample. In addition, abdominal visceral fat was related to MSNA in NO ( r = 0.58; P = 0.0239) but not SUBOB ( r = 0.39; P = 0.3027) men. Taken together with our previous observations, our findings suggest that the relation between obesity and MSNA is phenotype dependent. The relation between abdominal visceral fat and MSNA was evident in NO but not in SUBOB men and at levels of abdominal visceral fat below the level typically associated with elevated cardiovascular and metabolic disease risk. Our observations do not support an obvious role for leptin in contributing to sympathetic neural activation in human obesity and, in turn, are inconsistent with the concept of selective leptin resistance.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“This is consistent with evidence that muscle sympathetic nerve traffic correlates with visceral but not subcutaneous fat in obesity71–72.”
From The Sympathetic Nervous System Alterations in Human Hypertension (2015) · cites this paper as [72]
In the citing paper
“This is consistent with evidence that muscle sympathetic nerve traffic correlates with visceral but not subcutaneous fat in obesity71–72.”
From The Sympathetic Nervous System Alterations in Human Hypertension (2015) · cites this paper as [71]
Citations
Cites
Prevalence and trends in obesity among US adults, 1999–2000
Flegal, K. M. (2002) · JAMA · doi:10.1001/jama.288.14.1723 · Cited by 6,190
Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001
Mokdad, A. H., Ford, E. S., Bowman, B. A., Dietz, W. H., Vinicor, F., Bales, V. S., & Marks, J. S. (2003) · JAMA · doi:10.1001/jama.289.1.76 · Cited by 5,866
Epidemiology of Obstructive Sleep Apnea: A Population Health Perspective
Young, T., Peppard, P. E., & Gottlieb, D. J. (2002) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.2109080 · Cited by 4,244
Subcutaneous and visceral adipose tissue: their relation to the metabolic syndrome
Wajchenberg, B. L. (2000) · Endocrine Reviews · doi:10.1210/edrv.21.6.0415 · Cited by 2,961
Ahima, R. S., & Flier, J. S. (2000) · Annual Review of Physiology · doi:10.1146/annurev.physiol.62.1.413 · Cited by 1,428
Regional distribution of body fat, plasma lipoproteins, and cardiovascular disease.
Després, J. P., Moorjani, S., Lupien, P. J., Tremblay, A., Nadeau, A., & Bouchard, C. (1990) · Arteriosclerosis: An Official Journal of the American Heart Association, Inc. · doi:10.1161/01.atv.10.4.497 · Cited by 1,248
Cerebrospinal fluid leptin levels: Relationship to plasma levels and to adiposity in humans
Schwartz, M. W., Peskind, E., Raskind, M., Boyko, E. J., & Porte, D. (1996) · Nature Medicine · doi:10.1038/nm0596-589 · Cited by 1,014
Treatment of obesity: need to focus on high risk abdominally obese patients
Després, J., Lemieux, I., & Prud'homme, D. (2001) · BMJ · doi:10.1136/bmj.322.7288.716 · Cited by 831
Sympathetic Activation in Obese Normotensive Subjects
Grassi, G., Seravalle, G., Cattaneo, B. M., Bolla, G. B., Lanfranchi, A., Colombo, M., Giannattasio, C., Brunani, A., Cavagnini, F., & Mancia, G. (1995) · Hypertension · doi:10.1161/01.hyp.25.4.560 · Cited by 614
Leptin secretion from subcutaneous and visceral adipose tissue in women.
van Harmelen, V., Reynisdottir, S., Eriksson, P. O., Thörne, A., Hoffstedt, J., Lönnqvist, F., & Arner, P. (1998) · Diabetes · doi:10.2337/diabetes.47.6.913 · Cited by 611
Sympathetic Neural Activation in Visceral Obesity
Alvarez, G. E., Beske, S. D., Ballard, T. P., & Davy, K. P. (2002) · Circulation · doi:10.1161/01.cir.0000041244.79165.25 · Cited by 557
Self-citationSympathetic Activity in Obese Subjects With and Without Obstructive Sleep Apnea
Narkiewicz, K., van de Borne, P. J. H., Cooley, R. L., Dyken, M. E., & Somers, V. K. (1998) · Circulation · doi:10.1161/01.cir.98.8.772 · Cited by 525
Eckel, R. H. (1997) · Circulation · doi:10.1161/01.cir.96.9.3248 · Cited by 512
Body fat and sympathetic nerve activity in healthy subjects.
Scherrer, U., Randin, D., Tappy, L., Vollenweider, P., Jéquier, E., & Nicod, P. (1994) · Circulation · doi:10.1161/01.cir.89.6.2634 · Cited by 383
Obesity hypertension: role of leptin and sympathetic nervous system
Hall, J. E. (2001) · American Journal of Hypertension · doi:10.1016/s0895-7061(01)02077-5 · Cited by 361
Vgontzas, A. N., Bixler, E. O., & Chrousos, G. P. (2003) · Journal of Internal Medicine · doi:10.1046/j.1365-2796.2003.01177.x · Cited by 321
Reduced sympathetic nervous activity. A potential mechanism predisposing to body weight gain.
Spraul, M., Ravussin, E., Fontvieille, A. M., Rising, R., Larson, D. E., & Anderson, E. A. (1993) · Journal of Clinical Investigation · doi:10.1172/jci116760 · Cited by 293
Peripheral Sympathetic Neural Activity in Conscious Humans
Wallin, B. G., & Fagius, J. (1988) · Annual Review of Physiology · doi:10.1146/annurev.ph.50.030188.003025 · Cited by 293
Esler, M., & Kaye, D. M. (2000) · Journal of Cardiovascular Pharmacology · doi:10.1097/00005344-200000004-00001 · Cited by 237
Grassi, G., Seravalle, G., Dell'Oro, R., Trevano, F. Q., Bombelli, M., Scopelliti, F., Facchini, A., & Mancia, G. (2003) · Journal of Hypertension · doi:10.1097/00004872-200309000-00027 · Cited by 225
Selective leptin resistance: a new concept in leptin physiology with cardiovascular implications
Mark, A. L., Correia, M. L. G., Rahmouni, K., & Haynes, W. G. (2002) · Journal of Hypertension · doi:10.1097/00004872-200207000-00001 · Cited by 215
Russell, C. D., Petersen, R. N., Rao, S. P., Ricci, M. R., Prasad, A., Zhang, Y., Brolin, R. E., & Fried, S. K. (1998) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.1998.275.3.e507 · Cited by 174
Plasma Angiotensinogen Concentrations in Obese Patients
Umemura, S. (1997) · American Journal of Hypertension · doi:10.1016/s0895-7061(97)00053-8 · Cited by 171
Reduced cardiovagal baroreflex gain in visceral obesity: implications for the metabolic syndrome
Beske, S. D., Alvarez, G. E., Ballard, T. P., & Davy, K. P. (2002) · American Journal of Physiology-Heart and Circulatory Physiology · doi:10.1152/ajpheart.00642.2001 · Cited by 143
Self-citationActivity of the hypothalamic–pituitary–adrenal axis in different obesity phenotypes
Pasquali, R., & Vicennati, V. (2000) · International Journal of Obesity · doi:10.1038/sj.ijo.0801277 · Cited by 131
van Harmelen, V, Elizalde, M., Ariapart, P., Bergstedt-Lindqvist, S., Reynisdottir, S., Hoffstedt, J., Lundkvist, I., Bringman, S., & Arner, P. (2000) · International Journal of Obesity · doi:10.1038/sj.ijo.0801217 · Cited by 114
Effects of intravenous infusions of angiotensin II on muscle sympathetic nerve activity in humans
Matsukawa, T., Gotoh, E., Minamisawa, K., Kihara, M., Ueda, S., Shionoiri, H., & Ishii, M. (1991) · American Journal of Physiology-Regulatory, Integrative and Comparative Physiology · doi:10.1152/ajpregu.1991.261.3.r690 · Cited by 113 · cited 1×
“Furthermore, plasma angiotensinogen concentrations are elevated in obesity (35), and angiotensin II stimulates central sympathetic outflow in humans (24).”
BackgroundGender differences in muscle sympathetic nerve activity: effect of body fat distribution
Jones, P. P., Snitker, S., Skinner, J. S., & Ravussin, É. (1996) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.1996.270.2.e363 · Cited by 110
Relationship Between Muscle Sympathetic Nerve Activity and Plasma Leptin Concentration
Snitker, S., Pratley, R. E., Nicolson, M., Tataranni, P. A., & Ravussin, E. (1997) · Obesity Research · doi:10.1002/j.1550-8528.1997.tb00561.x · Cited by 110
Baroreflex modulation of sympathetic outflow during physiological increases of vasopressin in humans
Ebert, T. J., & Cowley, A. W. (1992) · American Journal of Physiology-Heart and Circulatory Physiology · doi:10.1152/ajpheart.1992.262.5.h1372 · Cited by 105
Relationship between circulating leptin and peripheral fat distribution in obese subjects
Lönnqvist, F., Wennlund, A., & Arner, P. (1997) · International Journal of Obesity · doi:10.1038/sj.ijo.0800394 · Cited by 104
CARDIOVASCULAR CONSEQUENCES OF OBESITY: ROLE OF LEPTIN
Haynes, W. G., Morgan, D. A., Walsh, S. A., Sivitz, W. I., & Mark, A. L. (1998) · Clinical and Experimental Pharmacology and Physiology · doi:10.1111/j.1440-1681.1998.tb02147.x · Cited by 101
Hypertension and the Metabolic Syndrome: Closely Related Central Origin?
Björntorp, P. A. (2000) · Blood Pressure · doi:10.1080/08037050050151762 · Cited by 96
Gender difference in cardiovagal baroreflex gain in humans
Beske, S. D., Alvarez, G. E., Ballard, T. P., & Davy, K. P. (2001) · Journal of Applied Physiology · doi:10.1152/jappl.2001.91.5.2088 · Cited by 94
Self-citationSegregated signal averaging of sympathetic baroreflex responses in humans
Halliwill, J. R. (2000) · Journal of Applied Physiology · doi:10.1152/jappl.2000.88.2.767 · Cited by 87
Structure and characterization of the mouse UT-A gene (Slc14a2)
Fenton, R. A., Cottingham, C. A., Stewart, G. S., Howorth, A., Hewitt, J. A., & Smith, C. P. (2002) · American Journal of Physiology-Renal Physiology · doi:10.1152/ajprenal.00264.2001 · Cited by 85
Age-related increase in muscle sympathetic nerve activity is associated with abdominal adiposity
Jones, P. P., Davy, K. P., Alexander, S., & Seals, D. R. (1997) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.1997.272.6.e976 · Cited by 84
Self-citationMonroe, M., Pelt, R. E. V., Schiller, B. C., Seals, D. R., & Jones, P. P. (2000) · International Journal of Obesity · doi:10.1038/sj.ijo.0801364 · Cited by 74
Leptin interacts with heart rate but not sympathetic nerve traffic in healthy male subjects
Narkiewicz, K., Kato, M., Phillips, B. G., Pesek, C. A., Choe, I., Winnicki, M., Palatini, P., Sivitz, W. I., & Somers, V. K. (2001) · Journal of Hypertension · doi:10.1097/00004872-200106000-00014 · Cited by 68
Participation of the Hypothalamus-Hypophysis Axis in the Sympathetic Activation of Human Obesity
Grassi, G. M., Seravalle, G., Dell’Oro, R., Turri, C., Pasqualinotto, L., Colombo, M., & Mancia, G. (2001) · Hypertension · doi:10.1161/hy1201.096117 · Cited by 65
A Potential Mechanism Predisposing to Body Weight Gain
Spraul, M., Ravussin, É., Fontvieille, A. M., Rising, R., Larson, D. E., & Anderson, E. A. (1993) · Cited by 49
Cheng, Y., Liu, P., Chen, H., & Zeng, F. (2000) · Journal of Cardiovascular Pharmacology · doi:10.1097/00005344-200001000-00001 · Cited by 42
Jones, P., Davy, K. P., & Seals, D. (1997) · International Journal of Obesity · doi:10.1038/sj.ijo.0800515 · Cited by 38
Self-citationHuman obesity is associated with a chronic elevation in brain 5-hydroxytryptamine turnover
Lambert, G. W., Vaz, M. A. P., Cox, H. S., Turner, A., Kaye, D. M., Jennings, G., & Esler, M. (1999) · Clinical Science · doi:10.1042/cs0960191 · Cited by 27
Cited by
Sorted by citations
Seravalle, G., & Grassi, G. (2017) · Pharmacological Research · doi:10.1016/j.phrs.2017.05.013 · Cited by 909
Sympathetic Nervous System Overactivity and Its Role in the Development of Cardiovascular Disease
Malpas, S. C. (2010) · Physiological Reviews · doi:10.1152/physrev.00007.2009 · Cited by 696
The Sympathetic Nervous System Alterations in Human Hypertension
Grassi, G., Mark, A., & Esler, M. (2015) · Circulation Research · doi:10.1161/circresaha.116.303604 · Cited by 616
Mechanisms of Sympathetic Activation in Obesity-Related Hypertension
Esler, M., Straznicky, N., Eikelis, N., Masuo, K., Lambert, G., & Lambert, E. (2006) · Hypertension · doi:10.1161/01.hyp.0000242642.42177.49 · Cited by 443
Sex/gender differences in obesity prevalence, comorbidities, and treatment
Cooper, A. J., Gupta, S. R., Moustafa, A. F., & Chao, A. M. (2021) · Current Obesity Reports · doi:10.1007/s13679-021-00453-x · Cited by 483
Metadata
- Authors
- Alvarez, G. E., Ballard, T. P., Beske, S. D., & Davy, K. P.
- Affiliations
- Virginia Tech (US)
- ORCID
- Davy, Kevin P.
- Venue
- American Journal of Physiology-Heart and Circulatory Physiology
- Publisher
- American Physiological Society
- Published
- 2004-07
- Volume
- 287
- Issue
- 1
- Pages
- H414-H418
- ISSN
- 0363-6135 (ISSN-L)
- 1522-1539
- OpenAlex
- W2137441166
- Semantic Scholar
- b4c8c1b421291d2f249c98c28561bfb11a6096f8
- Cited by
- 121
- References
- 44
- Citations by year
- 2025: 4 · 2024: 3 · 2023: 2 · 2022: 1 · 2021: 5 · 2020: 4 · 2019: 8 · 2018: 3 · 2017: 7 · 2016: 6 · 2015: 8 · 2014: 11 · 2013: 10 · 2012: 9
- FWCI
- 4.81
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Physiology-Heart and Circulatory Physiology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Heart, Lung, and Blood Institute (HL62283, K02HL067227, R01HL062283, HL67227)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adipokines, Inflammation, and Metabolic Diseases
- Health Sciences › Medicine › Physiology (medical) › Cardiovascular and exercise physiology
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Keywords
- muscle sympathetic nerve activity, visceral fat, leptin, sympathetic nervous system, body composition, regional fat distribution, obesity phenotypes, sedentary adults, cardiovascular risk, metabolic risk
- MeSH terms
- Abdomen, Adipose Tissue, Adult, Anthropometry, Body Composition, Humans, Male, Obesity, Sympathetic Nervous System, Case-Control Studies, Baroreflex, Muscle, Skeletal, Leptin, Subcutaneous Tissue
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review