Obesity is a major risk factor for diabetes mellitus and
cardiovascular disease. The societal cost of obesity is keeping pace
with the growing scope of the epidemic, estimated to account for ≈17% of
all US health expenditures by 2030.
1
The clinical burden of obesity-related cardiovascular disease is
profound; recent data suggest that severe obesity (body mass index
>35 kg/m
2) is associated with nearly a 4-fold increased
risk of incident heart failure and an ≈2-fold increased risk of incident
coronary heart disease and stroke.
2
Given the strong associations between obesity and hypertension,
diabetes mellitus, and dyslipidemia, it is understandable that much of
the obesity-related coronary heart disease risk is attributable to
concurrent traditional risk factors such as hypertension, diabetes
mellitus, and dyslipidemia. However, data suggest a persistent risk
association between obesity and coronary heart disease that is not
explained by conventional risk factors, thereby spawning extensive
investigations to identify the culprit mechanisms.
3
Over the past several decades, the research focus has shifted to the
adipose tissues themselves, and more specifically the adipocyte, as a
key link between obesity and cardiovascular disease risk.
Adipose tissue functions primarily as a storage depot for excess calories.
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