Table 1.
Hemodynamic, neurohumoral, and renal changes in obese humans, compared to lean subjects, and in experimental animal models of obesity caused by a high fat diet
| Parameter | Humans | Dogs | Rabbits | Rats | Mice |
|---|---|---|---|---|---|
| Arterial pressure | ↑ | ↑ | ↑ | ↑ | ↑ |
| Heart rate | ↑ | ↑ | ↑ | ↑ | ↑ |
| Baroreflex sensitivity | ↓ | ↓ | ↓ | ↓ | ↓ |
| Cardiac output | ↑ | ↑ | ↑ | ↑ | ? |
| VO2 (ml/min) | ↑ | ↑ | ↑ | ↑ | ↑ |
| VO2 (ml/min/kg body weight) | ↓ | ↓ | ↓ | ↓ | ↓ |
| Cardiac hypertrophy | |||||
| Eccentric | ↑ | ↑ | ↑ | ↑ | ↑ |
| Concentric | ↑ | ↑ | ↑ | ↑ | ↑ |
| Cardiac diastolic function | ↓ | ↓ | ↓ | ↓ | ↓ |
| Muscle blood flow (resting) | ↑ | ↑ | ↑ | ? | ? |
| Muscle blood flow “reserve” | ↓ | ↓ | ? | ? | ? |
| GFR* | ↑ | ↑ | ↑ | ↑ | ↑ |
| Renal blood flow* | ↑ | ↑ | ↑ | ↑ | ? |
| Renal Na+ reabsorption | ↑ | ↑ | ↑ | ↑ | ↑ |
| Sympathetic “activity”# | |||||
| Renal | ↑ | ↑ | ↑ | ? | ? |
| Cardiac | ↔↓ | ? | ? | ? | ? |
| Muscle | ↑ | ? | ? | ? | ? |
| Plasma insulin | ↑ | ↑ | ↑ | ↑ | ↑ |
| Insulin sensitivity | ↓ | ↓ | ↓ | ↓ | ↓ |
| Plasma leptin | ↑ | ↑ | ↑ | ↑ | ↑ |
VO2, total body oxygen consumption; GFR, glomerular filtration rate;
the GFR and renal blood flow refer to the early phases of obesity before major loss of nephron function has occurred;
In some instance, sympathetic “activity” is inferred from indirect measurements such as tissue norepinephrine spillover or from denervation studies; plasma insulin and leptin concentrations refer to fasting levels.