Central blood pressure in morbid obesity and after bariatric surgery

Nefrologia (Engl Ed). 2020 May-Jun;40(3):217-222. doi: 10.1016/j.nefro.2019.09.004. Epub 2019 Dec 18.
[Article in English, Spanish]

Abstract

Various mechanisms are related to arterial hypertension in obesity. Central blood pressure (BP) seems to correlate more than peripheral BP with future cardiovascular risk. Bariatric surgery is an effective method to reduce BP along with weight loss in patients with morbid obesity. The study of the relationship between weight modification after bariatric surgery and ambulatory BP measurement, not only peripheral BP, but also central BP, could provide information regarding the mechanisms of organic damage associated with elevated BP in obesity. In this review we analyze the available evidence regarding the association between central BP with obesity and its modifications after bariatric surgery.

Keywords: Arterial hypertension; Bariatric surgery; Central blood pressure; Cirugía bariátrica; Hipertensión arterial; Obesidad; Obesity; Presión arterial central.

Publication types

  • Review

MeSH terms

  • Albuminuria / etiology
  • Bariatric Surgery*
  • Blood Pressure / physiology*
  • Blood Pressure Determination
  • Blood Pressure Monitoring, Ambulatory
  • Body Mass Index
  • Circadian Rhythm / physiology
  • Cohort Studies
  • Comorbidity
  • Disease Susceptibility
  • Female
  • Humans
  • Hypertension / complications*
  • Hypertension / epidemiology
  • Hypertrophy, Left Ventricular / etiology
  • Male
  • Meta-Analysis as Topic
  • Metabolic Syndrome / epidemiology
  • Obesity, Morbid / complications
  • Obesity, Morbid / epidemiology
  • Obesity, Morbid / physiopathology*
  • Obesity, Morbid / surgery
  • Prevalence
  • Randomized Controlled Trials as Topic / statistics & numerical data
  • Weight Loss