Pathophysiology of Neurogenic Obesity After Spinal Cord Injury

Individuals with a spinal cord injury (SCI) have a unique physiology characterized by sarcopenia, neurogenic osteoporosis, neurogenic anabolic deficiency, sympathetic dysfunction, and blunted satiety associated with their SCI, all of which alter energy balance and subsequently body composition. The...

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Veröffentlicht in:Topics in spinal cord injury rehabilitation 2021, Vol.27 (1), p.1-10
Hauptverfasser: Gater, Jr, David R, Farkas, Gary J, Tiozzo, Eduard
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creator Gater, Jr, David R
Farkas, Gary J
Tiozzo, Eduard
description Individuals with a spinal cord injury (SCI) have a unique physiology characterized by sarcopenia, neurogenic osteoporosis, neurogenic anabolic deficiency, sympathetic dysfunction, and blunted satiety associated with their SCI, all of which alter energy balance and subsequently body composition. The distinct properties of "neurogenic obesity" place this population at great risk for metabolic dysfunction, including systemic inflammation, hyperglycemia, dyslipidemia, and hypertension. The purpose of this article is to demonstrate the relationship between neurogenic obesity and the metabolic syndrome after SCI, highlighting the mechanisms associated with adipose tissue pathology and those respective comorbidities. Additionally, representative studies of persons with SCI will be provided to elucidate the severity of the problem and to prompt greater vigilance among SCI specialists as well as primary care providers in order to better manage the epidemic from a public health perspective.
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subjects Adipocytes
Amino acids
Apoptosis
Body mass index
Cholesterol
Cytokines
Diabetes
Energy
Fatty acids
Gene expression
Glucose
Humans
Hyperglycemia
Hypertension
Inflammation
Insulin resistance
Kinases
Liver
Metabolic disorders
Metabolic syndrome
Metabolic Syndrome - etiology
Metabolites
Musculoskeletal system
Nervous system
Obesity
Obesity - complications
Obesity - physiopathology
Proteins
Spinal cord injuries
Spinal Cord Injuries - complications
Spinal Cord Injuries - physiopathology
Triglycerides
title Pathophysiology of Neurogenic Obesity After Spinal Cord Injury
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