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Cerebrovascular Disease: Consequences of Obesity-Induced Endothelial Dysfunction

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Obesity and Brain Function

Part of the book series: Advances in Neurobiology ((NEUROBIOL,volume 19))

Abstract

Despite the well-known global impact of overweight and obesity in the incidence of cerebrovascular disease, many aspects of this association are still inconsistently defined. In this chapter we aim to present a critical review on the links between obesity and both ischemic and hemorrhagic stroke and discuss its influence on functional outcomes, survival, and current treatments to acute and chronic stroke. The role of cerebrovascular endothelial function and respective modulation is also described as well as its laboratory and clinical assessment. In this context, the major contributing mechanisms underlying obesity-induced cerebral endothelial function (adipokine secretion, insulin resistance, inflammation, and hypertension) are discussed. A special emphasis is given to the participation of adipokines in the pathophysiology of stroke, namely adiponectin, leptin, resistin, apelin, and visfatin.

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  1. Institute of Physiology, Institute for Biomedical Imaging and Life Sciences—IBILI, Faculty of Medicine, University of Coimbra, Coimbra, Portugal

    Liliana Letra & Cristina Sena

  2. Neurology Department, Centro Hospitalar do Baixo Vouga, Aveiro, Portugal

    Liliana Letra

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    Liliana Letra

  2. Institute of Physiology, Institute for Biomedical Imaging and Life Sciences—IBILI, Faculty of Medicine, University of Coimbra, Coimbra, Portugal

    Raquel Seiça

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Letra, L., Sena, C. (2017). Cerebrovascular Disease: Consequences of Obesity-Induced Endothelial Dysfunction. In: Letra, L., Seiça, R. (eds) Obesity and Brain Function. Advances in Neurobiology, vol 19. Springer, Cham. https://doi.org/10.1007/978-3-319-63260-5_7

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