1. Sympathetic neural abnormalities in type 1 and type 2 diabetes: a systematic review and meta-analysis
- Author
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Guido Grassi, Gianluca Perseghin, Giovanni Corrao, Raffaella Dell'Oro, Gino Seravalle, Giuseppe Mancia, Annalisa Biffi, Fosca Quarti Trevano, Grassi, G, Biffi, A, Dell'Oro, R, Quarti Trevano, F, Seravalle, G, Corrao, G, Perseghin, G, and Mancia, G
- Subjects
insulin ,medicine.medical_specialty ,Sympathetic Nervous System ,endocrine system diseases ,Physiology ,medicine.medical_treatment ,Comorbidity ,Type 2 diabetes ,030204 cardiovascular system & hematology ,03 medical and health sciences ,0302 clinical medicine ,Internal medicine ,Diabetes mellitus ,Heart rate ,Internal Medicine ,medicine ,Humans ,Obesity ,030212 general & internal medicine ,Type 1 diabetes ,diabetes mellitu ,type 1 diabete ,business.industry ,Muscles ,Insulin ,nutritional and metabolic diseases ,Type 2 Diabetes Mellitus ,sympathetic activity ,medicine.disease ,Diabetes Mellitus, Type 1 ,Diabetes Mellitus, Type 2 ,Hypertension ,Cardiology ,Metabolic syndrome ,Cardiology and Cardiovascular Medicine ,business - Abstract
BACKGROUND Microneurographic recordings of muscle sympathetic nerve activity (MSNA) have shown that sympathetic activation may characterize diabetes mellitus. However, it is recognized that comorbidities and metabolic abnormalities frequently associated with both type 1 diabetes mellitus (T1DM) and type 2 diabetes mellitus (T2DM) diabetes affect MSNA, generating potential confounding effects and making the association between sympathetic activation and diabetes mellitus still a controversial matter. METHODS The present meta-analysis evaluated 11 microneurographic studies enrolling 314 diabetes mellitus patients and healthy controls, and MSNA was chosen as the main variable of interest. Collection of the data included indirect adrenergic markers such as heart rate and venous plasma noradrenaline, together with hemodynamic, anthropometric and metabolic variables. RESULTS A total of 11 microneurographic studies were evaluated including 314 diabetes mellitus patients and controls. Diabetes mellitus displayed MSNA significantly greater than controls (mean difference amounting to 8.1, 95% confidence interval 1.21-15.08, P
- Published
- 2020
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