Current diabetes reports
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Current diabetes reports · Feb 2005
ReviewThe evolving role of inflammation in obesity and the metabolic syndrome.
Advances in adipose tissue biology over the past 10 years have led to an improved understanding of the mechanisms linking obesity with the metabolic syndrome and other complications. Obesity is characterized by a chronic, systemic low-grade state of inflammation. Biomarkers of inflammation, such as the leukocyte count, tumor necrosis factor-alpha (TNF-alpha), interleukin 6 (IL-6), and C-reactive protein, are increased in obesity, associated with insulin resistance, and predict the development of type 2 diabetes and cardiovascular disease. ⋯ Adipocytes secrete a variety of cytokines, including IL-6 and TNF-alpha, that promote inflammation. Moreover, recent studies suggest that obesity is associated with an increase in adipose tissue macrophages, which also participate in the inflammatory process through the elaboration of cytokines. An improved understanding of the role of adipose tissue in the activation of inflammatory pathways may suggest novel treatment and prevention strategies aimed at reducing obesity-associated morbidities and mortality.
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Current diabetes reports · Jun 2004
Randomized Controlled Trial Comparative Study Clinical TrialReducing mortality in critically ill patients.
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Current diabetes reports · Jun 2002
Randomized Controlled Trial Multicenter Study Clinical TrialAction for health in diabetes: the look AHEAD clinical trial.