Ambulatory Blood Pressure in Obesity

Differences in fat deposition and distribution seem to have a different impact on cardiovascular disease. Excess intra-abdominal (visceral) adiposity is detected by increased waist circumference and is often accompanied by disturbances in lipoprotein metabolism (increased VLDL and decreased HDL) [2] and other alterations in blood pressure and insulin sensitivity in the context of what is called the “metabolic syndrome” [3]. The latter’s relationship with cardiovascular disease has proven to be closer than that observed with simple increases in body weight [4].