{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T10:09:53Z","timestamp":1791194993308,"version":"4.1.0"},"reference-count":34,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Hypertension"],"published-print":{"date-parts":[[2001,9]]},"abstract":"<jats:p>\n            A large body of clinical investigation implicates an important role for the sympathetic nervous system in linking obesity with hypertension. However, the experimental support for this hypothesis is derived from strictly white cohorts. The goal of this study was to determine whether being overweight begets sympathetic overactivity in black Americans, the ethnic minority at highest risk for hypertension. We recorded postganglionic sympathetic nerve discharge with microelectrodes in muscle nerve fascicles of the peroneal nerve in 92 normotensive young adult black men and women within a wide range of body mass index. The same experiments were performed in a control group of 45 normotensive white men and women of similar ages and body mass indices. The major new findings are 2-fold. First, in young, normotensive, overtly healthy black women, being overweight begets sympathetic overactivity (\n            <jats:italic>r<\/jats:italic>\n            =0.45,\n            <jats:italic>P<\/jats:italic>\n            =0.0009), a putative intermediate phenotype for incident hypertension. Second, in black men, sympathetic nerve discharge is dissociated from body mass index (\n            <jats:italic>r<\/jats:italic>\n            =0.03,\n            <jats:italic>P<\/jats:italic>\n            =NS). This dissociation is explained in part by a 20% to 40% higher rate of sympathetic nerve discharge in lean black men compared with lean white men and lean black and white women (28\u00b13 versus 18\u00b12, 21\u00b12, and 17\u00b12 bursts\/min, respectively;\n            <jats:italic>P<\/jats:italic>\n            &lt;0.05). Sympathetic nerve discharge in lean black men is comparable to that of overweight black men and women as well as white men and women. These data provide the first microneurographic evidence for tonic central sympathetic overactivity in blacks, both adiposity-related sympathetic overactivity in black women and adiposity-independent sympathetic overactivity in black men.\n          <\/jats:p>","DOI":"10.1161\/01.hyp.38.3.379","type":"journal-article","created":{"date-parts":[[2012,6,12]],"date-time":"2012-06-12T00:25:31Z","timestamp":1339460731000},"page":"379-383","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":92,"title":["Overweight and Sympathetic Overactivity in Black Americans"],"prefix":"10.1161","volume":"38","author":[{"given":"Nicola I.","family":"Abate","sequence":"first","affiliation":[{"name":"Division of Hypertension and the Donald W. Reynolds Cardiovascular Clinical Research Center (Y.H.M., M.T., D.A., B.C., W.V., R.G.V.), Division of Endocrinology and Metabolism (N.I.A), Division of Cardiology (A.K.), and General Internal Medicine Division (T.H.-S.), Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasser H.","family":"Mansour","sequence":"additional","affiliation":[{"name":"Division of Hypertension and the Donald W. Reynolds Cardiovascular Clinical Research Center (Y.H.M., M.T., D.A., B.C., W.V., R.G.V.), Division of Endocrinology and Metabolism (N.I.A), Division of Cardiology (A.K.), and General Internal Medicine Division (T.H.-S.), Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meryem","family":"Tuncel","sequence":"additional","affiliation":[{"name":"Division of Hypertension and the Donald W. Reynolds Cardiovascular Clinical Research Center (Y.H.M., M.T., D.A., B.C., W.V., R.G.V.), Division of Endocrinology and Metabolism (N.I.A), Division of Cardiology (A.K.), and General Internal Medicine Division (T.H.-S.), Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debbie","family":"Arbique","sequence":"additional","affiliation":[{"name":"Division of Hypertension and the Donald W. Reynolds Cardiovascular Clinical Research Center (Y.H.M., M.T., D.A., B.C., W.V., R.G.V.), Division of Endocrinology and Metabolism (N.I.A), Division of Cardiology (A.K.), and General Internal Medicine Division (T.H.-S.), Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bahman","family":"Chavoshan","sequence":"additional","affiliation":[{"name":"Division of Hypertension and the Donald W. Reynolds Cardiovascular Clinical Research Center (Y.H.M., M.T., D.A., B.C., W.V., R.G.V.), Division of Endocrinology and Metabolism (N.I.A), Division of Cardiology (A.K.), and General Internal Medicine Division (T.H.-S.), Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Kizilbash","sequence":"additional","affiliation":[{"name":"Division of Hypertension and the Donald W. Reynolds Cardiovascular Clinical Research Center (Y.H.M., M.T., D.A., B.C., W.V., R.G.V.), Division of Endocrinology and Metabolism (N.I.A), Division of Cardiology (A.K.), and General Internal Medicine Division (T.H.-S.), Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Temple","family":"Howell-Stampley","sequence":"additional","affiliation":[{"name":"Division of Hypertension and the Donald W. Reynolds Cardiovascular Clinical Research Center (Y.H.M., M.T., D.A., B.C., W.V., R.G.V.), Division of Endocrinology and Metabolism (N.I.A), Division of Cardiology (A.K.), and General Internal Medicine Division (T.H.-S.), Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wanpen","family":"Vongpatanasin","sequence":"additional","affiliation":[{"name":"Division of Hypertension and the Donald W. Reynolds Cardiovascular Clinical Research Center (Y.H.M., M.T., D.A., B.C., W.V., R.G.V.), Division of Endocrinology and Metabolism (N.I.A), Division of Cardiology (A.K.), and General Internal Medicine Division (T.H.-S.), Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronald G.","family":"Victor","sequence":"additional","affiliation":[{"name":"Division of Hypertension and the Donald W. Reynolds Cardiovascular Clinical Research Center (Y.H.M., M.T., D.A., B.C., W.V., R.G.V.), Division of Endocrinology and Metabolism (N.I.A), Division of Cardiology (A.K.), and General Internal Medicine Division (T.H.-S.), Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_2_1_2","doi-asserted-by":"publisher","DOI":"10.1172\/JCI115260"},{"key":"e_1_3_2_2_2","first-page":"I-61","volume":"19","year":"1992","unstructured":"Landsberg L. Hyperinsulinemia: possible role in obesity-induced hypertension. Hypertension. . 1992; 19 (suppl I): I-61. Abstract.","journal-title":"Hypertension"},{"key":"e_1_3_2_3_2","unstructured":"Victor RG Mark AL. The sympathetic nervous system in human hypertension. In: Laragh JH Brenner BM eds. Hypertension: Pathophysiology Diagnosis and Management. 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