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Influences of Gender on the Interaction between Sympathetic Nerve Traffic and Central Adiposity

Institute of Clinical Pharmacology (J.T., K.H., J.J.), Hannover Medical School, 30625 Hannover, Germany; Department of Medicine (A.D.), Division of Clinical Pharmacology, Vanderbilt University School of Medicine, Nashville, Tennessee 37221; Department of Hypertension and Diabetology (D.H., K.N.), Medical University of Gdansk, 80 210 Gdansk, Poland; HealthTwiSt GmbH (A.B.), 13125 Berlin, Germany; Franz Volhard Clinical Research Center (F.C.L.), Medical Faculty of the Charité and HELIOS Klinikum, 13353 Berlin, Germany

Address all correspondence and requests for reprints to: Jens Jordan, M.D., Institute of Clinical Pharmacology, Hannover Medical School, Carl Neuberg Strasse 1, 30625 Hannover, Germany. E-mail: jordan.jens{at}mh-hannover.de.

Context: Sympathetic activation promotes insulin resistance and arterial hypertension with increasing adiposity. A difference in the relationship between adiposity and sympathetic activity between women and men could contribute to the known gender difference in cardiovascular disease risk.

Objective: We tested whether muscle sympathetic nerve activity (MSNA) is correlated differently with waist circumference, waist to hip ratio (WHR), and body mass index (BMI) in women and men.

Design and Setting: We pooled data from two microneurography centers (Berlin, Germany; Gdansk, Poland) for a cross-sectional study.

Participants: We studied 111 normotensive, healthy Caucasian subjects (70 males and 41 females). Age ranged between 19 and 62 yr and BMI ranged between 18 and 40 kg/m².

Intervention: No intervention was applied during the study.

Measurements: Supine heart rate, blood pressure, and MSNA were recorded after at least 30 min rest.

Results: MSNA in bursts per minute was age dependent in both sexes [r (male) = 0.56, r (female) = 0.34, P < 0.01]. Controlling for waist and hip circumferences, age dependence remained highly significant in men (r = 0.43) and women (r = 0.43). Adjusting for age, in men, waist circumference (r = 0.29), WHR (r = 0.39), and BMI (r = 0.31) were predictive for MSNA and directly correlated (P < 0.01) but not in women. Adjusting for BMI, in men, only WHR (r = 0.40) remained predictive for MSNA.

Conclusion: These data support the hypothesis of a gender difference in the regulation of the sympathetic nervous system, in which MSNA mainly relates to WHR in men but not women. The phenomenon may contribute to the sexual dimorphism in cardiovascular disease risk.

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