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What happens to my blood vessels when I gain weight?

When you gain a pound of fat, your body must create about seven miles of new blood vessels to supply oxygen and nutrients to that extra tissue. This means that if you gain just three pounds of fat, your body adds roughly 21 miles of blood vessels. All these new vessels put extra work on your heart, which has to pump blood through a much larger network.

Effect of high blood pressure on heart

Carrying extra fat, especially around the belly, is particularly harmful because it is associated with higher risks of heart disease and diabetes.

When you gain weight, especially from excess body fats, several changes can happen to your blood vessels:

1. Increased Blood Pressure

Extra fat tissue requires more oxygen and nutrients, which means your heart has to pump more blood. This increases the pressure on your arteries, which can lead to hypertension (high blood pressure).

2. Stiffening of Arteries

Weight gain, particularly from poor diet and lack of exercise, can lead to inflammation and buildup of plaque (fatty deposits) inside blood vessel walls. This causes your arteries to narrow and stiffen, making it harder for blood to flow.

3. Damage to Blood Vessel Walls

Higher levels of cholesterol, blood sugar, and inflammation associated with weight gain can damage the lining of your blood vessels, increasing the risk of cardiovascular diseases.

4. Reduced Blood Flow

Narrowed or stiffened vessels reduce the amount of oxygen-rich blood reaching your organs and tissues, which can contribute to fatigue, poor circulation, and other health issues.

5. Increased Risk of Blood Clots

Sluggish blood flow and damaged vessels can raise the risk of blood clots, which in turn increases the chance of heart attack or stroke.


This increased workload can lead to higher blood pressure and make your heart more vulnerable to disease over time. In addition, the lining of these new blood vessels can become inflamed, making them more prone to damage and contributing to the development of atherosclerosis (hardening of the arteries). More blood vessels also mean your body needs more energy to maintain them, which can further stress your metabolism.

Maintaining a healthy weight reduces the need for this extensive vascular expansion and helps keep your heart and circulation in better shape. So, when you think about gaining weight, remember the hidden impact on your blood vessels and overall cardiovascular health. Staying active and eating a balanced diet can help protect your heart and blood vessels in the long run.

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