Chronic Stress and Steatosis of Muscles, Bones, Liver, and Pancreas: A Review

Background: Chronic stress is a recognized risk factor for poor health, body composition disequilibrium, impaired mental health, and deterioration of quality of life. Chronic stress-related cortisol oversecretion and circadian dysregulation and associated systemic low grade, injurious inflammation (“para-inflammation”) contribute to steatosis in various metabolically active solid organs, affecting both their structure and function. The aim of this review is to summarize current knowledge on the impact of chronic stress and associated para-inflammation on skeletal muscle, bone, liver, and pancreas, leading to steatosis. Current management of these maladaptive conditions is also included and underscored in this review.Summary: Steatosis of metabolically active solid organs is involved in various metabolic processes and considered a risk factor for chronic non-communicable diseases, yet its role in chronic stress physiology and pathophysiology has been overlooked. Key Messages: Chronic stress-associated steatosis of several solid organs is generally disregarded in current clinical practice. Physicians should be alert for these steatoses and to address them adequately so as to provide sufficient medical care. New guidelines generated by learned societies are needed, along with large observational studies, to offer novel solutions to this old problem.