PMID- 19910943 OWN - NLM STAT- MEDLINE DCOM- 20100222 LR - 20220408 IS - 1930-739X (Electronic) IS - 1930-7381 (Print) IS - 1930-7381 (Linking) VI - 18 IP - 2 DP - 2010 Feb TI - Impact of 6-month caloric restriction on autonomic nervous system activity in healthy, overweight, individuals. PG - 414-6 LID - 10.1038/oby.2009.408 [doi] AB - Caloric restriction (CR) increases maximum lifespan but the mechanisms are unclear. Dominance of the sympathetic nervous system (SNS) over the parasympathetic nervous system (PNS) has been shown to be a strong risk factor for cardiovascular disease. Obesity and aging are associated with increased SNS activity, and weight loss and/or exercise seem to have positive effects on this balance. We therefore evaluated the effect of different approaches of CR on autonomic function in 28 overweight individuals participating in the Comprehensive Assessment of Long-term Effects of Reducing Intake of Energy (CALERIE) trial. Participants were randomized to either control, CR: 25% decrease in energy intake, CREX: 12.5% CR + 12.5% increase in energy expenditure, or LCD: low-calorie diet until 15% weight reduction followed by weight maintenance. Autonomic function was assessed by spectral analysis of heart-rate variability (HRV) while fasting and after a meal. Measurements were performed at baseline and 6 months. HR and SNS index decreased and PNS index increased in all intervention groups but reached significance only in CREX. HR and SNS index increased and PNS index decreased in response to the meal in all intervention groups. The results therefore suggest that weight loss improved SNS/PNS balance especially when CR is combined with exercise. FAU - de Jonge, Lilian AU - de Jonge L AD - Pennington Biomedical Research Center, Louisiana State University System, Baton Rouge, Louisiana, USA. dejongeh@pbrc.edu FAU - Moreira, Emilia A M AU - Moreira EA FAU - Martin, Corby K AU - Martin CK FAU - Ravussin, Eric AU - Ravussin E CN - Pennington CALERIE Team LA - eng SI - ClinicalTrials.gov/NCT00099151 GR - K23 DK068052/DK/NIDDK NIH HHS/United States GR - K23 DK068052-01A2/DK/NIDDK NIH HHS/United States GR - U01 AG020478/AG/NIA NIH HHS/United States GR - U01 AG020478-01/AG/NIA NIH HHS/United States PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20091112 PL - United States TA - Obesity (Silver Spring) JT - Obesity (Silver Spring, Md.) JID - 101264860 SB - IM MH - Adult MH - Autonomic Nervous System/*physiopathology MH - *Caloric Restriction MH - Combined Modality Therapy MH - *Diet, Reducing MH - *Energy Metabolism MH - *Exercise Therapy MH - Female MH - Heart Rate MH - Humans MH - Male MH - Overweight/diet therapy/physiopathology/*therapy MH - Time Factors MH - Treatment Outcome MH - Weight Loss PMC - PMC2882205 MID - NIHMS207675 EDAT- 2009/11/17 06:00 MHDA- 2010/02/23 06:00 PMCR- 2010/06/08 CRDT- 2009/11/14 06:00 PHST- 2009/11/14 06:00 [entrez] PHST- 2009/11/17 06:00 [pubmed] PHST- 2010/02/23 06:00 [medline] PHST- 2010/06/08 00:00 [pmc-release] AID - oby2009408 [pii] AID - 10.1038/oby.2009.408 [doi] PST - ppublish SO - Obesity (Silver Spring). 2010 Feb;18(2):414-6. doi: 10.1038/oby.2009.408. Epub 2009 Nov 12.