Abstract
Although long-term energy restriction has been widely investigated and has consistently induced improvements in health and cognitive and motor functions, the responses to short-duration calorie restriction are not completely understood. The purpose of this study was to investigate the effects of a 2-day very low-calorie diet on evoked stress, mood, and cognitive and motor functions in obese women. Nine obese women (body fatness > 32%) aged 22–31 years were tested under two randomly allocated conditions: 2-day very low-calorie diet (511 kcal) and 2-day usual diet. The perceived stressfulness of the diet, cardiovascular autonomic response, and cognitive and motor performances were evaluated before and after each diet. The subjective stress rating of the calorie-restricted diet was 41.5 ± 23.3. Calorie restriction had no detectable effects on the heart rate variability indices, mood, grip strength, or psychomotor functions. By contrast, calorie restriction increased (p < 0.05) spatial processing and visuospatial working memory accuracy, and decreased (p < 0.05) accuracy of cognitive flexibility. In conclusion, our results demonstrate that although a 2-day calorie restriction evoked moderate stress in obese women, cardiovascular autonomic function was not affected. Calorie restriction had complex effects on cognition: it declined cognitive flexibility, and improved spatial processing and visuospatial working memory, but did not affect mood or motor behavior.
Similar content being viewed by others
References
Afshin A, Forouzanfar MH, Reitsma MB et al (2017) Health effects of overweight and obesity in 195 countries over 25 years. N Engl J Med 377:13–27. https://doi.org/10.1056/NEJMoa1614362
Alexander JK, Hillier A, Smith RM, Tivarus ME, Beversdorf DQ (2007) Beta-adrenergic modulation of cognitive flexibility during stress. J Cogn Neurosci 19:468–478. https://doi.org/10.1162/jocn.2007.19.3.468
Arnsten AF (2009) Stress signalling pathways that impair prefrontal cortex structure and function. Nat Rev Neurosci 10:410–422. https://doi.org/10.1038/nrn2648
Aucoin M, Bhardwaj S (2016) Generalized anxiety disorder and hypoglycemia symptoms improved with diet modification. Case Rep Psychiatry 2016:7165425. https://doi.org/10.1155/2016/7165425
Billman GE (2013) The LF/HF ratio does not accurately measure cardiac sympatho-vagal balance. Front Physiol 4:26. https://doi.org/10.3389/fphys.2013.00026
Boden G, Chen X, Mozzoli M, Ryan I (1996) Effect of fasting on serum leptin in normal human subjects. J Clin Endocrinol Metab 81:3419–3523. https://doi.org/10.1210/jcem.81.9.8784108
Brazaitis M, Eimantas N, Daniuseviciute L, Mickeviciene D, Steponaviciute R, Skurvydas A (2014) Two strategies for response to 14 °C cold-water immersion: is there a difference in the response of motor, cognitive, immune and stress markers? PLoS One 9:e109020. https://doi.org/10.1371/journal.pone.0109020
Brazaitis M, Eimantas N, Daniuseviciute L, Vitkauskiene A, Paulauskas H, Skurvydas A (2015) Two strategies for the acute response to cold exposure but one strategy for the response to heat stress. Int J Hyperthermia 31:325–335. https://doi.org/10.3109/02656736.2015.1004135
Campbell J, Ehlert U (2012) Acute psychosocial stress: does the emotional stress response correspond with physiological responses? Psychoneuroendocrinology 37:1111–1134. https://doi.org/10.1016/j.psyneuen.2011.12.010
Chang HC, Huang CN, Yeh DM, Wang SJ, Peng CH, Wang CJ (2013) Oat prevents obesity and abdominal fat distribution, and improves liver function in humans. Plant Foods Hum Nutr 68:18–23. https://doi.org/10.1007/s11130-013-0336-2
Diamond A (2013) Executive functions. Annu Rev Psychol 64:135–168. https://doi.org/10.1146/annurev-psych-113011-143750
Eikelis N, Schlaich M, Aggarwal A, Kaye D, Esler M (2003) Interactions between leptin and the human sympathetic nervous system. Hypertension 41:1072–1079. https://doi.org/10.1161/01.HYP.0000066289.17754.49
Fayet F, Petocz P, Samman S (2012) Prevalence and correlates of dieting in college women: a cross sectional study. Int J Womens Health 4:405–411. https://doi.org/10.2147/IJWH.S33920
Fess E (1992) Grip strength. In: Casanova JS (ed) Clinical assessment recommendations, 2nd edn. American Society of Hand Therapists, Chicago, pp 41–45
Flint A, Raben A, Blundell J, Astrup A (2000) Reproducibility, power and validity of visual analogue scales in assessment of appetite sensations in single test meal studies. Int J Obes Relat Metab Disord 24:38–48. https://doi.org/10.1038/sj.ijo.0801083
Föhr T, Tolvanen A, Myllymäki T et al (2015) Subjective stress, objective heart rate variability-based stress, and recovery on workdays among overweight and psychologically distressed individuals: a cross-sectional study. J Occup Med Toxicol 10:39. https://doi.org/10.1186/s12995-015-0081-6
Frisch JU, Häusser JA, Mojzisch A (2015) The Trier Social Stress Test as a paradigm to study how people respond to threat in social interactions. Front Psychol 6:14. https://doi.org/10.3389/fpsyg.2015.00014
Giezenaar C, Chapman I, Luscombe-Marsh N, Feinle-Bisset C, Horowitz M, Soenen S (2016) Ageing is associated with decreases in appetite and energy intake—a meta-analysis in healthy adults. Nutrients 8:28. https://doi.org/10.3390/nu8010028
Gunnar MR, Wewerka S, Frenn K, Long JD, Griggs C (2009) Developmental changes in hypothalamus–pituitary–adrenal activity over the transition to adolescence: normative changes and associations with puberty. Dev Psychopathol 21:69–85. https://doi.org/10.1017/S0954579409000054
Gutiérrez A, González-Gross M, Delgado M, Castillo MJ (2001) Three days fast in sportsmen decreases physical work capacity but not strength or perception–reaction time. Int J Sport Nutr Exerc Metab 11:420–429. https://doi.org/10.1123/ijsnem.11.4.420
Hannibal KE, Bishop MD (2014) Chronic stress, cortisol dysfunction, and pain: a psychoneuroendocrine rationale for stress management in pain rehabilitation. Phys Ther 94:1816–1825. https://doi.org/10.2522/ptj.20130597
Harvie M, Howell A (2017) Potential benefits and harms of intermittent energy restriction and intermittent fasting amongst obese, overweight and normal weight subjects—a narrative review of human and animal evidence. Behav Sci 7:4. https://doi.org/10.3390/bs7010004
Haynes WG (2000) Interaction between leptin and sympathetic nervous system in hypertension. Curr Hypertens Rep 2:311–318
Hetherington MM, Cunningham K, Dye L et al (2013) Potential benefits of satiety to the consumer: scientific considerations. Nutr Res Rev 26:22–38. https://doi.org/10.1017/S0954422413000012
Hjemdahl P (1993) Plasma catecholamines-analytical challenges and physiological limitations. Baillieres Clin Endocrinol Metab 7:307–353. https://doi.org/10.1016/S0950-351X(05)80179-X
Huh J, Shiyko M, Keller S, Dunton G, Schembre SM (2015) The time-varying association between perceived stress and hunger within and between days. Appetite 89:145–151. https://doi.org/10.1016/j.appet.2015.02.001
Ioannou CI, Furuya S, Altenmüller E (2016) The impact of stress on motor performance in skilled musicians suffering from focal dystonia: physiological and psychological characteristics. Neuropsychologia 85:226–236. https://doi.org/10.1016/j.neuropsychologia.2016.03.029
Johnstone A (2015) Fasting for weight loss: an effective strategy or latest dieting trend? Int J Obes 39:727–733. https://doi.org/10.1038/ijo.2014.214
Kirschbaum C, Pirke KM, Hellhammer DH (1993) The ‘trier social stress test’—a tool for investigating psychobiological stress responses in a laboratory setting. Neuropsychobiology 28:76–81. https://doi.org/10.1159/000119004
Klinkenberg AV, Nater UM, Nierop A, Bratsikas A, Zimmermann R, Ehlert U (2009) Heart rate variability changes in pregnant and non-pregnant women during standardized psychosocial stress. Acta Obstet Gynecol Scand 88:77–82. https://doi.org/10.1080/00016340802566762
Kolaczynski JW, Considine RV, Ohannesian J et al (1996) Responses of leptin to short-term fasting and refeeding in humans: a link with ketogenesis but not ketones themselves. Diabetes 45:1511–1515. https://doi.org/10.2337/diab.45.11.1511
LaManna JC, Salem N, Puchowicz M, Erokwu B, Koppaka S, Flask C, Lee Z (2009) Ketones suppress brain glucose consumption. Adv Exp Med Biol 645:301–306. https://doi.org/10.1007/978-0-387-85998-9_45
Lieberman HR, Caruso CM, Niro PJ, Adam GE, Kellogg MD, Nindl BC, Kramer FM (2008) A double-blind, placebo-controlled test of 2D of calorie deprivation: effects on cognition, activity, sleep, and interstitial glucose concentrations. Am J Clin Nutr 88:667–676
Lohmeier TE, Iliescu R (2013) The sympathetic nervous system in obesity hypertension. Curr Hypertens Rep 15:409–416. https://doi.org/10.1007/s11906-013-0356-1
Longo V, Mattson M (2014) Fasting: molecular mechanisms and clinical applications. Cell Metab 19:181–192. https://doi.org/10.1016/j.cmet.2013.12.008
Luethi M, Meier B, Sandi C (2009) Stress effects on working memory, explicit memory, and implicit memory for neutral and emotional stimuli in healthy men. Front Behav Neurosci 2:5. https://doi.org/10.3389/neuro.08.005.2008
Lupien SJ, McEwen BS, Gunnar MR, Heim C (2009) Effects of stress throughout the lifespan on the brain, behaviour and cognition. Nat Rev Neurosci 10:434–445. https://doi.org/10.1038/nrn2639
Marais ML (2017) Health from grain: oat beta-glucan. Microb Ecol Health Dis 28:1343552. https://doi.org/10.1080/16512235.2017.1343552
Martens R, Landers DL (1970) Motor performance under stress: a test of the inverted-u hypothesis. J Pers Soc Psychol 16:29–37. https://doi.org/10.1037/h0029787
McEwen BS, Nasca C, Gray JD (2016) Stress effects on neuronal structure: hippocampus, amygdala, and prefrontal cortex. Neuropsychopharmacology 41:3–23. https://doi.org/10.1038/npp.2015.171
Mehta RK (2015) Impacts of obesity and stress on neuromuscular fatigue development and associated heart rate variability. Int J Obes 39:208–213. https://doi.org/10.1038/ijo.2014.127
Mehta RK, Rhee J (2017) Age-specific neural strategies to maintain motor performance after an acute social stress bout. Exp Brain Res 235:2049–2057. https://doi.org/10.1007/s00221-017-4949-9
Metz GA (2007) Stress as a modulator of motor system function and pathology. Rev Neurosci 18:209–222. https://doi.org/10.1515/REVNEURO.2007.18.3-4.209
Metz GA, Jadavji NM, Smith LK (2005) Modulation of motor function by stress: a novel concept of the effects of stress and corticosterone on behavior. Eur J Neurosci 22:1190–1200. https://doi.org/10.1111/j.1460-9568.2005.04285.x
Munck A, Guyre PM, Holbrook NJ (1984) Physiological functions of glucocorticoids in stress and their relation to pharmacological actions. Endocr Rev 5:25–44. https://doi.org/10.1210/edrv-5-1-25
Oldfield R (1971) The assessment and analysis of handedness: the Edinburgh inventory. Neuropsychologia 9:97–113. https://doi.org/10.1016/0028-3932(71)90067-4
Owen OE (2005) Ketone bodies as a fuel for the brain during starvation. Biochem Mol Biol Educ 33:246–251. https://doi.org/10.1002/bmb.2005.49403304246
Painchaud Guérard G, Lemieux S, Doucet É, Pomerleau S, Provencher V (2016) Influence of nutrition claims on appetite sensations according to sex, weight status, and restrained eating. J Obes 2016:9475476. https://doi.org/10.1155/2016/9475476
Park MJ, Yoo SW, Choe BS, Dantzer R, Freund GG (2012) Acute hypoglycemia causes depressive-like behaviors in mice. Metabolism 61:229–236. https://doi.org/10.1016/j.metabol.2011.06.013
Pasiakos SM, Caruso CM, Kellogg MD, Kramer FM, Lieberman HR (2011) Appetite and endocrine regulators of energy balance after 2 days of energy restriction: insulin, leptin, ghrelin, and DHEA-S. Obesity 19:1124–1130. https://doi.org/10.1038/oby.2010.316
Rasane P, Jha A, Sabikhi L, Kumar A, Unnikrishnan VS (2015) Nutritional advantages of oats and opportunities for its processing as value added foods—a review. J Food Sci Technol 52:662–675. https://doi.org/10.1007/s13197-013-1072-1
Rebello CJ, O’Neil CE, Greenway FL (2016) Dietary fiber and satiety: the effects of oats on satiety. Nutr Rev 74:131–147. https://doi.org/10.1093/nutrit/nuv063
Reeves D, Winter K, Bleiberg J, Kane R (2007) ANAM® genogram: historical perspectives, description, and current endeavors. Arch Clin Neuropsychol 22:15–37. https://doi.org/10.1016/j.acn.2006.10.013
Riebl SK, Davy BM (2013) The hydration equation: update on water balance and cognitive performance. ACSMs Health Fit J 17:21–28. https://doi.org/10.1249/FIT.0b013e3182a9570f
Sarker MR, Franks S, Caffrey J (2013) Direction of post-prandial ghrelin response associated with cortisol response, perceived stress and anxiety, and self-reported coping and hunger in obese women. Behav Brain Res 257:197–200. https://doi.org/10.1016/j.bbr.2013.09.046
Sasaki H, Kasagi F, Yamada M, Fujita S (2007) Grip strength predicts cause-specific mortality in middle-aged and elderly persons. Am J Med 120:337–342. https://doi.org/10.1016/j.amjmed.2006.04.018
Shansky RM, Lipps J (2013) Stress-induced cognitive dysfunction: hormone-neurotransmitter interactions in the prefrontal cortex. Front Hum Neurosci 7:123. https://doi.org/10.3389/fnhum.2013.00123
Solianik R, Sujeta A (2018) Two-day fasting evokes stress, but does not affect mood, brain activity, and cognitive, psychomotor, and motor performance in overweight women. Behav Brain Res 338:166–172. https://doi.org/10.1016/j.bbr.2017.10.028
Solianik R, Sujeta A, Terentjevienė A, Skurvydas A (2016) Effect of 48 h fasting on autonomic function, brain activity, cognition, and mood in amateur weight lifters. Biomed Res Int 2016:1503956. https://doi.org/10.1155/2016/1503956
Solianik R, Satas A, Mickeviciene D, Cekanaukaite A, Valanciene D, Majauskiene D, Skurvydas A (2018) Task-relevant cognitive and motor functions are prioritized during prolonged speed-accuracy motor task performance. Exp Brain Res. https://doi.org/10.1007/s00221-018-5251-1
Terry PC, Lane AM, Fogarty GJ (2003) Construct validity of the profile of mood states—adolescents for use with adults. Psychol Sport Exerc 4:125–139. https://doi.org/10.1016/s1469-0292(01)00035-8
Tomiyama AJ, Mann T, Vinas D, Hunger JM, DeJager J, Taylor SE (2010) Low calorie dieting increases cortisol. Psychosom Med 72:357–364. https://doi.org/10.1097/PSY.0b013e3181d9523c
Vincent A, Roebuck-Spencer T, Gilliland K, Schlegel R (2012) Automated neuropsychological assessment metrics (v4) traumatic brain injury battery: military normative data. Mil Med 177:256–269. https://doi.org/10.7205/MILMED-D-11-00289
Wang C, Chan JS, Ren L, Yan JH (2016) Obesity reduces cognitive and motor functions across the lifespan. Neural Plast 2016:2473081. https://doi.org/10.1155/2016/2473081
Warren RE, Frier BM (2005) Hypoglycaemia and cognitive function. Diabetes Obes Metab 7:493–503. https://doi.org/10.1111/j.1463-1326.2004.00421.x
Wegner M, Koedijker JM, Budde H (2014a) The effect of acute exercise and psychosocial stress on fine motor skills and testosterone concentration in the saliva of high school students. PLoS One 9:e92953. https://doi.org/10.1371/journal.pone.0092953
Wegner M, Müller-Alcazar A, Jäger A, Budde H (2014b) Psychosocial stress but not exercise increases cortisol and reduces state anxiety levels in school classes—results from a stressor applicable in large group settings. CNS Neurol Disord Drug Targets 13:1015–1020. https://doi.org/10.2174/1871527313666140612103425
Weinberg RS, Ragan J (1978) Motor performance under three levels of trait anxiety and stress. J Mot Behav 10:169–176. https://doi.org/10.1080/00222895.1978.10735150
Wijngaarden MA, Pijl HV, Klaassen ES, Burggraaf J (2013) Obesity is associated with an altered autonomic nervous system response to nutrient restriction. Clin Endocrinol 79:648–665. https://doi.org/10.1111/cen.12100
Wing R, Epstein L, Marcus M, Kupfer D (1984) Mood changes in behavioral weight loss programs. J Psychosom Res 28:189–196. https://doi.org/10.1016/0022-3999(84)90019-9
Woodhouse J, Heyanka D, Scott J et al (2013) Efficacy of the ANAM general neuropsychological screening battery (ANAM GNS) for detecting neurocognitive impairment in a mixed clinical sample. Clin Neuropsychol 27:376–385. https://doi.org/10.1080/13854046.2012.762427
World Health Organization (2017) Obesity and overweight. Fact sheet. http://www.who.int/mediacentre/factsheets/fs311/en/. Accessed 29 Nov 2017
Ziauddeen H, Alonso-Alonso M, Hill JO, Kelley M, Khan NA (2015) Obesity and the neurocognitive basis of food reward and the control of intake. Adv Nutr 6:474–486. https://doi.org/10.3945/an.115.008268
Acknowledgements
We thank the volunteers for participating in the study and joint-stock company Kauno Grūdai for supply of the food.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Ethical standards
All procedures performed in the current study were in accordance with the ethical standards of the Kaunas Regional Biomedical Research Ethics Committee and with the 1964 Helsinki Declaration and its later amendments. Informed consent was obtained from all individual participants included in the study.
Informed consent
Informed consent was obtained from all individual participants included in the study.
Conflict of interest
The authors declare that they have no conflict of interest.
Rights and permissions
About this article
Cite this article
Solianik, R., Sujeta, A. & Čekanauskaitė, A. Effects of 2-day calorie restriction on cardiovascular autonomic response, mood, and cognitive and motor functions in obese young adult women. Exp Brain Res 236, 2299–2308 (2018). https://doi.org/10.1007/s00221-018-5305-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00221-018-5305-4