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Research Perspective|Volume 5, Issue 7|pp 507—514

Will calorie restriction work in humans?

Edda Cava1,2, Luigi Fontana1,3,4
  • 1Division of Geriatrics and Nutritional Science and Center for Human Nutrition, Washington University School of Medicine, St. Louis, MO 63130, USA
  • 2Department of Experimental Medicine, Medical Physiopathology and endocrinology Section, Food Science and Human Nutrition Research Unit, University of Rome “Sapienza”, Italy
  • 3Department of Medicine, University of Salerno Medical School; Biotecnologie Avanzate, Napoli, Italy
  • 4CEINGE Biotecnologie Avanzate, Napoli, Italy
Received: June 3, 2013Accepted: July 20, 2013Published: July 23, 2013

Copyright: © 2013 Cava et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Calorie Restriction (CR) without malnutrition slows aging and increases average and maximal lifespan in simple model organisms and rodents. In rhesus monkeys long-term CR reduces the incidence of type 2 diabetes, cardiovascular disease and cancer, and protects against age-associated sarcopenia and neurodegeneration. However, so far CR significantly increased average lifespan only in the Wisconsin, but not in the NIA monkey study. Differences in diet composition and study design between the 2 on-going trials may explain the discrepancies in survival and disease. Nevertheless, many of the metabolic and hormonal adaptations that are typical of the long-lived CR rodents did not occur in either the NIA or WNPRC CR monkeys. Whether or not CR will extend lifespan in humans is not yet known, but accumulating data indicate that moderate CR with adequate nutrition has a powerful protective effect against obesity, type 2 diabetes, inflammation, hypertension, cardiovascular disease and reduces metabolic risk factors associated with cancer. Moreover, CR in human beings improves markers of cardiovascular aging, and rejuvenates the skeletal muscle transcriptional profile. More studies are needed to understand the interactions between CR, diet composition, exercise, and other environmental and psychological factors on metabolic and molecular pathways that regulate health and longevity.