Evidence map›Paper›PMID 27410480›Full record

Trial reportAging2016

Long-term moderate calorie restriction inhibits inflammation without impairing cell-mediated immunity: a randomized controlled trial in non-obese humans.

Simin N Meydani, Sai K Das, Carl F Pieper, Michael R Lewis, Sam Klein, Vishwa D Dixit, Alok K Gupta, Dennis T Villareal, Manjushri Bhapkar, Megan Huang and 4 more

Open access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Aging, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 125 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
125citing papers in PubMed, 3 pooled it
9.0field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

125 citing papers in PubMed, 3 syntheses or guidelines pooled it, 220 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
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  8. Epigenome-wide Association Study Analysis of Calorie Restriction in Humans, CALERIETM Trial Analysis.The journals of gerontology. Series A, Biological sciences and medical sciences · 2022
    Trial
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  14. Effect of Intentional Weight Loss on Mortality Biomarkers in Older Adults With Obesity.The journals of gerontology. Series A, Biological sciences and medical sciences · 2019
    Trial
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  16. Review
  17. What Do We Know About Immune System Aging from Human and Animal Studies?International journal of molecular sciences · 2026
    Review
  18. Review
  19. Review
  20. Aberrant CD4bioRxiv : the preprint server for biology · 2026
    Article

65 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 8 institutions in 2 countries.

Simin N MeydaniThe Jean Mayer USDA Human Nutrition Research Center on Aging at Tufts University, Boston, MA 02111, USA.
Sai K DasThe Jean Mayer USDA Human Nutrition Research Center on Aging at Tufts University, Boston, MA 02111, USA.
Carl F PieperDuke University Medical Center, Durham, NC 27705, USA.
Michael R LewisUniversity of Vermont, Burlington, VT 05405, USA.
Sam KleinDepartment of Medicine, Washington University School of Medicine, St Louis, MO 63110, USA.
Vishwa D DixitComparative Medicine and Department of Immunobiology, Yale University School of Medicine, New Haven, CT 06510, USA.
Alok K GuptaPennington Biomedical Research Center, Baton Rouge, LA 70808, USA.
Dennis T VillarealBaylor College of Medicine and Michael E DeBakey VA Medical Center, Houston, TX 77030, USA.
Manjushri BhapkarDuke University Medical Center, Durham, NC 27705, USA.
Megan HuangDuke University Medical Center, Durham, NC 27705, USA.
Paul J FussThe Jean Mayer USDA Human Nutrition Research Center on Aging at Tufts University, Boston, MA 02111, USA.
Susan B RobertsThe Jean Mayer USDA Human Nutrition Research Center on Aging at Tufts University, Boston, MA 02111, USA.
John O HolloszyDepartment of Medicine, Washington University School of Medicine, St Louis, MO 63110, USA.
Luigi FontanaDepartment of Medicine, Washington University School of Medicine, St Louis, MO 63110, USA.
Duke Medical Center · USWashington University in St. Louis · USJean Mayer Human Nutrition Research Center on Aging · USTufts University · USBaylor College of Medicine · USPennington Biomedical Research Center · USUniversity of Vermont · USYale University · US

Funding

Washington University Nutrition Obesity Research CenterP30DK056341 · NIDDK · WASHINGTON UNIVERSITY · PI Brian N Finck · 1999 to 2026
$30.2M
Coordinating Center for CALERIEU01AG022132 · NIA · DUKE UNIVERSITY · PI KRAUS, WILLIAM E · 2002 to 2013
$24.9M
Metabolic Adaptations to Two Year Caloric RestrictionU01AG020478 · NIA · LSU PENNINGTON BIOMEDICAL RESEARCH CTR · PI RAVUSSIN, ERIC · 2002 to 2008
$13.4M
Caloric Restriction and Aging in HumansU01AG020487 · NIA · WASHINGTON UNIVERSITY · PI HOLLOSZY, JOHN O. · 2001 to 2009
$8.9M
Dietary Energy Restriction and Metabolic Aging in HumansU01AG020480 · NIA · TUFTS UNIVERSITY BOSTON · PI ROBERTS, SUSAN B · 2002 to 2008
$8.2M
NIA NIH HHS U01 AG020478NIA NIH HHS U01 AG020480NIA NIH HHS U01 AG020487NIA NIH HHS U01 AG022132NIDDK NIH HHS P30 DK056341
6 · The paper itself

Abstract

Calorie restriction (CR) inhibits inflammation and slows aging in many animal species, but in rodents housed in pathogen-free facilities, CR impairs immunity against certain pathogens. However, little is known about the effects of long-term moderate CR on immune function in humans. In this multi-center, randomized clinical trial to determine CR's effect on inflammation and cell-mediated immunity, 218 healthy non-obese adults (20-50 y), were assigned 25% CR (n=143) or an ad-libitum (AL) diet (n=75), and outcomes tested at baseline, 12, and 24 months of CR. CR induced a 10.4% weight loss over the 2-y period. Relative to AL group, CR reduced circulating inflammatory markers, including total WBC and lymphocyte counts, ICAM-1 and leptin. Serum CRP and TNF-α concentrations were about 40% and 50% lower in CR group, respectively. CR had no effect on the delayed-type hypersensitivity skin response or antibody response to vaccines, nor did it cause difference in clinically significant infections. In conclusion, long-term moderate CR without malnutrition induces a significant and persistent inhibition of inflammation without impairing key in vivo indicators of cell-mediated immunity. Given the established role of these pro-inflammatory molecules in the pathogenesis of multiple chronic diseases, these CR-induced adaptations suggest a shift toward a healthy phenotype.

Indexed as

Caloric RestrictionDietAdultBiomarkersBody CompositionC-Reactive ProteinEnergy IntakeFemaleHumansInflammationIntercellular Adhesion Molecule-1LeptinLymphocyte CountMaleMiddle AgedTreatment OutcomeBiomarkersC-Reactive ProteinIntercellular Adhesion Molecule-1LeptinTumor Necrosis Factor-alphacalorie restrictioncell-mediated immunityfamilial longevityhumaninflammationvaccine response

Identifiers

PMID27410480
PMCPMC4993339
OpenAlexW2470302757

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.