Resting sympathetic activity is associated with the sympathetically mediated component of energy expenditure following a meal

Physiol Rep. 2017 Aug;5(16):e13389. doi: 10.14814/phy2.13389.

Abstract

Individuals with high plasma norepinephrine (NE) levels at rest have a smaller reduction in resting energy expenditure (REE) following β-adrenergic blockade. If this finding extends to the response to a meal, it could have important implications for the role of the sympathetic nervous system in energy balance and weight gain. We hypothesized high muscle sympathetic nerve activity (MSNA) would be associated with a low sympathetically mediated component of energy expenditure following a meal. Fourteen young, healthy adults completed two visits randomized to continuous saline (control) or intravenous propranolol to achieve systemic β-adrenergic blockade. Muscle sympathetic nerve activity and REE were measured (indirect calorimetry) followed by a liquid mixed meal (Ensure). Measures of energy expenditure continued every 30 min for 5 h after the meal and are reported as an area under the curve (AUC). Sympathetic support of energy expenditure was calculated as the difference between the AUC during saline and β-blockade (AUCPropranolol-AUCSaline, β-REE) and as a percent (%) of control (AUCPropranolol÷AUCSaline × 100). β-REE was associated with baseline sympathetic activity, such that individuals with high resting MSNA (bursts/100 heart beats) and plasma NE had the greatest sympathetically mediated component of energy expenditure following a meal (MSNA: β-REE R = -0.58, P = 0.03; %REE R = -0.56, P = 0.04; NE: β-REE R = -0.55, P = 0.0535; %REE R = -0.54, P = 0.0552). Contrary to our hypothesis, high resting sympathetic activity is associated with a greater sympathetically mediated component of energy expenditure following a liquid meal. These findings may have implications for weight maintenance in individuals with varying resting sympathetic activity.

Keywords: propranolol; thermic effect of food; β‐adrenergic.

MeSH terms

  • Adrenergic beta-Antagonists / administration & dosage
  • Adult
  • Blood Glucose / metabolism
  • Calorimetry, Indirect
  • Energy Metabolism*
  • Epinephrine / blood
  • Female
  • Humans
  • Insulin / blood
  • Male
  • Norepinephrine / blood
  • Peroneal Nerve / physiology
  • Postprandial Period*
  • Propranolol / administration & dosage
  • Sympathetic Nervous System / drug effects
  • Sympathetic Nervous System / metabolism*
  • Young Adult

Substances

  • Adrenergic beta-Antagonists
  • Blood Glucose
  • Insulin
  • Propranolol
  • Norepinephrine
  • Epinephrine