blood-pressure11A brief primer on leptins.  (I pulled this article because of the connection to HRV.  I don’t think I can make any sort of informed connection to acupuncture and weight loss.)

To date, only leptin and insulin are known to act as adiposity signals

[51] that signify the amount of body fat. In general,

  • Leptin circulates at levels directly proportional to body fat.
  • It enters the central nervous system in proportion to its plasma concentration.
  • Its receptors are found in brain neurons involved in regulating energy intake and expenditure.
  • It controls food intake and energy expenditure by acting on receptors in the mediobasal hypothalamus.[52]

J Hypertens. 2014 Feb 5.

Autonomic activity and leptin in Africans and whites: the SABPA study.

Pieterse C, Schutte R, Schutte AE.

Abstract

OBJECTIVES::

Evidence exists that leptin enhances sympathetic activity and may thereby contribute to the development of obesity-related hypertension. Sympathetic activation also seems more prominent in Africans than whites. We compared leptin levels, and different markers of autonomic activity between Africans and whites, and determined whether a relationship exists between leptin and autonomic activity.

METHODS::

The study included 409 African and white school teachers (aged, 44.6 ± 9.6 years). We determined leptin in serum and measured ambulatory blood pressure. Markers reflecting autonomic activity included renin, cortisol, baroreflex sensitivity, ambulatory heart rate and heart rate variability (HRV) components (assessed by 24-h ECG recordings in the frequency and geometric domain).

RESULTS::

Africans had higher leptin levels, BMI, blood pressure and heart rate (all P < 0.001) as well as lower HRV triangular index and HRV total power (P < 0.001). After also adjusting for BMI in multivariate regression analyses, in African men, renin (β = 0.228; P = 0.033), night-time heart rate (β = 0.184; P = 0.034), HRV triangular index (β = -0.230; P = 0.010) and HRV total power (β = -0.214; P = 0.046) associated with leptin. In white men, leptin associated with 24-h heart rate (β = 0.376; P < 0.001), as well as day and night-time heart rate (both P < 0.01), HRV triangular index (β = -0.335; P < 0.001) and HRV total power (β = -0.403; P < 0.001). In African women, we observed an association of leptin with the total power component of HRV (β = -0.214; P = 0.046) and a borderline association with renin (β = 0.219; P = 0.057). No significant associations were apparent in the white women.

CONCLUSION::

We found that leptin is independently associated with different markers of autonomic activity, especially in men.