Abstract | BACKGROUND: The high prevalence of obesity in African American (AA) women may result, in part, from a lower resting metabolic rate (RMR) than non-AA women. If true, AA women should require fewer calories than non-AA women to maintain weight. Our objective was to determine in the setting of a controlled feeding study, if AA women required fewer calories than non-AA women to maintain weight. MATERIALS AND METHODS: This analysis includes 206 women (73% AA), aged 22-75 years, who participated in the Dietary Approaches to Stop Hypertension (DASH) trial-a multicenter, randomized, controlled, feeding study comparing the effects of 3 dietary patterns on blood pressure in individuals with prehypertension or stage 1 hypertension. After a 3-week run-in, participants were randomized to 1 of 3 dietary patterns for 8 weeks. Calorie intake was adjusted during feeding to maintain stable weight. The primary outcome of this analysis was average daily calorie (kcal) intake during feeding. RESULTS: AA women had higher baseline weight and body mass index than non-AA women (78.4 vs 72.4 kg, P < .01; 29.0 vs 27.6 kg/m(2), P < .05, respectively). During intervention feeding, mean (SD) kcal was 2168 (293) in AA women and 2073 (284) in non-AA women. Mean intake was 94.7 kcal higher in AA women than in non-AA women (P < .05). After adjustment for potential confounders, there was no difference in caloric intake between AA and non-AA women (Δ = -2.8 kcal, P = .95). CONCLUSION: These results do not support the view that AA women are at greater risk for obesity because they require fewer calories to maintain weight.
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Authors | Laprincess C Brewer, Edgar R Miller, Lawrence J Appel, Cheryl A M Anderson |
Journal | Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition
(Nutr Clin Pract)
Vol. 27
Issue 4
Pg. 561-7
(Aug 2012)
ISSN: 1941-2452 [Electronic] United States |
PMID | 22668852
(Publication Type: Comparative Study, Journal Article, Multicenter Study, Randomized Controlled Trial, Research Support, N.I.H., Extramural)
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Topics |
- Adult
- Black or African American
- Aged
- Basal Metabolism
- Blood Pressure
- Body Composition
- Body Mass Index
- Body Weight
- Diet
- Energy Intake
- Female
- Humans
- Hypertension
(diet therapy, physiopathology)
- Middle Aged
- Obesity
(physiopathology)
- Young Adult
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