Wong W W, Butte N F, Ellis K J, Hergenroeder A C, Hill R B, Stuff J E, Smith E O
United States Department of Agriculture/Agricultural Research Service Children's Nutrition Research Center, Houston, Texas 77030, USA.
J Clin Endocrinol Metab. 1999 Mar;84(3):906-11. doi: 10.1210/jcem.84.3.5517.
Between 1963 and 1991, the most dramatic increases in the prevalence of overweight in the United States have been reported in African-American girls. Lower basal energy expenditure and lack of physical activity are believed to be risk factors for excessive weight gain. We hypothesized that energy expenditure at rest and during physical activity are lower in pubertal African-American girls than in Caucasian girls. Basal metabolic rate and sleeping energy expenditure of 40 Caucasian and 41 African-American pubertal girls (matched for age, physical characteristics, body fat, and energy intake) were measured by whole-room calorimetry, energy expended for physical activity by the doubly labeled water method, sexual maturity by physical examination, body composition by dual-energy x-ray absorptiometry, physical fitness by treadmill testing, and energy intake by 3-day food record. After adjusting for soft lean tissue mass, the basal energy expenditure (1333 +/- 132 vs. 1412 +/- 132 kcal/day, P = 0.01) and energy expended for physical activity (809 +/- 637 vs. 1271 +/- 162 kcal/day, P < 0.01) were significantly lower in the African-American girls than in the Caucasian girls. The differences remained the same after controlling for differences in sexual maturity and/or physical fitness. The lower energy expenditure of the pubertal African-American girls suggests that they are at a higher risk of becoming overweight than their Caucasian counterparts.
1963年至1991年间,据报道美国超重患病率上升最为显著的是非洲裔美国女孩。基础能量消耗较低和缺乏体育活动被认为是体重过度增加的风险因素。我们假设青春期非洲裔美国女孩在休息和体育活动时的能量消耗低于白人女孩。通过全室量热法测量了40名白人青春期女孩和41名非洲裔美国青春期女孩(年龄、身体特征、体脂和能量摄入相匹配)的基础代谢率和睡眠能量消耗,通过双标记水法测量体育活动消耗的能量,通过体格检查评估性成熟度,通过双能X线吸收法测量身体成分,通过跑步机测试评估身体素质,通过3天食物记录评估能量摄入。在调整瘦软组织量后,非洲裔美国女孩的基础能量消耗(1333±132 vs. 1412±132千卡/天,P = 0.01)和体育活动消耗的能量(809±637 vs. 1271±162千卡/天,P < 0.01)显著低于白人女孩。在控制了性成熟度和/或身体素质的差异后,差异依然存在。青春期非洲裔美国女孩较低的能量消耗表明,她们比白人女孩有更高的超重风险。