Cl. Melby et al., Comparison of risk factors for obesity in young, nonobese African-Americanand Caucasian women, INT J OBES, 24(11), 2000, pp. 1514-1522
OBJECTIVE: To determine whether specific risk factors for obesity were more
evident in young, normal-weight African-American (AA) compared to Caucasia
n-American (CA) women.
DESIGN: Cross-sectional age-matched study.
SUBJECTS: Young, nonobese, sedentary AA (n = 13, 22.5 y of age, 23.6% body
fat) and CA women (n = 11, 21.5 y of age, 24.0% body fat).
MEASUREMENTS: Aerobic physical fitness (peak VO2), resting metabolic rate (
RMR), resting and submaximal exercise fat oxidation rates, total daily ener
gy expenditure (TDEE) by the doubly-labeled water method, physical activity
energy expenditure (PAEE), skeletal muscle glycolytic (phosphofructokinase
activity (PFK)) and beta -oxidative (beta -hydroxy-acyl CoA dehydrogenase
(beta -HADH)) activity, and insulin sensitivity estimated by the insulin-au
gmented frequently sampled intravenous glucose tolerance test.
RESULTS: The AA and CA subjects were similar in age, body mass index and bo
dy composition, but the AA women exhibited lower peak VO2. There were no gr
oup differences in RMR adjusted for body composition, or in the rates of su
bmaximal exercise energy expenditure or fat oxidation, and no difference in
skeletal muscle beta -HADH or PFK activity. The AA women exhibited lower i
nsulin sensitivity and greater acute insulin response to glucose. The mean
TDEE for the AA women was only 74% that of the CA women, primarily due to a
lower physical activity energy expenditure (AA group: x PAEE = 1246 +/- 43
8 kJ/day; CA group: x = 3310 +/- 466 kJ/day.
CONCLUSION: These data indicate that PAEE and its correlates of peak aerobi
c capacity and insulin sensitivity are lower in young, nonobese AA women co
mpared to their CA counterparts.