Body weight gain in free-living Pima Indians: effect of energy intake vs expenditure
Abstract
Background Obesity results from a chronic imbalance between energy intake and energy expenditure. However, experimental evidence of the relative contribution of interindividual differences in energy intake and expenditure (resting or due to physical activity) to weight gain is limited.Objective To assess prospectively the association between baseline measurements of daily energy metabolism and weight changes by studying free-living adult Pima Indians, one of the most obese populations in the world.Design A study of the pathogenesis of obesity in the Pima Indians living in Southwestern Arizona. The participants were 92 nondiabetic Pima Indians (64M/28F, 35+/-12 y, 35+/-9% body fat; mean+/-s.d.). At baseline, free-living daily energy metabolism was assessed by doubly labeled water and resting metabolic rate (RMR) by indirect calorimetry. Data on changes in body weight (5.8+/-6.5 kg) over a follow-up period of 4+/-3 y were available in 74 (49M/25F) of the 92 subjects.Results The baseline calculated total energy intake (r=0.25, P=0.028) and RMR (r=-0.28, P=0.016) were significantly associated with changes in body weight. The baseline energy expenditure due to physical activity was not associated with changes in body weight.Conclusion Using state-of-the-art methods to assess energy intake and expenditure in free-living conditions, we show for the first time that the baseline calculated total energy intake is a determinant of changes in body weight in Pima Indians. These data also confirm that a low RMR is a risk factor for weight gain in this population.
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Several studies have shown that obese individuals expend a similar amount of energy as thinner individuals and that activity levels do not consistently predict weight gain.
“First, several studies have shown that obese individuals expend a similar amount of energy as thinner individuals and that activity levels do not consistently predict weight gain [25], [57], [58]; though possessing lower PALs, movement costs among obese individuals are higher due to greater BMR, and so their active energy expenditure can resemble that of more active, but leaner individuals.”
From Physical Activity and Modernization among Bolivian Amerindians (2013) · cites this paper as [58]
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- Authors
- Tataranni, P. A., Harper, I. T., Snitker, S., Parigi, A. D., Vozarova, B., Bunt, J., Bogardus, C., & Ravussin, E.
- Affiliations
- United States Department of Health and Human Services (US)
- University of Maryland, Baltimore (US)
- Corresponding author
- Tataranni, P A
- Venue
- International Journal of Obesity
- Published
- 2003-09-16
- Volume
- 27
- Issue
- 12
- Pages
- 1578-1583
- ISSN
- 0307-0565 (ISSN-L)
- 1476-5497
- OpenAlex
- W2082334608
- Cited by
- 189
- References
- 45
- Citations by year
- 2026: 4 · 2025: 4 · 2024: 4 · 2023: 4 · 2022: 4 · 2021: 5 · 2020: 6 · 2019: 10 · 2018: 7 · 2017: 12 · 2016: 7 · 2015: 8 · 2014: 5 · 2013: 8 · 2012: 8
- FWCI
- 9.40
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- International Journal of Obesity (publishedVersion)
- PubMed (publishedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Health Sciences › Health Professions › General Health Professions › Indigenous Health and Education
- Keywords
- Pima Indians, obesity, weight gain, energy intake, energy expenditure, resting metabolic rate, physical activity, doubly labeled water, weight change
- MeSH terms
- Adult, Arizona, Basal Metabolism, Energy Intake, Calorimetry, Indirect, Cross-Sectional Studies, Female, Humans, Indians, North American, Male, Middle Aged, Obesity, Prospective Studies, Weight Gain
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