Abstract
BACKGROUND: Obesity is caused by an imbalance between energy intake and energy expenditure. However, it is unknown whether increased physical activity protects susceptible populations against the development of obesity and type 2 diabetes.
OBJECTIVE: To investigate the potential protective role of environment and physical activity against obesity by measuring total energy expenditure in Mexican and USA Pima Indians.
METHODS: We compared the physical activity level of 40 (17 female and 23 male; 37±11 y, 66±13 kg) Mexican Pima Indians from a remote, mountainous area of Northwest Mexico, with 40 age-and-sex matched (17 female and 23 male; 37±12 y, 93±22 kg) Pima Indians from the Gila River Indian Community in Arizona, USA. We measured total energy expenditure (TEE) by doubly labeled water and calculated physical activity by different methods: physical activity level (PAL) as the ratio of TEE on resting metabolic rate (RMR), TEE adjusted for RMR by linear regression, activity energy expenditure adjusted for body weight (AEE), and activity questionnaire.
RESULTS: Physical activity was higher in Mexican Pima Indians when compared with USA Pima Indians as assessed by PAL (1.97±0.34 vs 1.57±0.16, P<0.0001), TEE adjusted for RMR (3289±454 vs 2671±454 kcal/day, P<0.0001) and AEE adjusted for body weight (1243±415 vs 711±415 kcal/day, P<0.0001). Questionnaires revealed more time spent on occupational activities among Mexican Pima compared with USA Pima (23.9±13.3 vs 12.6±13.9 h/week, P<0.001).
CONCLUSION: These data support a significant role for physical activity in the prevention of obesity in genetically susceptible populations.
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References
Roberts SB, Savage J, Coward W, Chew B, Lucas A . Energy expenditure and intake in infants born to lean and overweight mothers New Engl J Med 1988 318:: 461–466.
Rising R, Harper IT, Fontvielle AM, Ferraro RT, Spraul M, Ravussin E . Determinants of total daily energy expenditure: Variability in physical activity Am J Clin Nutr 1994 59:: 800–804.
Schulz LO, Schoeller DA . A compilation of total daily energy expenditure and body weight in healthy adults Am J Clin Nutr 1994 60:: 676–681.
Ferraro R, Boyce VL, Swinburn B, De Gregorio M, Ravussin E . Energy cost of physical activity on a metabolic ward in relationship to obesity Am J Clin Nutr 1991 53:: 1368–1371.
Prentice AM, Black AE, Coward WA . High levels of energy expenditure in obese women Br Med J 1986 292:: 983–987.
Maffeis C, Zaffanello M, Pinelli L, Schutz Y . Total energy expenditure and patterns of activity in 8–10-year-old obese and nonobese children J Pediatr Gastroenterol Nutr 1996 23:: 256–261.
Goran MI, Kaskoun M, Johnson R, Martinez C, Kelly B, Hood V . Energy expenditure and body fat distribution in Mohawk children Pediatrics 1995 95:: 89–95.
Bandini LG, Schoeller DA, Dietz WH . Energy expenditure in obese and nonobese adolescents Pediatr Res 1990 27:: 198–203.
Salbe AD, Fontvieille AM, Harper IT, Ravussin E . Low levels of physical activity in 5-year-old children J Pediatr 1997 131:: 423–429.
Prentice AM, Jebb SA . Obesity in Britain: Gluttony or sloth Br Med J 1995 311:: 437–439.
Knowler WC, Pettit DJ, Saad MF, Charles MA, Nelson RG, Howard BV, Bogardus C, Bennett PH . Obesity in the Pima Indians; its magnitude and relationship with diabetes Am J Clin Nutr 1991 53:: 1543S–1551S.
Knowler WC, Pettit DJ, Saad MF, Bennett PH . Diabetes mellitus in the Pima Indians: Incidence, risk factors, and pathogenesis Diab Metab Rec 1990 6:: 1–27.
Spraul M, Ravussin E, Fontvieille AM, Rising R, Larson DE, Anderson EA . Reduced sympathetic nervous activity: A potential mechanism predisposing to body weight gain J Clin Invest 1993 92:: 1730–1735.
Saad MF, Alger SA, Zurlo F, Young JB, Bogardus C, Ravussin E . Ethnic differences in sympathetic nervous system-mediated energy expenditure Am J Physiol 1991 261:: 789–794.
Fontvieille AM, Ravussin E . Metabolic rate and body composition of Pima Indian and Caucasian children Crit Rev Food Sci Nutr 1993 33:: 363–368.
Fox C, Esparza J, Nicolson M, Bennett PH, Schulz LO, Valencia ME, Ravussin E . Is a low leptin concentration, a low resting metabolic rate, or both the expression of the ‘thrifty genotype’? Results from Mexican Pima Indians Am J Clin Nutr 1998 68:: 1053–1057.
Ravussin E, Valencia ME, Esparza J, Bennett PH, Schulz LO . Effects of traditional lifestyle on obesity in Pima Indians Diab Care 1994 17:: 1067–1074.
Knowler WC, Bennet PH, Hamman RF, Miller M . Diabetes incidence and prevalence in Pima Indians: A 19-fold greater incidence than in Rochester, Minnesota Am J Epidemiol 1978 108:: 497–505.
Rising R, Swinburn B, Larson KI, Ravussin E . Body composition in Pima Indians: Validation of bioelectrical resistance Am J Clin Nutr 1991 53:: 594–598.
Fontvieille AM, Harper IT, Ferraro RT, Spraul M, Ravussin E . Daily energy expenditure in five-year-old children, measured by doubly labeled water J Pediatr 1993 123:: 200–207.
Ravussin E, Harper IT, Rising R, Bogardus C . Energy expenditure by doubly labeled water: Validation in lean and obese subjects Am J Physiol 1991 261:: E402–E409.
Coplen TB, Harper IT . An improved method for the 2H/1H analysis of urines from diabetic subjects Biol Mass Spectrom 1994 23:: 437–439.
Lide DR, Frederickse HPR . Handbook of chemistry and physics, 77th edn. CRC Press: Boca Raton, FL, 1996–1997, pp 14–17.
Schutz Y, Bessard T, Jecquier E . Diet-induced thermogenesis measured over a whole day in obese and nonobese women Am J Clin Nutr 1984 40:: 542–552.
Kriska AM, Knowler WC, LaPorte RE, Drash AL, Wing RR, Blair SN, Bennett PH, Kuller LH . Development of questionnaire to examine relationship of physical activity and diabetes in Pima Indians Diabetologia 1993 36:: 863–869.
Kriska AM, Bennett PH . An epidemiological perspective of the relationship between physical activity and NIDDM: From activity assessment to intervention Diabetes Metab Rev 1992 8:: 355–372.
Schulz LO, Harper IT, Smith CJ, Kriska A, Ravussin E . Energy intake and physical activity in Pima Indians: Comparison with energy expenditure measured by doubly-labeled water Obes Res 1994 2:: 541–548.
Schoeller DA . Balancing energy expenditure and body weight Am J Clin Nutr 1998 68:: 956S–961S.
Rippe JM, Hess S . The role of physical activity in the prevention and management of obesity J Am Diet Assoc 1998 98:: S31–S38.
Weinsier RL, Hunter GR, Heini AF, Goran MI, Sell SM . The etiology of obesity: Relative contribution of metabolic factors, diet, and physical activity Am J Med 1998 105:: 145–150.
Bar-Or O, Foreyt J, Bouchard C, Brownell KD, Dietz WH, Ravussin C, Salbe AD, Schwenger S, St Jeor S, Torun B . Physical activity, genetic, and nutritional considerations in childhood weight management Med Sci Sport Exerc 1998 30:: 2–10.
DeLany JP . Role of energy expenditure in the development of pediatric obesity Am J Clin Nutr 1998 68:: 950S–955S.
Levine JA, Eberhardt L, Jensen MD . Role of nonexercise thermogenesis in resistance to fat gain in humans Science 1999 283:: 212–214.
Fox C, Esparza J, Valencia ME, Bennett PH, Ravussin E, Schulz LO . NIDDM and obesity in Mexican Pima Indians Diabetes 1997 46:: 19A.
Hale K . Internal diversity in Uto-Aztecan Int J Am Linguist 1958 24:: 101–121.
Goran MI . Variation in total energy expenditure in humans Obes Res 1995 3:: 59–66.
Prentice AM, Goldberg GR, Murgatroyd PR, Cole TJ . Physical activity and obesity: Problems in correcting expenditure for body size Int J Obes 1996 20:: 688–691.
James WPT, Schofield EC . Human energy requirements: A manual for planners and nutritionists. Oxford University Press: New York, 1990, pp 136–137.
Schutz Y, Flatt JP, Jequier E . Failure of dietary fat intake to promote fat oxidation: A factor favoring the development of obesity Am J Clin Nutr 1989 50:: 307–314.
Esparza J, Montesinos H, Schulz LO, Ravussin E, Bennett PH, Smith CJ, Nelson RG, Knowler WC, Valencia ME . La dieta Pima en Sonora Mexico: Un posible factor de proteccion para la Diabetes Tipo 2 (abstract). XI Congreso de la Sociedad Latinoamericana de Nutricion “Dr Abraham Horwitz”, Guatemala CA, 1997.
Smith C, Nelson R, Hardy S, Manaham EM, Bennett PH, Knowler WC . Survey of the diet of Pima Indians using quantitative food frequency assessment and 24-hr recall J Am Diet Assoc 1996 96:: 778–784.
Astrup A, Buemann B, Wester P, Toubro S, Raben A, Christensen NJ . Obesity as an adaptation to a high-fat diet: Evidence from a cross-sectional study Am J Clin Nutr 1994 59:: 350–355.
Acknowledgements
We wish to thank the members of the Gila River Indian Community and of the Maycoba community for their participation in these studies. Our gratitude also goes to Hortensia Montesinos, Bertha Isabel Pacheco and Ana Cristina Gallegos for data collection in Mexico, and the staff of the PECRB for data collection in Sacaton, Arizona. This study was in part supported by grant NIH-DK45957.
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Esparza, J., Fox, C., Harper, I. et al. Daily energy expenditure in Mexican and USA Pima Indians: low physical activity as a possible cause of obesity. Int J Obes 24, 55–59 (2000). https://doi.org/10.1038/sj.ijo.0801085
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DOI: https://doi.org/10.1038/sj.ijo.0801085
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