Resting Energy Expenditure and Related Factors in 6- to 9-Year-Old Southern African Children of Diverse Population Groups
Lower resting energy expenditure (REE) may partially explain the disproportionate prevalence of overweight/obesity among black African women. As no previous studies have investigated the REE of Southern African (South. Afr.) children, we aimed to determine, by sex and population group, the REE of 6-...
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doaj-d3ab51faa02c46dcbfe3817e74fbfef52021-06-30T23:42:50ZengMDPI AGNutrients2072-66432021-06-01131983198310.3390/nu13061983Resting Energy Expenditure and Related Factors in 6- to 9-Year-Old Southern African Children of Diverse Population GroupsAdeline Pretorius0Paola Wood1Piet Becker2Friedeburg Wenhold3Department Human Nutrition, Faculty of Health Sciences, University of Pretoria, Private Bag X323, Arcadia 0007, South AfricaDepartment of Physiology, Faculty of Health Sciences, University of Pretoria, Private Bag X323, Arcadia 0007, South AfricaResearch Office, Faculty of Health Sciences, University of Pretoria, Private Bag X323, Arcadia 0007, South AfricaDepartment Human Nutrition, Faculty of Health Sciences, University of Pretoria, Private Bag X323, Arcadia 0007, South AfricaLower resting energy expenditure (REE) may partially explain the disproportionate prevalence of overweight/obesity among black African women. As no previous studies have investigated the REE of Southern African (South. Afr.) children, we aimed to determine, by sex and population group, the REE of 6- to 9-year-old urban school children. In a cross-sectional study with quota sampling, REE was measured with indirect calorimetry (IC). Confounders considered were: body composition (BC) (fat-free mass (FFM), FFM index, fat mass (FM), FM index), assessed using multifrequency bioelectrical impedance analysis, and physical activity (PA) measured with a pedometer. Multivariate regression was used to calculate REE adjusted for phenotypes (BC, z-scores of weight-for-age, height-for-age, body mass index-for-age) and PA. Sex and population differences in REE were determined with two-way ANOVA. Ninety-four healthy children (59.6% girls; 52.1% black) with similar socioeconomic status and PA opportunities participated. Despite BC variations, sex differences in REE were not significant (41 kcal/day; <i>P</i> = 0.375). The REE of black participants was lower than of white (146 kcal/day; <i>P</i> = 0.002). When adjusted for FFM and HFA z-score, the differences in REE declined but remained clinically meaningful at 91 kcal/day (<i>P</i> = 0.039) and 82 kcal/day (<i>P</i> = 0.108), respectively. We recommend the development of population-specific REE prediction equations for South. Afr. children.https://www.mdpi.com/2072-6643/13/6/1983resting energy expenditureindirect calorimetrybody compositionphysical activitypopulation groupobesity |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Adeline Pretorius Paola Wood Piet Becker Friedeburg Wenhold |
spellingShingle |
Adeline Pretorius Paola Wood Piet Becker Friedeburg Wenhold Resting Energy Expenditure and Related Factors in 6- to 9-Year-Old Southern African Children of Diverse Population Groups Nutrients resting energy expenditure indirect calorimetry body composition physical activity population group obesity |
author_facet |
Adeline Pretorius Paola Wood Piet Becker Friedeburg Wenhold |
author_sort |
Adeline Pretorius |
title |
Resting Energy Expenditure and Related Factors in 6- to 9-Year-Old Southern African Children of Diverse Population Groups |
title_short |
Resting Energy Expenditure and Related Factors in 6- to 9-Year-Old Southern African Children of Diverse Population Groups |
title_full |
Resting Energy Expenditure and Related Factors in 6- to 9-Year-Old Southern African Children of Diverse Population Groups |
title_fullStr |
Resting Energy Expenditure and Related Factors in 6- to 9-Year-Old Southern African Children of Diverse Population Groups |
title_full_unstemmed |
Resting Energy Expenditure and Related Factors in 6- to 9-Year-Old Southern African Children of Diverse Population Groups |
title_sort |
resting energy expenditure and related factors in 6- to 9-year-old southern african children of diverse population groups |
publisher |
MDPI AG |
series |
Nutrients |
issn |
2072-6643 |
publishDate |
2021-06-01 |
description |
Lower resting energy expenditure (REE) may partially explain the disproportionate prevalence of overweight/obesity among black African women. As no previous studies have investigated the REE of Southern African (South. Afr.) children, we aimed to determine, by sex and population group, the REE of 6- to 9-year-old urban school children. In a cross-sectional study with quota sampling, REE was measured with indirect calorimetry (IC). Confounders considered were: body composition (BC) (fat-free mass (FFM), FFM index, fat mass (FM), FM index), assessed using multifrequency bioelectrical impedance analysis, and physical activity (PA) measured with a pedometer. Multivariate regression was used to calculate REE adjusted for phenotypes (BC, z-scores of weight-for-age, height-for-age, body mass index-for-age) and PA. Sex and population differences in REE were determined with two-way ANOVA. Ninety-four healthy children (59.6% girls; 52.1% black) with similar socioeconomic status and PA opportunities participated. Despite BC variations, sex differences in REE were not significant (41 kcal/day; <i>P</i> = 0.375). The REE of black participants was lower than of white (146 kcal/day; <i>P</i> = 0.002). When adjusted for FFM and HFA z-score, the differences in REE declined but remained clinically meaningful at 91 kcal/day (<i>P</i> = 0.039) and 82 kcal/day (<i>P</i> = 0.108), respectively. We recommend the development of population-specific REE prediction equations for South. Afr. children. |
topic |
resting energy expenditure indirect calorimetry body composition physical activity population group obesity |
url |
https://www.mdpi.com/2072-6643/13/6/1983 |
work_keys_str_mv |
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