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The Role of Energy Intake on Fitness-Adjusted Racial/Ethnic Differences in Central Adiposity Using Quantile Regression

  • Samantha M. McDonaldEmail author
  • Andrew Ortaglia
  • Christina Supino
  • Matteo Bottai
Article
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Abstract

Background

Energy intake (EI) is suggested to be associated with adiposity and may explain previously observed fitness-adjusted racial disparities in waist circumference (WC).

Objective

The purpose of this study was to comprehensively evaluate the role of EI on the fitness-adjusted racial/ethnic disparities in WC in a nationally representative sample of females using quantile regression.

Methods

Our sample consisted of 3874 female participants (aged 12 to 49 years) from the 1999–2004 National Health and Nutrition Examination Survey. The role of EI was assessed in separate analyses via estimation using a 24-hour dietary recall (DR) and the Institute of Medicine total daily energy expenditure equations. Age-stratified quantile regression models were used to estimate the differences in WC between minority groups and non-Hispanic (NH) white, adjusting for EI, CRF, age, and height.

Results

Results from the quantile regression analyses adjusting for EI via DR showed significant differences in WC between NH black and NH white at the 25th–90th WC percentiles (5.9–11.1 cm) for females 20–49 and at the 90th WC percentile (10.1 cm) for females 16–19. For females 12–15, no significant differences were observed between NH black and NH white. Analyses adjusting for EI via IOM showed significant differences in WC between NH black and NH white only for females aged 20–49 years, at the 50th and 75th percentile (1.7–3.6 cm). Compared to NH White, Mexican American females, in all age groups, tended to have significantly greater WC.

Conclusions

These results highlight the importance of rigor in energy intake assessments, suggesting that EI, if adequately assessed, may explain a substantial part of the racial/ethnic differences in WC between NH black and NH white females. Additionally, the observed persistence of estimated differences in WC with advancing age suggests other factors (e.g., hormones) may play a role.

Keywords

Adiposity Race/ethnicity Diet Fitness Nutrition 

Notes

Author Contributions

SM and AO conceptualized and drafted the manuscript. AO and MB performed all statistical analyses. SM, AO, MB, and CS edited the manuscript.

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflicts of interest.

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Copyright information

© W. Montague Cobb-NMA Health Institute 2019

Authors and Affiliations

  1. 1.Department of Physical Education, Sport and Human Performance, College of EducationWinthrop UniversityRock HillUSA
  2. 2.Department of Epidemiology and BiostatisticsUniversity of South CarolinaColumbiaUSA
  3. 3.College of Osteopathic MedicineUniversity of New EnglandBiddefordUSA
  4. 4.Division of Biostatistics, Institute of Environmental MedicineKarolinska InstitutetStockholmSweden

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