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Unhealthy eating habits, physical exercise and macronutrient intakes are predictors of anthropometric indicators in the Women's Health Trial: Feasibility Study in Minority Populations

Published online by Cambridge University Press:  09 March 2007

Alok Bhargava  and
Joanne F. Guthrie
Alok Bhargava*
Affiliation:
Department of Economics, University of Houston, Houston, TX 77204-5019, USA
Joanne F. Guthrie
Affiliation:
Economic Research Service, US Department of Agriculture, 1800 M Street NW, Washington, DC 20036, USA
*
*Corresponding author: Dr Alok Bhargava, fax +1 713 743 3798, email [email protected]
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Abstract

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The increasing prevalence of obesity in the USA, especially among minority populations, is a serious public health concern. This present study analysed repeated measurements at baseline and at 6 and 12 months on 351 women in the control group and 575 women in the intervention group of the Women's Health Trial: Feasibility Study in Minority Populations. Dynamic random effects models were estimated using the three repeated observations to explain the effects of energy and macronutrient intakes, physical exercise, unhealthy eating habits and socio-economic characteristics on the subjects' body weights and waist and hip circumferences. In both the control and intervention groups, physical exercise was negatively associated with body weight and with waist and hip circumferences, while an index of unhealthy eating habits was positively associated (P<0·05). The proportion of energy derived from carbohydrate and from saturated and monounsaturated fat were often significant predictors of body weight and of waist and hip circumferences in the two groups. The results indicated that nutrition education programmes for improving eating habits and increasing physical exercise can reduce obesity prevalence in the USA.

Keywords

Dietary fatPhysical exerciseUnhealthy eatingSocio-economic factorsRandom effects
Type
Research Article
Information
British Journal of Nutrition , Volume 88 , Issue 6 , December 2002 , pp. 719 - 728
Copyright
Copyright © The Nutrition Society 2002

References

Bhargava, A (1991) Identification and panel data models with endogenous regressors. Review of Economic Studies 58, 129–140.CrossRefGoogle Scholar
Bhargava, A (1994) Modelling the health of Filipino children. Journal of the Royal Statistical Society Series A 157, 417–432.CrossRefGoogle Scholar
Bhargava, A & Reeds, P (1995) Requirements for what? Is the measurement of energy expenditure a sufficient estimate of energy needs? Journal of Nutrition 125, 1358–1362.Google ScholarPubMed
Bhargava, A & Sargan, JD (1983) Estimating dynamic random effects models from panel data covering short time periods. Econometrica 51, 1635–1660.CrossRefGoogle Scholar
Bingham, SA (1994) The use of 24-hour urine samples and energy expenditures to validate dietary assessment. American Journal of Clinical Nutrition 59, 227S–231S.CrossRefGoogle Scholar
Bowen, D, Clifford, CC, Coates, R, Evans, M, Feng, Z, Fouad, M, George, V, Gerace, T, Grizzle, JE, Hall, WD, Heam, M, Henderson, M, Kestin, M, Kristal, A & Leary, ET et al. (1996) The Women's Health Trial Feasibility Study in Minority Populations: Design and baseline description. Annals of Epidemiology 6, 507–519.CrossRefGoogle Scholar
Bray, G & Popkin, B (1998) Dietary fat intake does affect obesity! American Journal of Clinical Nutrition 68, 1157–1173.CrossRefGoogle ScholarPubMed
Buzzard, IM, Faucett, CL, Jeffery, RW, McBane, L, McGovern, P, Baxter, JS, Shapiro, AC, Blackburn, GL, Chlebowski, RT, Elashoff, RM & Wynder, EL (1996) Monitoring dietary change in a low-fat diet intervention study: Advantages of using 24-hour dietary recalls versus food records. Journal of American Dietetic Associationy 96, 574–579.CrossRefGoogle Scholar
Coates, R, Bowen, DJ, Kristal, AR, Feng, Z, Oberman, A, Hall, DW, George, V, Lewis, CE, Kestin, M, Davis, M, Evans, M, Grizzle, JE & Clifford, C (1999) The Women's Health Trial Feasibility Study in Minority Populations: Changes in dietary intakes. American Journal of Epidemiology 149, 1104–1112.CrossRefGoogle ScholarPubMed
Doucet, E, Almeras, N, White, MD, Despres, J-P, Bouchard, C & Tremblay, A (1998) Dietary fat composition and human adiposity. European Journal of Clinical Nutrition 52, 2–6.CrossRefGoogle ScholarPubMed
Food and Agriculture Organization/World Health Organization/United Nations University (1985) Energy and Protein Requirements. Geneva: WHO.Google Scholar
Flatt, JP (1987) Dietary fat, carbohydrate balance and weight maintenance: Effects of exercise. American Journal of Clinical Nutrition 45, 296–306.CrossRefGoogle ScholarPubMed
Frazao, E (1999) High costs of poor eating patterns in United States. In America's Eating Habits: Changes and Consequences, AIB no 750, pp. 5–32. Washington, DC: US Department of Agriculture, Economic Research ServiceGoogle Scholar
Guthrie, JF, Derby, BM & Levy, AS (1999) What people know and do not know about nutrition. In America's Eating Habits: Changes and Consequences, AIB no 750, pp. 243–280. Washington, DC: US Department of Agriculture, Economic Research ServiceGoogle Scholar
James, WPT & Schofield, E (1990) Human Energy Requirements. Oxford: Oxford University Press.Google Scholar
Jones, P, Hunt, M, Brown, T & Norgan, N (1986) Waist-hip circumference ratio and its relation to age and overweight in British men. Human Nutrition: Clinical Nutrition 40C, 239–247.Google Scholar
Kristal, AR, Feng, Z, Coates, RJ, Oberman, A & George, V (1997) Associations of race/ethnicity, education and dietary intervention with the validity and reliability of a food frequency questionnaire. American Journal of Epidemiology 146, 856–869.CrossRefGoogle ScholarPubMed
Laird, N & Ware, J (1982) Random effects models for longitudinal data. Biometrics 38, 963–974.CrossRefGoogle ScholarPubMed
Larsson, B, Svardsudd, K, Welin, K, Wilhemsen, L, Bjorntorp, P & Tibblin, G (1984) Abdominal adipose tissue distribution, obesity and risk of cardiovascular disease and death: 13 year follow up of participants in the study of men born in 1913. Clinical Research 288, 1401–1404.Google Scholar
Nelson, M, Black, AE, Morris, JA & Cole, TJ (1989) Between-and-within subject variation in nutrient intake from infancy to old age: Estimating the number of days to rank dietary intakes with desired precision. American Journal of Clinical Nutrition 50, 155–167.CrossRefGoogle ScholarPubMed
Prentice, A (1995) Obesity in Britain: Gluttony or sloth? British Medical Journal 311, 437–439.CrossRefGoogle ScholarPubMed
Rexrode, KM, Carey, VJ, Hennekens, CH, Walters, EE, Colditz, GA, Stampfer, MJ, Willett, WC & Manson, JE (1999) Abdominal adiposity and coronary heart disease in women. Journal of American Medical Association 280, 1843–1848.CrossRefGoogle Scholar
Rolls, BJ, Bell, EA, Castellanos, VH, Chow, M, Pelkman, CL & Thorwart, ML (1999) Energy density but not fat content of foods affected energy intake in lean and obese women. American Journal of Clinical Nutrition 69 863–871.CrossRefGoogle Scholar
Schutz, Y, Flatt, J-P, & Jequier, E (1989) Failure of dietary fat intake to promote fat oxidation: A factor favoring the development of obesity. American Journal of Clinical Nutrition 50, 307–314.CrossRefGoogle ScholarPubMed
Shepard, TY, Weil, KM, Sharp, TA, Grunwald, GK, Bell, ML, Hill, JO & Eckel, RH (2001) Occasional physical inactivity and a high-fat diet may be important in the development and maintenance of obesity in human subject. American Journal of Clinical Nutrition 73, 703–708.CrossRefGoogle Scholar
Sheppard, L, Kristal, A & Kushi, L (1991) Weight loss in women participating in a randomized trial of low-fat diets. American Journal of Clinical Nutrition 54, 821–828.CrossRefGoogle Scholar
Smith, SR, de Long, L, Zachwieja, JJ, Nguyen, T, Rood, J, Windhauser, M, Volaufova, J & Bray, GA (2000) Concurrent physical activity increases fat oxidation during shift to a high-fat diet. American Journal of Clinical Nutrition 72, 131–138.CrossRefGoogle ScholarPubMed
United States Department of Agriculture/Department of Health and Human Services (1990) Nutrition and Your Health: Dietary Guidelines for Americans. Washington, DC: DHHS.Google Scholar
United States Department of Agriculture/Department of Health and Human Services (2000) Nutrition and Your Health: Dietary Guidelines for Americans, 5th ed. Washington, DC: DHHS.Google Scholar
Willett, W (1998a) Is dietary fat a major determinant of body fat? American Journal of Clinical Nutrition 67, 556S–562S.CrossRefGoogle Scholar
Willett, W (1998b) Nutritional Epidemiology, 2nd ed. Oxford: Oxford University Press.CrossRefGoogle Scholar