December 19, 2013
Not fair! It appears African-American women must consume less food, or burn more calories, than their white counterparts to lose the same amount of weight.
This according to University of Pittsburgh School of Medicine researchers reporting in the International Journal of Obesity.
Other studies have hinted this might be the case, said lead investigator, James P. DeLany, Ph.D., associate professor, Division of Endocrinology and Metabolism, Pitt School of Medicine. “At first, it was thought that perhaps the African-American women didn’t adhere as closely to their calorie prescriptions or that the interventions were not culturally sensitive…. But even in research projects that were designed to address those possibilities, the difference in weight loss remained.”
DeLany and his team wanted to find out if metabolism was behind the difference, so examined weight changes, energy expenditure, exercise habits and calorie intake among 39 obese African-American and 66 whie women. The subjects had been taking part in a six-month weight loss program of calorie restriction and increased physical activity.
The researchers measured body composition and daily energy expenditure at the start and finish of the program. They found that the African-American women lost about seven pounds fewer than the Caucasian women, even though their starting body mass index, or BMI, measures were comparable and they followed as closely to the calorie restriction and activity prescriptions. But the African-American women had lower resting metabolic rates and expended less energy daily than the other group.
Calorie prescriptions are typically calculated by determining how many calories are needed to fuel the body’s basic physiological processes and adding the calories needed for other activities. To maintain weight, calorie intake and output should be equal. If more calories are burned than are taken in by eating, weight loss should occur.
“We prescribe how many calories are allowed and how much activity is needed during weight loss interventions based on the premise that people of the same weight have similar metabolic rates,” Dr. DeLany explained. “But to account for their lower metabolic rate, African-American women must further reduce the number of calories they eat or use up more of them with exercise in order to lose the same number of pounds in the same time span as a Caucasian woman of the same weight.”