Energy expenditure of stunted and nonstunted boys and girls living in the shantytowns of Sao Paulo, Brazil

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dc.contributor.authorHoffman, Daniel Jay
dc.contributor.authorSawaya, Ana Lydia [UNIFESP]
dc.contributor.authorCoward, W. Andrew
dc.contributor.authorWright, Antony
dc.contributor.authorMartins, Paula Andrea [UNIFESP]
dc.contributor.authorNascimento, Celia de
dc.contributor.authorTucker, Katherine L.
dc.contributor.authorRoberts, Susan B.
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.contributor.institutionTufts Univ
dc.contributor.institutionMRC
dc.date.accessioned2018-06-15T13:04:49Z
dc.date.available2018-06-15T13:04:49Z
dc.date.issued2000-10-01
dc.description.abstractBackground: Stunting increases the risk of obesity in developing countries. particularly in girls and women, but the underlying reason is not known.Objective: Our objective was to test the hypothesis that stunted children have lower energy expenditure than do nonstunted children, a factor that has predicted an increased risk of obesity in other high-risk populations.Design: A cross-sectional study was conducted in shantytown children from Sao Paulo, Brazil. Twenty-eight stunted children aged 8-11 y were compared with 30 nonstunted children with similar weight-for-height. Free-living total energy expenditure (TEE) was measured over 7 d by using the doubly labeled water method. In addition, resting energy expenditure (REE) was measured by indirect calorimetry and body composition was measured by dual-energy X-ray absorptiometry.Results: There were no significant associations between stunting and any measured energy expenditure parameter, including REE adjusted for weight ((x) over bar +/- SEM: 4575 +/- 95 compared with 4742 +/- 91 kJ/d, in stunted and nonstunted children, respectively) and TEE adjusted for weight (8424 +/- 239 compared with 8009 +/- 221 kJ/d, in stunted and nonstunted children, respectively). In multiple regression models that included fat-free mass and fat mass, girls had significantly lower TEE than did boys (P < 0.05) but not significantly lower REE (P = 0.17).Conclusions: There was no association between stunting and energy expenditure after differences between groups in body size and composition were accounted for. However, the girls had lower TEE than did boys, which may help to explain the particularly high risk of obesity in stunted adolescent girls and women in urban areas of developing countries.en
dc.description.affiliationUniv Fed Sao Paulo, Escola Paulista Med, BR-04023900 Sao Paulo, Brazil
dc.description.affiliationTufts Univ, Human Nutr Res Ctr Aging, Jean Mayer US Dept Agr, Boston, MA 02111 USA
dc.description.affiliationMRC, Cambridge, England
dc.description.affiliationUnifespUniv Fed Sao Paulo, Escola Paulista Med, BR-04023900 Sao Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent1025-1031
dc.identifierhttps://ajcn.nutrition.org/content/72/4/1025.full
dc.identifier.citationAmerican Journal Of Clinical Nutrition. Bethesda: Amer Soc Clinical Nutrition, v. 72, n. 4, p. 1025-1031, 2000.
dc.identifier.issn0002-9165
dc.identifier.urihttps://repositorio.unifesp.br/handle/11600/42266
dc.identifier.wosWOS:000089494200021
dc.language.isoeng
dc.publisherAmer Soc Clinical Nutrition
dc.relation.ispartofAmerican Journal Of Clinical Nutrition
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectEnergy requirementsen
dc.subjectChildrenen
dc.subjectStuntingen
dc.subjectDeveloping countriesen
dc.subjectGirlsen
dc.subjectObesityen
dc.subjectShantytownsen
dc.subjectBrazilen
dc.titleEnergy expenditure of stunted and nonstunted boys and girls living in the shantytowns of Sao Paulo, Brazilen
dc.typeinfo:eu-repo/semantics/article
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