Cigarette smoking is associated with energy balance in premenopausal african-american adult women differently than in similarly aged white women

Cigarette smoking is associated with energy balance in premenopausal african-american adult women differently than in similarly aged white women

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ABSTRACT OBJECTIVE: To investigate the differential association of cigarette smoking with energy balance in African-American and white premenopausal women. DESIGN: Cross-sectional study of


energy balance, weight, and smoking in women. SUBJECT: A total of 374 women: 191 African-American (mean age=29.8±6.5 y) and 183 white women (mean age=28.9±7.1 y). MEASUREMENTS: Weight,


cigarette smoking habits, resting energy expenditure, dietary intake, and physical activity. RESULTS: There were no significant differences in dietary intake by race or smoking status. The


model for physical activity was significant (_P_=0.0004), with body mass index (BMI) having the largest effect on activity (_P_<0.001). Smoking status was related to activity, with the


heaviest smokers reporting more activity than nonsmokers (_P_=0.008) or light smokers (_P_=0.028). The model for resting energy expenditure (REE) was significant (_P_<0.0001), with the


largest again being BMI (_P_<0.001). There was also an interaction between ethnicity and smoking status (_P_<0.0001) such that African-American nonsmokers and light smokers tended to


have lower REE than several other groups, most often the African-American moderate heavy smokers. The model for BMI was significant (_P_<0.0001) with an interaction for ethnicity and


smoking status (_P_=0.0009). African-American nonsmokers and light smokers had significantly higher BMIs than most of the other groups. CONCLUSION: African-American women who were the


heaviest smokers had a lower adjusted BMI than the heaviest smoking white women. This effect, at least partially, may be related to an increased REE in the African-American smoking women.


While energy intake did not appear to be important in this relationship, energy expended in physical activity appeared to be increased with smoking, as was REE. Access through your


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80: 1053–1056. Article  CAS  Google Scholar  Download references AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * Department of Consumer Science and Education, The University of Memphis,


Memphis, TN, USA L H Clemens * Center for Community Health, The University of Memphis, Memphis, TN, USA R C Klesges & D L Slawson * Department of Preventive Medicine, College of


Medicine, The University of Tennessee Center for the Health Sciences, Memphis, TN, USA A J Bush Authors * L H Clemens View author publications You can also search for this author inPubMed 


Google Scholar * R C Klesges View author publications You can also search for this author inPubMed Google Scholar * D L Slawson View author publications You can also search for this author


inPubMed Google Scholar * A J Bush View author publications You can also search for this author inPubMed Google Scholar CORRESPONDING AUTHOR Correspondence to L H Clemens. ADDITIONAL


INFORMATION This work was supported by funds from the National, Heart, Lung, and Blood Institute HL50946 awarded to the first author and HL463521 awarded to the second author. RIGHTS AND


PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Clemens, L., Klesges, R., Slawson, D. _et al._ Cigarette smoking is associated with energy balance in premenopausal


African-American adult women differently than in similarly aged white women. _Int J Obes_ 27, 1219–1226 (2003). https://doi.org/10.1038/sj.ijo.0802400 Download citation * Received: 30 August


2002 * Revised: 14 February 2003 * Accepted: 02 March 2003 * Published: 26 September 2003 * Issue Date: 01 October 2003 * DOI: https://doi.org/10.1038/sj.ijo.0802400 SHARE THIS ARTICLE


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by the Springer Nature SharedIt content-sharing initiative KEYWORDS * smoking * body weight * energy balance * REE * physical activity