Associations of cardiovascular disease risk factors with measures of energy expenditure and caloric intake in a farm population.

The purpose of this study was to examine the relationships of several cardiovascular disease risk factors blood pressure (BP), total cholesterol (TC), high-density-lipoprotein cholesterol (HDL-C), and the HDL-C:TC ratio], as well as the body mass index (BMI) and percent body fat with daily energy intake (EI) and daily energy expenditure (EE) of North Carolina farmers and their wives. Data were collected from 195 subjects. Daily EI and EE were estimated from 4-day food and 4-day activity records, respectively, collected on the same days. Pearson correlation coefficients for chronic disease risk factors with both EI and EE were generally low. When compared to EI, EE was more highly correlated with both lean body mass (r = 0.88) and BMI (r = 0.73), and was less time consuming and easier for the subjects to use. EE obtained from a reliable activity record may be a more practical tool for assessing the possible relationship(s) of energy metabolism to chronic disease risk factors.