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Based on the author's study of anthropometry, energy expenditure and food consumption in four (pre-harvest, harvest, post-harvest and rainy) seasons among rain-fed rice growing farmers in Northeast Thailand, this article clarifies and discusses human adaptive (or maladaptive) strategies to seasonal climatic change. Total energy expenditure fluctuated markedly among the four seasons, but total energy intake did to a negligible extent. Change in body weight significantly differed between pre-harvest and post-harvest seasons, with a magnitude of 1.3 kg, or 2.3%, in males and 2.5 kg, or 4.3%, in females. Respiratory quotient (RQ) was the lowest in the post-harvest season when fat mass increased. These results demonstrated that physiological adaptation, through change in RQ in particular, to change in energy balance occurred in relatively short periods, and thus behavioral adaptation by means of changes in energy intake was observed not in specific seasons but in a year. The nutritional-ecological adaptive patterns of the rain-fed rice farmers were compared with those of various subsistence populations based on physical activity levels.

The use of contraceptives has become prevalent among females in Thailand in the past 20 years, and oral contraceptive use has been suggested to trigger changes in fat intake, energy expenditure, fat metabolism and blood pressure. Based on field investigations of 391 married women aged 20 years or over in Yasothon Province, North-east Thailand, this study aims to elucidate the effects of oral contraceptive use on body mass index (BMI: kg/m2) and blood pressure, taking into account reproductive histories and socioeconomic conditions. The proportion of obese (BMI > or = 25) subjects was high in the age groups 30-39, 40-49 and 50-59, accounting for, respectively, 39.4%, 51.1% and 48.5% of these populations. The proportion of women with hypertension (90/140 mmHg) was 23.7%, 18.5% and 26.2% in the 40-49, 50-59 and 60-69 age groups. Current contraceptive practices in the studied population included sterilization by operation, oral contraception and injection. These methods accounted for 43.0%, 12.8% and 8.2% of the population, respectively. Sociodemographic factors such as reproductive history, years of education and household income were not significantly related to BMI or to blood pressure (ANOVA with age adjustment). In contrast, oral contraceptive users had significantly higher BMIs and diastolic blood pressures (p<0.01, ANOVA with age adjustment). Multiple regression analysis also revealed that oral contraceptive use was a weak but significant contributing factor to both high BMI and blood pressure when sociodemographic factors were taken into account and controlled for statistically. It can thus be concluded that the use of contraceptive pills, which contain oestrogen and progestin and are provided free of charge to Thai women, tend to increase BMI and to elevate blood pressure.

Objective: The study aimed to clarify the seasonal fluctuations in energy balance and their factors among rice-growing farmers in Northeast Thailand whose rice production was enough to their food energy demand., Design: Prospective and repeated measurements in the field., Setting: A rain-fed rice-farming village., Subjects: Eight pairs of husband and wife., Interventions: In each of four periods in a year, anthropometry, energy expenditure survey with heart-rate monitoring and minute-by-minute activity recording, and food consumption survey were conducted for each subject for 4 days., Results: The change of body weight was modest but differed significantly (P < 0.001) between pre-harvest and post-harvest seasons: 1.3 kg (2.3%) for males, 2.5 kg (4.3%) for females. Total energy expenditure (TEE) fluctuated markedly between the 4 seasons (P < 0.001 for males and females), but total energy intake (TEI) fluctuated to lesser extents (P < 0.05 for females only). In relation to energy expenditure, physiological indicators (except respiratory quotient) did not fluctuate throughout the year but behavioral indicators did. The changes in body weight were significantly correlated with the changes in TEE (r = 0.60, P < 0.05 for males; r = 0.83, P < 0.01 for females) but not with the changes in TEI; TEE and TEI were not correlated., Conclusions: The modest seasonal changes in body weight among rain-fed rice farmers in Northeast Thailand were caused by the lack of response of TEI to the change of TEE.