Physical activity and nutrition among immigrant and refugee women: A community-based participatory research pilot

Immigrant and refugee populations arrive to the US healthier than the general population, but the longer they reside, the more they approximate the cardiovascular risk profiles of the country. Among women, these declines are mediated, in part, by less physical activity and lower dietary quality upon immigration. Given the complex forces that influence these behaviors, a community-based participatory research (CBPR) approach is called for to address them. Therefore, a socioculturally appropriate physical activity and nutrition program was created with and for a heterogenous group of immigrant and refugee women in Rochester, MN through a CBPR approach. Focus groups informed the content of the program and revealed principles for designing the sessions. A 6-week program with two 90 minute classes per week was conducted among 45 women (Hispanic, Somali, Cambodian). Average attendance was 22.5 women per class, and 34 women completed evaluation. Evaluation revealed high acceptability with an average overall score of 4.85 out of 5 on the Physical Activity Class Satisfaction Questionnaire. Following the intervention, participants were more likely to exercise regularly (p=<0.001). They reported higher health-related quality of life (p=<0.001) and self-efficacy for diet (p=0.36) and exercise (p=0.10). Likewise there were trends for weight loss (87 kg vs. 83.4 kg; p=0.65), decreased waist circumference (99.6 cm vs. 95.5 cm; p=0.35), and lower blood pressure (125/80 mm/Hg vs. 122/76 mm/Hg; p=0.27). A CBPR approach to design and implement a socioculturally responsive fitness program was highly acceptable to immigrant and refugee women and demonstrated promising outcomes. Further testing of physical activity and nutrition interventions that arise organically from the target communities are needed.