251368 Self-Report versus Objective Measures of Physical Activity in Overweight/Obese Latina Immigrants in Alabama

Monday, October 31, 2011

Jamie L. Powell, MPH , Health Care Organization and Policy/Maternal and Child Health, UAB School of Public Health, Birmingham, AL
Bertha Hidalgo, MPH , Epidemiology, University of Alabama at Birmingham, Birmingham, AL
April A. Agne, BA, MPH , Division of Preventive Medicine, University of Alabama at Birmingham, Birmingham, AL
Amanda L. Willig, PhD, RD , Department of Internal Medicine, Division of Infectious Diseases, University of Alabama at Birmingham, Birmingham, AL
Andrea Cherrington, MD, MPH , Division of Preventive Medicine, University of Alabama at Birmingham, Birmingham, AL
Background: A higher percentage of Latinas are overweight or obese compared to non-Hispanic white women. Little is known about how actual measures of physical activity correlate to selfreport in Latina Immigrants. Objective: To explore 1) physical activity patterns and 2) the association between self-report and objective measures of physical activity among Latinas in a culturally relevant, theory-based weight loss program for Latina immigrants delivered in a community setting. Methods: Latina immigrants with a BMI >25 were recruited to participate in a community-based weight loss study. Baseline physical activity was measured with the Global Physical Activity Questionnaire and uniaxial accelerometers worn at least 3 weekdays and 1 weekend day. Results were analyzed as minutes per day spent in sedentary time and light, moderate, and vigorous physical activity. Results: Data were from 37 mostly Mexican women, in the U.S. 13 years on average, with mean age of 36 and BMI of 33.3. Based on accelerometry, 22% of participants met physical activity recommendations (150 min/week moderate activity or 75 min/week vigorous activity). Comparison of accelerometer results to self-reported activity revealed no significant correlation for sedentary time (r = 0.09; P = 0.60), moderate (r = 0.28; P = 0.08) or vigorous activity (r = -0.08; P = 0.59). Conclusion: In this study, overweight/obese Latina immigrants overestimated their physical activity level compared to objective measures. Studies to test whether incorporating feedback on actual activity levels could lead to increased activity are warranted. *Student is graduate research assistant and involved in numerous aspects of project.

Learning Areas:
Assessment of individual and community needs for health education
Public health or related nursing

Learning Objectives:
1. Compare the utility of self-report versus objective measures of physical activity. 2. Discuss trends in self-reported activity among Latina immigrants participating in a weight loss and diabetes prevention program. 3. Discuss trends in objective measures of activity among Latina immigrants participating in a weight loss and diabetes prevention program.

Keywords: Latinas, Physical Activity

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am familiar with the study from which the results were generated and familiar with the subject matter as well.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.