Online Program

Physical activity in hispanic adults with diabetes and their family members

Monday, November 4, 2013 : 1:10 p.m. - 1:30 p.m.

Jie Hu, PhD, RN, School of Nursing, The University of North Carolina at Greensboro, Greensboro, NC
Karen Amirehsani, PhD, FNP-BC, School of Nursing, The University of North Carolina at Greensboro, Greensboro, NC
Debra Wallace, PhD, RN, FAAN, School of Nursing, University of North Carolina - Greensboro, Greensboro, NC
Thomas McCoy, PhD, PStat, School of Nursing, University of North Carolina Greensboro, Greensboro
Sheryl L. Coley, DPH, Department of Public Health Education, UNC Greensboro, Greensboro, NC
Background Physical activity (PA) is an essential element in diabetes (DM) self-management. Pedometer use to assess PA among Hispanic adults is less understood. The study purpose was to assess PA using pedometers and self-report for Hispanics with DM and their family.

Methods A quasi-experimental design was used for an 8-week culturally tailored DM intervention for Hispanic adults with DM (n=44) and family members (n=45). PA was assessed using pedometers and the International Physical Activity Questionnaire (IPAQ). Participants wore pedometers for eight weeks; the IPAQ was collected at pre (T1) and post (T2) intervention.

Results All participants were immigrants and 70% were female. Most participants reported less than a high school education (75%) and 95% lived in poverty. Eighty-three percent with DM were obese (83%) and 14% were overweight; 57.8% of family members were obese and 17.8% were overweight. Rates of successful pedometer use for at least 5 of 7 days ranged from 52% in week 1 to peaking to 68% in week 3 to 25% in week 8 among participants with DM. Total steps per day averaged 4,247.7 ± 2,745.3. Average walking MET-min/week at T1 was 1,106.8 ± 1,928.3 and 1,471.3 ± 2,085.6 at T2. Family members had higher walking MET-min/week at T2 versus T1 (p=.01). Participants and family members had increased steps over time.

Conclusions PA increased with pedometer use. Nurses may use pedometers to promote PA and diabetes self-management among Hispanics with DM and their families.

Learning Areas:

Diversity and culture
Public health or related nursing

Learning Objectives:
Describe physical activity among Hispanics with diabetes and their family members using pedometers and self-report. Discuss pedometer use as a motivation for physical activity and issues in using pedometers.

Keyword(s): Diabetes, Hispanic

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a nurse scholar with more than 15 years experience. I have been funded by NIH for the past 7 years in diabetes research. I serve as PI of the four year diabetes self-management intervention study with Hispanics. I have more than 20 publications in this area, teach a PhD course in health disparities, and serve as a nursing and health consultant internationally. I mentor BSN, MPH and DrPH students in diabetes research.
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.