141st APHA Annual Meeting

In This section

290610
Physical activity in hispanic adults with diabetes and their family members

Monday, November 4, 2013 : 1:10 PM - 1:30 PM

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, MS
Sheryl L. Coley, MPH , Department of Public Health Education, UNC Greensboro, Greensboro, NC
Kimberly Wiseman, MS
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.

Keywords: 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.