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