Acculturation and leisure-time physical activity among Asian American adults in the United States

Zhu, Xuanxuan; Liu, Jihong; Sevoyan, Maria; Pate, Russell R.

doi:10.1080/13557858.2021.1979193

Cited by 9 publications

(9 citation statements)

References 32 publications

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“…English-only AsAms were more likely to meet PA recommendation and were less likely to have MetS. A recent study on acculturation and MVPA showed similar findings that English-only AsAms performed more MVPA than those who spoke non-English and both English and non-English (Zhu et al, 2021). One possible reason is better English proficiency reflects greater exposure to information and social norms.…”

Section: Discussionmentioning

confidence: 70%

“…Acculturation has become a well-recognized area of study that may have an important influence on PA and health outcomes (Khan et al, 2016; Mao et al, 2020). Acculturation seems to play a positive effect on PA in AsAms (Zhu et al, 2021). However, other evidence suggested some immigrants’ health patterns (i.e., increasing body weight) seem to decline with more extended residence in the U.S. (Afable et al, 2016).…”

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confidence: 99%

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Acculturation, Physical Activity, and Metabolic Syndrome in Asian American Adults

et al. 2022

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Introduction: Asian Americans (AsAms) have a high prevalence of metabolic syndrome (MetS) and are one of the least physically active racial groups in America. The purpose of this study was to examine the relationship between MetS and moderate-to-vigorous physical activity (MVPA) among AsAm adults and whether acculturation modifies this relationship. Method: Data were from 2,259 AsAms participating in the 2011–2016 National Health and Nutrition Examination Survey. Physical activity (PA) was self-reported as minutes of weekly MVPA. Acculturation included nativity, length of residency in America, and language preference. The International Diabetes Federation criteria was used to determine the presence of MetS. Results: About 64.4% of AsAms did not meet the PA recommendation (MVPA ≥150 min/week). The prevalence of MetS was 39.2%. The odds of having MetS were greater among AsAms who did not meet MVPA recommendations compared with those who did meet MVPA recommendations (odds ratio [OR] = 1.5, 95% confidence interval [CI] = [1.11, 2.07]). When stratified by acculturation, this association remained statistically significant in the groups who immigrated to America more than 15 years ago and who spoke English only. Conclusion: MVPA reduces MetS risk in AsAm adults, especially among more acculturated AsAms. Culturally adapted programs are warranted to promote PA and adequate knowledge of disease prevention in this population.

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Section: Discussionmentioning

confidence: 70%

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confidence: 99%

Acculturation, Physical Activity, and Metabolic Syndrome in Asian American Adults

et al. 2022

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“…Such findings are aligned with previous studies on Filipino and Korean Americans (Choi et al, 2021; Im et al, 2012; Kim et al, 2014). Acculturation was found to contribute to an increase in leisure-time PA among AsAms, with studies showing that the longer AsAms lived in the United States, the more likely they were to meet PA guidelines (Yan & Cardinal, 2019; Zhu et al, 2021). However, compared to the general US women, AsAm women still had lower levels of PA (Sheng et al, 2023; Swift et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

“…Acculturation process involves changes in behavior, beliefs, and attitudes due to prolonged contact with different cultural backgrounds. It has been observed that more acculturated AsAms are more likely to meet PA guidelines through leisure time (Zhu et al, 2021), and immigrants with higher acculturation tend to be more physically active and participate in sports (O'Driscoll et al, 2014). The effect of cultural values and norms on PA of Korean, South Asian, and Asian Indian American women is multidimensional and intricate (Daniel et al, 2018; Dave et al, 2015; Im & Choe, 2004).…”

Section: Introductionmentioning

confidence: 99%

Physical Activity and Breast Cancer Prevention Among Chinese American Women: A Qualitative Descriptive Study

Sheng,

Lei,

et al. 2023

Qual Health Res

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Physical inactivity is a modifiable behavioral risk factor for breast cancer. Chinese American women have an increased breast cancer incidence and a low prevalence of meeting physical activity (PA) recommendations, yet little is known about their knowledge and experience regarding PA and breast cancer prevention. Given the significant cultural differences between Eastern and Western societies, effective interventions to promote PA among Chinese American women require understanding their knowledge levels regarding PA in breast cancer prevention and their PA experiences through a cultural lens. This qualitative descriptive study used virtual semi-structured individual interviews to explore Chinese American women’s knowledge and perception of PA, their understanding of the role of PA in breast cancer prevention, and influence of culture and acculturation on PA experience. Twenty-one Chinese American women residing in eight states were interviewed. Using thematic analysis, four themes emerged: A limited appreciation of the preventability of breast cancer, variability in PA perception, Chinese culture norms and lifestyles influencing PA behavior, and the influence of the process of acculturation on PA behavior. Chinese American women had a limited understanding of PA in breast cancer prevention. Chinese culture, lifestyles, and traditional Chinese medicine positively and negatively influence Chinese American women’s PA behaviors. When exposed to American culture, Chinese American women tended to adopt new PA behaviors, including increasing leisure-time PA while decreasing occupation- and transportation-related PA. Interventions to increase PA and reduce breast cancer risk among Chinese American women should address cultural factors and acculturation along with education and behavioral change strategies.

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“…[109][110][111] More acculturated AsA adults are likely to perform more moderate to vigorous physical activity than less acculturated AsA adults. 112 Interventions targeted to address this disparity are critical to promote physical activity among non-English-speaking Asian immigrants and recent immigrants.…”

Section: Acculturation and Lifestylementioning

confidence: 99%

Epidemiology of Diabetes and Atherosclerotic Cardiovascular Disease Among Asian American Adults: Implications, Management, and Future Directions: A Scientific Statement From the American Heart Association

Kwan¹,

Wong²,

Hong³

et al. 2023

Circulation

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Asian American individuals make up the fastest growing racial and ethnic group in the United States. Despite the substantial variability that exists in type 2 diabetes and atherosclerotic cardiovascular disease risk among the different subgroups of Asian Americans, the current literature, when available, often fails to examine these subgroups individually. The purpose of this scientific statement is to summarize the latest disaggregated data, when possible, on Asian American demographics, prevalence, biological mechanisms, genetics, health behaviors, acculturation and lifestyle interventions, pharmacological therapy, complementary alternative interventions, and their impact on type 2 diabetes and atherosclerotic cardiovascular disease. On the basis of available evidence to date, we noted that the prevalences of type 2 diabetes and stroke mortality are higher in all Asian American subgroups compared with non-Hispanic White adults. Data also showed that atherosclerotic cardiovascular disease risk is highest among South Asian and Filipino adults but lowest among Chinese, Japanese, and Korean adults. This scientific statement discusses the biological pathway of type 2 diabetes and the possible role of genetics in type 2 diabetes and atherosclerotic cardiovascular disease among Asian American adults. Challenges to provide evidence-based recommendations included the limited data on Asian American adults in risk prediction models, national surveillance surveys, and clinical trials, leading to significant research disparities in this population. The large disparity within this population is a call for action to the public health and clinical health care community, for whom opportunities for the inclusion of the Asian American subgroups should be a priority. Future studies of atherosclerotic cardiovascular disease risk in Asian American adults need to be adequately powered, to incorporate multiple Asian ancestries, and to include multigenerational cohorts. With advances in epidemiology and data analysis and the availability of larger, representative cohorts, furthering refining the Pooled Cohort Equations, in addition to enhancers, would allow better risk estimation in segments of the population. Last, this scientific statement provides individual- and community-level intervention suggestions for health care professionals who interact with the Asian American population.

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Acculturation and leisure-time physical activity among Asian American adults in the United States

Cited by 9 publications

References 32 publications

Acculturation, Physical Activity, and Metabolic Syndrome in Asian American Adults

Acculturation, Physical Activity, and Metabolic Syndrome in Asian American Adults

Physical Activity and Breast Cancer Prevention Among Chinese American Women: A Qualitative Descriptive Study

Epidemiology of Diabetes and Atherosclerotic Cardiovascular Disease Among Asian American Adults: Implications, Management, and Future Directions: A Scientific Statement From the American Heart Association

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