Exercise training for African Americans with disabilities residing in difficult social environments

Rimmer, James H.; Nicola, Terry; Riley, Barth B.; Creviston, Todd

doi:10.1016/s0749-3797(02)00517-2

Cited by 23 publications

(16 citation statements)

References 18 publications

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“…Eight studies described interventions to increase physical activity in communities of color (table 6). Of these studies, five included significant representation of African Americans (Banks-Wallace and Conn 2005; Gemson et al 1995;Newton and Perri 2004;Rimmer et al 2002;Yanek et al 2001), two of Mexican Americans/Hispanics (Lorig, Ritter, and Gonzalez 2003;Poston et al 2001), one of Alaskan Native/American Indians (Witmer et al 2004), and one of Asian Americans (Gemson et al 1995). Three of the eight studies were randomized controlled trials (Lorig, Ritter, and Gonzalez 2003;Poston et al 2001;Yanek et al 2001), and three were small pilot studies (Banks-Wallace and Conn 2005; Newton and Perri 2004;Witmer et al 2004).…”

Section: Physical Inactivity Resultsmentioning

confidence: 99%

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Cardiovascular Health Disparities

et al. 2007

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Racial and ethnic disparities in cardiovascular health care are well documented. Promising approaches to disparity reduction are increasingly described in literature published since 1995, but reports are fragmented by risk, condition, population, and setting. The authors conducted a systematic review of clinically oriented studies in communities of color that addressed hypertension, hyperlipidemia, physical inactivity, tobacco, and two major cardiovascular conditions, coronary artery disease and heart failure. Virtually no literature specifically addressed disparity reduction. The greatest focus has been African American populations, with relatively little work in Hispanic, Asian, and Native American populations. The authors found 62 interventions, 27 addressing hypertension, 9 lipids, 18 tobacco use, 8 physical inactivity, and 7 heart failure. Only 1 study specifically addressed postmyocardial infarction care. Data supporting the value of registries, multidisciplinary teams, and community outreach were found across several conditions. Interventions addressing care transitions, using telephonic outreach, and promoting medication access and adherence merit further exploration.

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Section: Physical Inactivity Resultsmentioning

confidence: 99%

“…On the other hand, four studies demonstrated a positive effect on physical activity for patients of color (Lorig, Ritter, and Gonzalez 2003;Newton and Perri 2004;Rimmer et al 2002;Witmer et al 2004). Why these studies were successful while others were not is not entirely clear.…”

Section: Physical Inactivity Resultsmentioning

confidence: 99%

Cardiovascular Health Disparities

et al. 2007

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“…Notably, frailty has been found to be more prevalent in African Americans than in majority Whites (Cawthon et al, 2007; Hirsch et al, 2006). However, few studies have examined factors (other than age and sex) associated with decline in grip strength over time, and very few have addressed grip strength changes in African Americans (e.g., Kurina et al, 2004; Rimmer, Nicola, Riley, & Creviston, 2002). Accordingly, we use data from the African American Health (AAH) project that included extensive baseline risk assessment (including contextual measures) to model factors associated with either a decrease or an increase in grip strength over 3 years.…”

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confidence: 99%

Predictors of Change in Grip Strength Over 3 Years in the African American Health Project

et al. 2010

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Objectives To examine factors associated with change in grip strength. Method Grip strength was measured at baseline and 3 years later. Change was divided into “decreased ≥5 kg,” “increased ≥5 kg,” and “no change” and analyzed using multinomial multivariable logistic regression. Results Decline in grip strength was more likely for men, those reporting having cardiovascular disease, and those with instrumental activities of daily living, lower body functional limitations, high diastolic blood pressure, higher physical activity, and greater body mass. Decline was less likely among those ever having Medicaid, those with basic activities of daily living disabilities, and those unable to see a doctor in past year due to cost. Gain in grip strength was more likely for men and those with instrumental activities of daily living disabilities, lower body functional limitations, high diastolic blood pressure, and higher physical activity; it was less likely for older participants. Discussion Results can be used to design interventions to improve strength outcomes.

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“…For optimal long-term effects in populations at risk, we need to disseminate straightforward community-based PA interventions that provide ongoing support and within-community leadership for increasing and maintaining participation [18]. PRAISEDD demonstrates that four components are essential to sustaining a PA program in a community of AA and low-income older adults with CVD risk: (1) within-community peer leadership, (2) periodic input and reinforcement by health care professionals; (3) group reinforcement of PA behaviors; and (4) getting administrative support and fitting the activity into the environment.…”

Section: Discussionmentioning

confidence: 99%

People reducing risk and improving strength through exercise, diet, and drug adherence (PRAISEDD): a case report on long-term single site adoption

Michael

Shaughnessy

2012

Behav. Med. Pract. Policy Res.

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African-American and low-income older adults have heightened risk for cardiovascular disease (CVD). Culturally and socially congruent community-based programs can promote risk-reduction behaviors, including physical activity (PA), and can demonstrate durability. The purpose was to increase lifestyle PA and promote selfmanagement of CVD risk factors in a sample of at-risk older adults and to sustain a PA program within low-income housing. Exercise and education sessions were conducted three times/week for 12weeks. A community champion was trained to carry on the classes thereafter, with monthly inoculation visits by a nurse and exercise trainer. Outcome measures included attendance and CVD risk factor control. This ongoing community-based program, incorporating peer leadership, inoculation visits, and self-efficacy enhancement, has been sustained for over 3years with classes one to two times per week and routine attendance of about 12-18 residents. PRAISEDD demonstrates that a community-based PA program can be maintained using within-community leadership, periodic involvement of health care experts, and social support and self-efficacy enhancement. KEYWORDSPhysical activity, Cardiovascular disease, Community-based programs, African-American, Low-income INTRODUCTION African-American (AA) and low-income older adults are more likely to have hypertension, to be overweight or obese, and to have diabetes than their white counterparts, placing them at heightened risk for cardiovascular disease (CVD), stroke, myocardial infarction, peripheral vascular disease, and congestive heart failure [1]. These risk factors also commonly cluster together, and in African-Americans include combinations of obesity and hypertension (18 %), obesity, hypertension and hypercholesterolemia (13 %), or obesity, hypertension, hypercholesterolemia, and diabetes (10 %) [2], all posing significant threats to cardiovascular health in a large proportion of this population.

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Exercise training for African Americans with disabilities residing in difficult social environments

Cited by 23 publications

References 18 publications

Cardiovascular Health Disparities

Cardiovascular Health Disparities

Predictors of Change in Grip Strength Over 3 Years in the African American Health Project

People reducing risk and improving strength through exercise, diet, and drug adherence (PRAISEDD): a case report on long-term single site adoption

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