Lifestyle Physical Activity Behavior Among South Asian Indian Immigrants

Daniel, Manju; Wilbur, JoEllen; Márquez, David X.; Farran, Carol J.

doi:10.1007/s10903-013-9842-4

Cited by 14 publications

(16 citation statements)

References 29 publications

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“…Leisure-time PA typically is structured, planned, and is undertaken in a person’s discretionary time resulting in increased energy expenditure (Myers, Drory, & Gerber, 2011). Similar to findings in our prior study of SAIs (Daniel, Wilbur, Marquez, & Farran, 2013) and also in other research on ethnic groups, including Koreans (Ju, Wilbur, Lee, & Miller,2011) and Latinos (Marquez et al, 2011), we found that walking was reported as the most frequent and preferred leisure-time PA.…”

Section: Discussionsupporting

confidence: 91%

“…The PA Framework for SAI Immigrants (Daniel & Wilbur, 2011; Daniel, Wilbur, Fogg, & Miller, 2013; Daniel, Wilbur, Marquez, & Farran, 2013) was used to guide this study (Figure 1). This framework is based on the Interaction Model of Client Health Behavior (Cox et al, 2008) and specifies background and intrapersonal characteristics that potentially predict health behavior.…”

Section: Barriers and Motives To Lifestyle Pa In Midlife Sai Womenmentioning

confidence: 99%

“…The Healthy People 2020 PA goal reflects national efforts to eliminate health disparities related to poor PA in Asian Indian immigrants (Healthy People 2020, n.d.). South Asian Indian (SAI) immigrant women do not meet the recommended PA guidelines (Office of Disease Prevention and Health Promotion, 2015b) as measured by average daily step counts (6,814 steps), moderate intensity leisure-time (52%), household (16%), and occupational PA (52%) in a prior study (Daniel, Wilbur, Marquez, & Farran, 2013).…”

mentioning

confidence: 99%

“…Across all three domains of PA (leisure-time, household, and occupational), the most frequently reported activities for midlife SAI immigrant women were either light or moderate intensity. Brisk walking for exercise was the most frequently reported leisure-time PA. Light work around the house and light gardening were the most frequently reported household PA. Light work while sitting and standing, and walking not carrying anything heavier than a briefcase were the most frequently reported occupational PA (Daniel, Wilbur, Marquez, & Farran, 2013).…”

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confidence: 99%

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Barriers and Motives to PA in South Asian Indian Immigrant Women

2017

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The high prevalence of chronic illnesses in South Asian Indian immigrant women underscores the need for identifying factors that could influence their PA. The purpose of this qualitative study was to examine the perspectives of South Asian Indian immigrant women related to barriers to and motives for lifestyle PA within the PA Framework for South Asian Indian Immigrants. Forty women participated in focus groups that were conducted in English and Hindi. Focus group questions were open-ended and semistructured. Transcribed and de-identified audiotaped sessions were coded and analyzed using Atlas.ti software. Role expectation was a core theme for barriers with four subthemes: lack of time, loss of interest, diminished social support, and environmental constraints. Self-motivation was a core theme for motives with three subthemes: optimal physical and psychological health, emphasis on external beauty, and strong social support. Future PA interventions need to target these culturally sensitive factors.

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Section: Discussionsupporting

confidence: 91%

Section: Barriers and Motives To Lifestyle Pa In Midlife Sai Womenmentioning

confidence: 99%

mentioning

confidence: 99%

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Barriers and Motives to PA in South Asian Indian Immigrant Women

2017

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“…(44) In addition, South Asian migrants to the US and UK often fall below minimum physical activity recommendations, and results from our pilot study showed that US South Asians participated in less exercise compared to Caucasians and African Americans. (15, 45–47) Level of physical activity is inversely correlated with blood glucose and insulin. (45, 46) Therefore, culturally tailored interventions to reduce sedentary behavior will likely impact diabetes prevalence in US South Asians.…”

Section: Discussionmentioning

confidence: 99%

Correlates of prediabetes and type II diabetes in US South Asians: findings from the Mediators of Atherosclerosis in South Asians Living in America (MASALA) study

Shah¹,

Vittinghoff²,

Kandula³

et al. 2015

Annals of Epidemiology

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Purpose In this study, we aim to elucidate the role of sociodemographic, lifestyle and cultural factors in pre-diabetes and diabetes in South Asian immigrants to the United States (US), a population at high risk of type 2 diabetes. Methods We performed a cross-sectional analysis of a community-based cohort of 899 South Asians without known cardiovascular disease from the Mediators of Atherosclerosis in South Asians Living in America (MASALA) study. Glycemic status was determined by fasting glucose, 2-hour post-challenge glucose and use of diabetes medication. We used multinomial logistic regression models to estimate the independent associations of sociodemographic, lifestyle and cultural factors with pre-diabetes and diabetes, adjusting for confounders identified using directed acyclic graphs. Results Approximately 33% of participants had pre-diabetes and 25% had diabetes. In multivariate analyses, an independent correlate of pre-diabetes was low exercise. Additional covariates associated with diabetes included: lower family income, less education, high chronic psychological burden score, and greater time spent watching television, and fasting monthly or annually was inversely associated with diabetes prevalence. Conclusions We found several modifiable risk factors associated with pre-diabetes and diabetes that may help guide diabetes prevention interventions for South Asian immigrants to the US.

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Effects of the COVID‐19 pandemic on recruitment for the working women walking program

Daniel

Buchholz

Schoeny

et al. 2022

Research in Nursing & Health

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The global pandemic of coronavirus disease 2019 affected many aspects of randomized controlled trials, including recruiting and screening participants. The purpose of this paper is to (a) describe adjustments to recruitment and screening due to COVID-19, (b) compare the proportional recruitment outcomes (not completed, ineligible, and eligible) at three screening stages (telephone, health assessment, and physical activity assessment) pre-and post-COVID-19 onset, and (c) compare baseline demographic characteristics pre-and post-COVID-19 onset in the Working Women Walking program. The design is a cross-sectional descriptive analysis of recruitment and screening data from a 52-week sequential multiple assignment randomized trial (SMART). Participants were women 18-70 years employed at a large urban medical center. Recruitment strategies shifted from inperson and electronic to electronic only post-COVID-19 onset. In-person eligibility screening for health and physical activity assessments continued post-COVID-19 onset with Centers for Disease Control and Prevention precautions. Of those who expressed interest in the study pre-and post-COVID-19 onset (n = 485 & n = 269 respectively), 40% (n = 194) met all eligibility criteria pre-COVID-19 onset, and 45.7% (n = 123) post-COVID-19 onset. Although there were differences in the proportions of participants who completed or were eligible for some of the screening stages, the final eligibility rates did not differ significantly pre-COVID-19 versus post-COVID-19 onset. Examination of differences in participant demographics between pre-and post-COVID-19 onset revealed a significant decrease in the percentage of Black women recruited into the study from pre-to post-COVID-19 onset.Studies recruiting participants into physical activity studies should explore the impact of historical factors on recruitment.

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Lifestyle Physical Activity Behavior Among South Asian Indian Immigrants

Cited by 14 publications

References 29 publications

Barriers and Motives to PA in South Asian Indian Immigrant Women

Barriers and Motives to PA in South Asian Indian Immigrant Women

Correlates of prediabetes and type II diabetes in US South Asians: findings from the Mediators of Atherosclerosis in South Asians Living in America (MASALA) study

Effects of the COVID‐19 pandemic on recruitment for the working women walking program

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