Participation in a Social-Support Physical Activity Intervention Modestly Improves Lipoprotein Cholesterol Distribution Among Postpartum Sedentary Hispanic Women

Vega‐López, Sonia; Pignotti, Giselle A.P.; Keller, Colleen; Todd, Michael; Ainsworth, Barbara E.; Williams, Allison; Records, Kathie; Coonrod, Dean V.; Permana, Paska A.

doi:10.1123/jpah.2014-0245

Cited by 4 publications

(7 citation statements)

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“…Intervention studies (n = 14) tended to state a prospective intention to focus walking group provision towards particular social groups based on at least one PROGRESS-Plus factor, including race and ethnicity [35,42,57,60,71,72,74,82,[86][87][88]; place of residence [39,60,71,72,77,82]; gender [43,47,57,88]; age [50,67]; occupation [78][79][80]; and education [38]. In total, 33 articles included in this review aimed to examine factors associated with physical activity participation among pre-determined population subgroups.…”

Section: Equity Integration Strategiesmentioning

confidence: 99%

“…Alluding to the appeal of such programmes, several studies demonstrated that Hispanic and non-Latino Black subpopulations do participate in outdoor walking groups [35,39,42,45,57,60,69,71,72,74,79,82,83,[86][87][88]. However, all seven were based in the USA, and five specifically targeted minority ethnic groups.…”

Section: Race Ethnicity Culture or Languagementioning

confidence: 99%

“…While we identified potential determinants of outdoor walking group participation across all dimensions of the social determinants of health framework, only six publications considered socioeconomic and political context [41,50,[68][69][70]88]. A number of reported strategies reflected known physical activity determinants [95,96].…”

Section: Socioeconomic and Political Contextmentioning

confidence: 99%

“…A number of reported strategies reflected known physical activity determinants [95,96]. For example, land-use policies and national investment may enhance walkability, particularly for people with disabilities or long-term health conditions [37,68,70], while cultural saliency of interventions is important among ethnic minority groups [88]. One study linked walking groups to primary care services in Spain, enabling free participation for older adults [50].…”

Section: Socioeconomic and Political Contextmentioning

confidence: 99%

“…Psychosocial factors: Certain psychosocial factors made walking groups less appealing to people from deprived areas, older adults and women. Fear of crime, dogs, stigma or negative health outcomes were all cited as barriers among these groups [39,42,57,60,71,72,74,82,[86][87][88]. The provision of safe, low-intensity physical activities were important for older adults and in deprived areas [39,40].…”

Section: Intermediarymentioning

confidence: 99%

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Inequities and inequalities in outdoor walking groups: a scoping review

2020

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Background: Outdoor walking groups are widely-used programmes aimed at improving physical activity and health outcomes. Despite being promoted as accessible and inclusive, emerging work highlights participation biases based on gender, age and socioeconomic status, for example. To explicate the impact of outdoor walking groups on physical activity inequities, we conducted a scoping review of published outdoor walking group literatures. Specifically, we critically examined: (a) equity integration strategies; (b) intervention reach; (c) effectiveness; and (d) potential social determinants of engagement relating to the World Health Organization's conceptual framework. Methods: Arksey and O'Malley's scoping review protocol was used to develop a comprehensive search strategy and identify relevant academic and grey literatures, which were screened using pre-defined inclusion and exclusion criteria. Data were organised by Cochrane PROGRESS-Plus equity characteristics and a narrative summary was presented for each thematic area. Findings: Sixty-two publications were included. Key findings were: (a) some evidence of targeted intervention trials. Large-scale national programmes were tailored to regional activity and health needs, which may contribute toward addressing inequities. However, participant demographics seldom informed reported analyses; (b) participation was more likely among white, more socioeconomically advantaged, middle-to-older aged, female and able-bodied adults; (c) positive physical and psychological outcomes were unlikely to extend along social gradients; and (d) interventions primarily addressed intermediary determinants (e.g. psychosocial barriers; material resource). Social capital (e.g. friend-making) was identified as potentially important for addressing physical activity inequalities.

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Section: Equity Integration Strategiesmentioning

confidence: 99%

Section: Race Ethnicity Culture or Languagementioning

confidence: 99%

Section: Socioeconomic and Political Contextmentioning

confidence: 99%

Section: Socioeconomic and Political Contextmentioning

confidence: 99%

Section: Intermediarymentioning

confidence: 99%

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Inequities and inequalities in outdoor walking groups: a scoping review

2020

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The Impact of a Lifestyle Intervention on Cardiometabolic Risk Factors among Postpartum Hispanic Women with Overweight and Obesity in a Randomized Controlled Trial (Proyecto Mamá)

Wagner,

Pekow,

Marcus

et al. 2024

Matern Child Health J

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The Impact of a Lifestyle Intervention on Postpartum Cardiometabolic Risk Factors Among Hispanic Women With Abnormal Glucose Tolerance During Pregnancy: Secondary Analysis of a Randomized Trial

Wagner,

St. Laurent,

Pekow

et al. 2024

Journal of Physical Activity and Health

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Background: Women with abnormal glucose tolerance during pregnancy are at risk for cardiovascular disease (CVD), with higher rates among Hispanics. However, studies on the impact of lifestyle interventions on postpartum CVD profiles are sparse. Methods: This is a secondary analysis of a controlled trial among a subsample of Hispanic women with abnormal glucose tolerance participating in Estudió PARTO (Project Aiming to Reduce Type twO diabetes; mean age = 28.2 y, SD: 5.8) who were randomized to a culturally modified Lifestyle intervention (n = 45) or a comparison Health and Wellness intervention (n = 55). Primary endpoints were biomarkers of cardiovascular risk (lipids, C-reactive protein, fetuin-A, and albumin-to-creatinine ratio) and insulin resistance (fasting insulin, glucose, HbA1c, homeostasis model assessment, leptin, tumor necrosis factor-alpha, and adiponectin) measured at baseline (6-wk postpartum) and 6 and 12 months. Results: In intent-to-treat analyses, there were no significant differences in changes in biomarkers of CVD risk or insulin resistance over the postpartum year. In prespecified sensitivity analyses, women adherent with the Lifestyle Intervention had more favorable improvements in insulin (intervention effect = −4.87, SE: 1.93, P = .01) and HOMA-IR (intervention effect = −1.15, SE: 0.53, P = .03) compared with the Health and Wellness arm. In pooled analyses, regardless of intervention arm, women with higher postpartum sports/exercise had greater increase in HDL-cholesterol (intervention effect = 6.99, SE: 1.72, P = .0001). Conclusions: In this randomized controlled trial among Hispanic women with abnormal glucose tolerance, we did not observe a significant effect on postpartum biomarkers of CVD risk or insulin resistance. Women adherent to the intervention had more favorable changes in insulin and HOMA-IR.

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Participation in a Social-Support Physical Activity Intervention Modestly Improves Lipoprotein Cholesterol Distribution Among Postpartum Sedentary Hispanic Women

Abstract: Participation in the social-support PA intervention resulted in slightly increased HDL cholesterol concentrations and a modest and beneficial shift toward larger, less atherogenic LDL particles.

Cited by 4 publications

References 0 publications

Inequities and inequalities in outdoor walking groups: a scoping review

Inequities and inequalities in outdoor walking groups: a scoping review

The Impact of a Lifestyle Intervention on Cardiometabolic Risk Factors among Postpartum Hispanic Women with Overweight and Obesity in a Randomized Controlled Trial (Proyecto Mamá)

The Impact of a Lifestyle Intervention on Postpartum Cardiometabolic Risk Factors Among Hispanic Women With Abnormal Glucose Tolerance During Pregnancy: Secondary Analysis of a Randomized Trial

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