Roberts Erica Blue, Fleischhacker Sheila, Pardilla Marla, Treuth Margarita, Gadhoke Preety, Christiansen Karina, Gittelsohn Joel
Department of Behavioral and Community Health, School of Public Health, University of Maryland, College Park, Maryland.
The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), Office of Nutrition Research, Bethesda, Maryland.
J Rural Health. 2016 Spring;32(2):146-55. doi: 10.1111/jrh.12168. Epub 2015 Dec 31.
Physical activity may be a protective factor against the disproportionate rates of chronic diseases faced by American Indians. Nevertheless, few studies report any cultural adoptions made to capture physical activity behaviors among this hard-to-reach population. Existing studies reporting the prevalence of physical activity among American Indians are often aggregated and tend to obscure regional, local, and tribal-level variations. This study examines the prevalence of physical activity and inactivity levels, along with associated factors, among rural dwelling American Indian adults from 2 distinct regions.
Baseline self-reported data were collected using a culturally modified version of the International Physical Activity Questionnaire (IPAQ) short form during the Obesity Research Prevention and Evaluation of Intervention Effectiveness in Native North Americans trial (OPREVENT) among rural American Indian adults (aged 18-75 years) from 5 tribal communities in Michigan and New Mexico.
Most participants were classified as moderately physically active (43.5%), and the majority reported access to physical activity facilities (83.5%). Michigan participants reported engaging in more moderate and total physical activity than those in New Mexico (P < .001) and reported spending less time sitting (P < .001).
Differences in physical activity among the American Indian communities may be due to regional variations in occupations, climate, and tribal and community support and infrastructure. The unexpected high level of activity evokes uncertainty in the accuracy and appropriateness of the data collection instrument. Research is needed to understand culturally appropriate approaches to measure physical activity and inactivity among rural American Indians.
体育活动可能是美国印第安人面临的慢性病发病率不成比例问题的一个保护因素。然而，很少有研究报告为获取这个难以接触到的人群的体育活动行为所做的任何文化适应性调整。现有的报告美国印第安人体育活动患病率的研究往往是汇总性的，往往会掩盖地区、地方和部落层面的差异。本研究调查了来自两个不同地区的农村美国印第安成年人的体育活动和不活动水平的患病率以及相关因素。
在北美原住民肥胖研究预防与干预效果评估试验（OPREVENT）期间，使用国际体育活动问卷（IPAQ）简表的文化修改版，收集了来自密歇根州和新墨西哥州5个部落社区的农村美国印第安成年人（18 - 75岁）的基线自我报告数据。
大多数参与者被归类为中度身体活跃（43.5%），大多数人报告可以使用体育活动设施（83.5%）。密歇根州的参与者报告的中度和总体体育活动比新墨西哥州的参与者更多（P <.001），且报告的久坐时间更少（P <.001）。
美国印第安社区之间体育活动的差异可能归因于职业、气候以及部落和社区支持与基础设施的地区差异。意外的高活动水平引发了对数据收集工具准确性和适用性的不确定性。需要开展研究以了解测量农村美国印第安人体育活动和不活动的文化适宜方法。
