Center for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, PA 19140, USA.
Department of Kinesiology, College of Public Health, Temple University, Philadelphia, PA 19121, USA.
Int J Environ Res Public Health. 2019 Mar 31;16(7):1156. doi: 10.3390/ijerph16071156.
Physical activity (PA) serves a critical role in maintaining health and preventing chronic diseases, though its influence on high-risk Asian American populations is unclear. The purpose of this study was to determine PA levels among Filipino and Korean Americans at high risk of hypertension and to identify sociodemographic and health-related factors associated with PA levels in these populations. A cross-sectional survey was administered to 137 participants in the Greater Philadelphia Area. Data was collected on PA levels, sociodemographic factors, and health factors. Multinomial logistic regression was conducted to determine predictors associated with low, moderate, and high PA and predictive probabilities were calculated for interaction terms, incorporating ethnicity and blood pressure variables. Overall, 42.33% of participants belonged to the moderately active PA group and 21.90% belonged to the highly active group. In the final multinomial regression model, it was found that having gone to college increased the odds of being in the moderately active PA group (coef. = 1.96, = 0.034), while having high blood pressure reduced the odds of being in the moderately active PA group (coef. = -2.21, = 0.022). Lastly, being Korean versus Filipino reduced the odds of being in the highly active category (coef. = -2.89, = 0.035). Based on predictive probabilities, Koreans and Filipinos with high blood pressure were more likely to belong in the low active PA category (52.31% and 46.33%). These findings highlight the need for culturally relevant PA interventions for promoting and increasing PA levels to prevent and manage hypertension among these populations.
身体活动（PA）在维持健康和预防慢性病方面起着至关重要的作用，但它对亚洲高危人群的影响尚不清楚。本研究旨在确定菲律宾裔和韩裔美国人患高血压的高危人群的 PA 水平，并确定与这些人群 PA 水平相关的社会人口学和健康相关因素。在大费城地区对 137 名参与者进行了横断面调查。收集了 PA 水平、社会人口学因素和健康因素的数据。采用多项逻辑回归确定与 PA 水平低、中、高相关的预测因素，并计算了包含族裔和血压变量的交互项的预测概率。总体而言，42.33%的参与者属于中度活跃 PA 组，21.90%属于高度活跃组。在最终的多项逻辑回归模型中，发现上过大学会增加处于中度活跃 PA 组的几率（系数=1.96，p=0.034），而高血压会降低处于中度活跃 PA 组的几率（系数=-2.21，p=0.022）。最后，与菲律宾裔相比，韩裔的几率降低（系数=-2.89，p=0.035），属于高度活跃组。基于预测概率，患有高血压的韩裔和菲律宾裔更有可能属于低活动 PA 组（52.31%和 46.33%）。这些发现强调了需要针对这些人群进行文化相关的 PA 干预，以促进和增加 PA 水平，从而预防和管理高血压。
