Brown University, Providence, RI, USA.
Northern Arizona University, Flagstaff, AZ, USA.
Health Educ Behav. 2022 Jun;49(3):437-445. doi: 10.1177/10901981211005342. Epub 2021 Apr 17.
Performing regular muscle-strengthening activity has numerous health benefits, including improvements in blood pressure, hemoglobin A1c, and lean body mass. Despite the disproportionate prevalence of lifestyle-related chronic disease in Latinas (diabetes, hypertension, obesity), most do not report meeting the national guidelines for muscle-strengthening activity. Existing physical activity (PA) research in Latinas has focused almost exclusively on aerobic PA. Our study examined Latinas' sociodemographic and psychosocial correlates of meeting muscle-strengthening PA guidelines that can inform future PA interventions.
A cross-sectional study of participants ( = 436) enrolled in a randomized controlled trial promoting PA and cancer screening in Latinas was conducted, and tests examined the associations between sociodemographic and psychosocial factors with self-reported muscle-strengthening activities. Hierarchical regression was conducted in separate blocks guided by the socioecological model (sociodemographic, individual, and interpersonal factors) to examine the independent contribution of each block to the outcome of meeting national guidelines for muscle-strengthening PA.
Participants who met the national PA guidelines of ≥2 days/week of muscle-strengthening activities reported significantly higher social support for PA ( < .001), greater use of behavioral strategies for PA ( < .001), and lower barriers to PA ( < .03) than those who did not meet the guidelines. Hierarchical binary logistic regression indicated behavioral strategies for PA was the only significant correlate of meeting the national guidelines for muscle-strengthening PA (odds ratio = 1.39, 95% confidence interval [1.18, 1.65], < .001).
DISCUSSION/CONCLUSION: Results support a hypothesis that instructing Latinas to use behavior change strategies could help them increase muscle-strengthening PA.
定期进行肌肉强化活动对健康有诸多益处,包括改善血压、血红蛋白 A1c 和瘦体重。尽管与生活方式相关的慢性病在拉丁裔中发病率不成比例(糖尿病、高血压、肥胖),但大多数人并未报告其达到肌肉强化活动的国家指南标准。现有的针对拉丁裔人群的身体活动(PA)研究几乎完全集中在有氧运动 PA 上。我们的研究考察了拉丁裔女性达到肌肉强化 PA 指南的社会人口学和心理社会相关因素,这些因素可以为未来的 PA 干预提供信息。
对参加促进拉丁裔女性 PA 和癌症筛查的随机对照试验的参与者(n=436)进行了横断面研究,并使用检验检验了社会人口学和心理社会因素与自我报告的肌肉强化活动之间的关联。根据社会生态学模型(社会人口学、个体和人际因素)分块进行分层回归,以检验每个块对达到国家肌肉强化 PA 指南的结果的独立贡献。
与未达到国家 PA 指南标准(每周至少 2 天进行肌肉强化活动)的参与者相比,达到国家 PA 指南标准(每周至少 2 天进行肌肉强化活动)的参与者报告了更高的 PA 社会支持( <.001)、更多的 PA 行为策略使用( <.001)和更低的 PA 障碍( <.03)。分层二项逻辑回归表明,PA 行为策略是达到国家肌肉强化 PA 指南的唯一显著相关因素(优势比=1.39,95%置信区间[1.18,1.65], <.001)。
讨论/结论:结果支持这样一种假设,即指导拉丁裔使用行为改变策略可以帮助他们增加肌肉强化 PA。