University of South Carolina, Columbia, USA.
J Transcult Nurs. 2022 Nov;33(6):675-684. doi: 10.1177/10436596221114150. Epub 2022 Aug 4.
Asian Americans (AsAms) have a high prevalence of metabolic syndrome (MetS) and are one of the least physically active racial groups in America. The purpose of this study was to examine the relationship between MetS and moderate-to-vigorous physical activity (MVPA) among AsAm adults and whether acculturation modifies this relationship.
Data were from 2,259 AsAms participating in the 2011-2016 National Health and Nutrition Examination Survey. Physical activity (PA) was self-reported as minutes of weekly MVPA. Acculturation included nativity, length of residency in America, and language preference. The International Diabetes Federation criteria was used to determine the presence of MetS.
About 64.4% of AsAms did not meet the PA recommendation (MVPA ≥150 min/week). The prevalence of MetS was 39.2%. The odds of having MetS were greater among AsAms who did not meet MVPA recommendations compared with those who did meet MVPA recommendations (odds ratio [OR] = 1.5, 95% confidence interval [CI] = [1.11, 2.07]). When stratified by acculturation, this association remained statistically significant in the groups who immigrated to America more than 15 years ago and who spoke English only.
MVPA reduces MetS risk in AsAm adults, especially among more acculturated AsAms. Culturally adapted programs are warranted to promote PA and adequate knowledge of disease prevention in this population.
亚裔美国人（AsAms）患代谢综合征（MetS）的比例较高，也是美国身体活动最少的种族群体之一。本研究旨在探讨亚裔美国成年人代谢综合征与中高强度体力活动（MVPA）之间的关系，以及文化适应是否改变这种关系。
数据来自于 2011 年至 2016 年参加国家健康与营养调查的 2259 名亚裔美国人。体力活动（PA）是通过每周中高强度体力活动的分钟数自我报告的。文化适应包括出生国、在美国居住的时间长短和语言偏好。国际糖尿病联合会的标准用于确定代谢综合征的存在。
约 64.4%的亚裔美国人不符合 PA 推荐量（MVPA≥150 分钟/周）。代谢综合征的患病率为 39.2%。与符合 MVPA 推荐量的亚裔美国人相比，不符合 MVPA 推荐量的亚裔美国人患代谢综合征的几率更高（比值比[OR] = 1.5，95%置信区间[CI] = [1.11, 2.07]）。按文化适应程度分层，这种关联在移民美国超过 15 年且只说英语的人群中仍然具有统计学意义。
MVPA 可降低亚裔美国成年人患代谢综合征的风险，尤其是在文化适应程度较高的亚裔美国成年人中。需要制定文化适应的项目来促进该人群的体力活动，并充分了解该人群的疾病预防知识。
