Tranby Brianna N, Sia Irene G, Clark Matthew M, Novotny Paul J, Lohr Abby M, Pardo Laura Suarez, Patten Christi A, Iteghete Sheila O, Zeratsky Katherine A, Rieck Thomas M, Molina Luz, Capetillo Graciela Porraz, Ahmed Yahye, Drie Hana, Wieland Mark L
Mayo Clinic.
Rochester Healthy Community Partnership.
Res Sq. 2024 Mar 12:rs.3.rs-3934645. doi: 10.21203/rs.3.rs-3934645/v1.
Immigrants to the United States, on average, accumulate cardiovascular risk after resettlement, including obesity. There is a need to co-create interventions to address these disparities, and mood may be an important mediating factor.
The (HIC) study, set in southeast Minnesota, enrolled 475 adult participants in a weight loss intervention to reduce cardiovascular risk. Baseline questionnaires assessed mood, nutrition, physical activity, self-efficacy for healthy eating and physical activity, social support, and cohesion. A single-item mood rating of poor or fair was considered "negative", while ratings of good, very good, or excellent were considered "positive".
A total of 449 HIC participants (268 Hispanic/Latino and 181 Somali) with complete baseline measures and were included in this analysis. Participants endorsing negative mood compared to those endorsing positive mood had lower scores for healthy eating ( = 0.02) and physical activity levels ( = 0.03), lower confidence in eating a healthy diet ( = 0.001), and felt less of a sense of belonging to their community ( = 0.01). Those endorsing negative mood also reported receiving less social support from their family and friends to eat healthy ( = < 0.001) and be physically active ( = 0.01), and less often accessed community resources for healthy eating ( = 0.001) and physical activity (p = < 0.01) compared to participants reporting positive mood.
Negative mood was associated with less healthy nutrition, lower confidence in eating healthy, sedentary lifestyle, and perceived lack of belonging to the community. Integrating mood management and self-efficacy strategies may enhance the effectiveness of lifestyle interventions among immigrants who report negative mood.
NCT05136339; April 23, 2022.
平均而言，美国的移民在重新定居后会积累心血管疾病风险，包括肥胖。有必要共同制定干预措施来解决这些差异，而情绪可能是一个重要的中介因素。
在明尼苏达州东南部开展的健康移民社区（HIC）研究招募了475名成年参与者参加一项减肥干预措施，以降低心血管疾病风险。基线调查问卷评估了情绪、营养、身体活动、健康饮食和身体活动的自我效能感、社会支持和凝聚力。单项情绪评分为差或一般被视为“负面”，而评分为好、非常好或优秀则被视为“正面”。
本分析纳入了449名有完整基线测量数据的HIC参与者（268名西班牙裔/拉丁裔和181名索马里人）。与认可积极情绪的参与者相比，认可消极情绪的参与者在健康饮食方面得分较低（P = 0.02），身体活动水平较低（P = 0.03），对健康饮食的信心较低（P = 0.001），并且感觉对社区的归属感较低（P = 0.01）。认可消极情绪的参与者还报告称，他们从家人和朋友那里获得的支持较少，难以做到健康饮食（P = <0.001）和进行体育锻炼（P = 0.01），与报告积极情绪的参与者相比，他们较少利用社区资源进行健康饮食（P = 0.001）和体育锻炼（P = <0.01）。
消极情绪与不健康的营养状况、对健康饮食的信心较低、久坐不动的生活方式以及对社区归属感的缺乏有关。整合情绪管理和自我效能策略可能会提高对报告消极情绪的移民进行生活方式干预的效果。
NCT05136339；2022年4月23日。
