Andersen Eivind, Bohler Linn, Leirbakk Maria J, Cabral Danielle, Wedegren Mia C, Wieland Mark L, Meyer Haakon E, Madar Ahmed A
Faculty of Humanities, Sports and Educational Science, University of South-Eastern Norway, Post box 2243, Tonsberg, N-3103, Norway.
Department of Community Medicine and Global Health, Institute of Health and Society, University of Oslo, Oslo, 0316, Norway.
BMC Public Health. 2025 Apr 7;25(1):1310. doi: 10.1186/s12889-025-22475-z.
Given the elevated prevalence and impact of overweight and the potential risk of non-communicable diseases among women of Somali background in high-income countries and recognising the potential positive impact of physical activity (PA) on these health conditions, it becomes imperative to focus on understanding the PA behaviour of this specific population. The objectives of this paper were twofold: firstly, to provide a comprehensive description of both objectively and subjectively measured PA level and sedentary time in a group of overweight women of Somali background in Norway, and secondly, to assess the effectiveness of a tailored, culturally sensitive, community-based intervention in increasing PA and reducing sedentary time.
169 overweight women of Somali background in Norway were randomised by borough to either a lifestyle programme or a comparison group. The programme consisted of two sessions per week for 12 weeks, combining classroom discussion with graded group-based PA led by coaches, followed by monthly sessions over nine months. PA was measured objectively using the ActivPAL monitor and subjectively using the international PA questionnaire short form (IPAQ-SF) at baseline and 12 months after baseline.
The women took on average 6804 (SD = 3286) steps per day and were sedentary for 9.1 (SD = 3) hours per day at baseline. There were no differences between groups on any accelerometer measured PA variable at any timepoint. There were significant differences on vigorous intensity PA (25.9 min; 95% CI 7.7, 44.1) and total PA (77.6 min; 95% CI 13.2, 142.1) at the 12-month measurement session between the two groups using the IPAQ-SF.
Despite observing initially low PA levels and high sedentary time at baseline and thus a considerable potential for intervention, the intervention failed in attaining an increase in accelerometer measured PA or reduction in sedentary time compared to the control condition. However, self-reported measures indicated success in these aspects. The potential threats to the programme's reliability and validity include high drop-out rates possible due to the COVID-19 pandemic, contamination and low attendance rates. These challenges underscore the complexity of interventions in this demographic, emphasising the need for further exploration and refinement of methodologies to effectively enhance PA levels and reduce sedentary time in immigrant women living in high-income countries.
clinicaltrials.gov NCT04578067, registered May 2021.
鉴于高收入国家中索马里裔女性超重的患病率较高且影响较大，以及存在患非传染性疾病的潜在风险，并认识到体育活动（PA）对这些健康状况可能产生的积极影响，因此必须着重了解这一特定人群的体育活动行为。本文的目标有两个：第一，全面描述挪威一组索马里裔超重女性客观和主观测量的体育活动水平及久坐时间；第二，评估一项量身定制、具有文化敏感性的社区干预措施在增加体育活动和减少久坐时间方面的有效性。
挪威169名索马里裔超重女性按行政区随机分为生活方式项目组或对照组。该项目包括每周两次，为期12周的课程，将课堂讨论与由教练带领的分级小组体育活动相结合，之后在九个月内每月进行一次课程。在基线和基线后12个月，使用ActivPAL监测仪客观测量体育活动，使用国际体育活动问卷简表（IPAQ-SF）主观测量体育活动。
在基线时，这些女性平均每天走6804步（标准差=3286），每天久坐9.1小时（标准差=3）。在任何时间点，两组之间在任何通过加速度计测量的体育活动变量上均无差异。使用IPAQ-SF在12个月测量期时，两组在剧烈强度体育活动（25.9分钟；95%置信区间7.7，44.1）和总体育活动（77.6分钟；95%置信区间13.2，142.1）方面存在显著差异。
尽管在基线时观察到体育活动水平最初较低且久坐时间较长，因此有相当大的干预潜力，但与对照条件相比，该干预未能使通过加速度计测量的体育活动增加或久坐时间减少。然而，自我报告的测量结果表明在这些方面取得了成功。该项目可靠性和有效性的潜在威胁包括可能因新冠疫情导致的高辍学率、干预措施的相互影响以及低出勤率。这些挑战凸显了针对这一人群进行干预的复杂性，强调需要进一步探索和完善方法，以有效提高生活在高收入国家的移民女性的体育活动水平并减少久坐时间。
clinicaltrials.gov NCT04578067，2021年5月注册。
