Carter-Nolan P L, Adams-Campbell L L, Williams J
Department of Epidemiology, University of Pittsburgh, Graduate School of Public Health, Pennsylvania, USA.
J Natl Med Assoc. 1996 Sep;88(9):558-62.
The literature is devoid of any specific data describing exercise therapy in blacks at risk for diabetes. The increasing and striking prevalence of obesity and diabetes among several indigenous populations demonstrates the unfortunate interplay between genetic predisposition and a "modern" sedentary lifestyle. Any successful intervention to reduce the risk of acquiring or attenuating the severity of diabetes must focus on behavioral, cultural, psychosocial, and social factors that are amenable to change. Thus, the objective of this study is to present qualitative data that can be useful in the recruitment of blacks into exercise protocols that could prove to be beneficial in preventing diabetes. Focus groups were conducted on 57 black women residing in Washington, DC, Columbia, Maryland, and Hartford, Connecticut. Barriers to exercising included lack of child care, lack of transportation, neighborhood constraints, and family. Incentives that would increase black women's ability to participate in an exercise protocols include transportation, child care, and an exercise environment that includes blacks.
文献中没有任何具体数据描述针对有糖尿病风险的黑人的运动疗法。肥胖和糖尿病在多个原住民群体中的患病率不断上升且十分显著，这表明了遗传易感性与“现代”久坐不动生活方式之间不幸的相互作用。任何成功的干预措施，以降低患糖尿病风险或减轻糖尿病严重程度，都必须关注那些易于改变的行为、文化、心理社会和社会因素。因此，本研究的目的是提供定性数据，这些数据可能有助于招募黑人参与运动方案，而这些方案可能被证明对预防糖尿病有益。对居住在华盛顿特区、哥伦比亚特区、马里兰州和康涅狄格州哈特福德的57名黑人女性进行了焦点小组访谈。运动的障碍包括缺乏儿童保育、交通不便、社区限制和家庭因素。能够提高黑人女性参与运动方案能力的激励措施包括交通、儿童保育以及包含黑人的运动环境。
