Assessing Physical Activity Levels in Filipino Americans With Hypertension Using the Rapid Assessment of Physical Activity Questionnaire

Angosta, Alona D.; Serafica, Reimund

doi:10.1177/1084822316685517

Cited by 7 publications

(7 citation statements)

References 20 publications

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“…Filipinos with CMD tended to be more inactive. This tendency is consistent with previous studies reporting that Filipinos with hypertension participated less in physical activity per day than non-hypertensives ( Garcia et al, 2010b ; Lee & Kahende, 2007 ) and that their exercise levels failed to meet national guideline recommendations ( Angosta & Serafica, 2017 ). Studies have shown that physical activity levels among the general population of Filipinos tend to be lower than those of other Asian subgroups ( Ye et al, 2009 ).…”

Section: Discussionsupporting

confidence: 92%

Health behavior practice among understudied Chinese and Filipino Americans with cardiometabolic diseases

Lee

Bunney

et al. 2018

Preventive Medicine Reports

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Lifestyle modification and health behavior practice among the individuals with cardiometabolic diseases (CMD) are important for secondary prevention and disease control. This study was designed to investigate and compare health behavior practices among Chinese and Filipino Americans with CMD. Three hundred seventy-four Asian Americans (211 Chinese and 163 Filipino) who reside in the greater Philadelphia region and had either CMD or no identified disease were included in the study. Information on smoking, alcohol intake, physical activity, and salt and sweets consumption was collected, as well as demographic and acculturative characteristics. Of the 374 participants, 241 (64.4%) had CMD and 133 (35.6%) had no identified disease. The majority of Chinese and Filipino Americans with CMD failed to meet the dietary and physical activity guidelines, and only a small percentage of them restricted their amount of salt added to food and amount of sweets consumption. Compared to participants with no disease, Chinese participants with CMD were more likely to “never” add salt to food (AOR 4.42 compared to “frequently”). Filipino Americans with CMD were less likely to be those who “never” consume sweets than those who frequently consume sweets (AOR = 0.12). Among the participants with CMD, Chinese participants with CMD were less likely to restrict drinking (AOR 0.11) than Filipinos with CMD. The findings suggest that tailored interventions for Chinese and Filipino Americans with CMD should be developed to enhance their compliance to behavioral guidelines to prevent further disease progression and complications.

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Section: Discussionsupporting

confidence: 92%

Health behavior practice among understudied Chinese and Filipino Americans with cardiometabolic diseases

Lee

Bunney

et al. 2018

Preventive Medicine Reports

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“…PA has the potential to prevent and manage hypertension, illustrating the need to address PA interventions among those who have hypertension in order to further control their disease. Studies that have examined blood pressure control behaviors found that Filipinos and Koreans with hypertension or poor health management (e.g., lack of blood pressure screening) exhibited lower PA levels and less likeliness to meet PA guidelines, as well as only 20% of Korean women had awareness of PA as a lifestyle behavior for controlling hypertension [44,45,46]. In our study, Koreans and Filipinos who reported monitoring their blood pressure were more likely to belong to the moderately active PA category (48.03% and 46.98%, respectively).…”

Section: Discussionmentioning

confidence: 99%

A Study of Physical Activity Determinants among High-Risk Hypertensive Filipino and Korean Americans

Bhimla

Gadegbeku

Tan

et al. 2019

IJERPH

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Physical activity (PA) serves a critical role in maintaining health and preventing chronic diseases, though its influence on high-risk Asian American populations is unclear. The purpose of this study was to determine PA levels among Filipino and Korean Americans at high risk of hypertension and to identify sociodemographic and health-related factors associated with PA levels in these populations. A cross-sectional survey was administered to 137 participants in the Greater Philadelphia Area. Data was collected on PA levels, sociodemographic factors, and health factors. Multinomial logistic regression was conducted to determine predictors associated with low, moderate, and high PA and predictive probabilities were calculated for interaction terms, incorporating ethnicity and blood pressure variables. Overall, 42.33% of participants belonged to the moderately active PA group and 21.90% belonged to the highly active group. In the final multinomial regression model, it was found that having gone to college increased the odds of being in the moderately active PA group (coef. = 1.96, p = 0.034), while having high blood pressure reduced the odds of being in the moderately active PA group (coef. = −2.21, p = 0.022). Lastly, being Korean versus Filipino reduced the odds of being in the highly active category (coef. = −2.89, p = 0.035). Based on predictive probabilities, Koreans and Filipinos with high blood pressure were more likely to belong in the low active PA category (52.31% and 46.33%). These findings highlight the need for culturally relevant PA interventions for promoting and increasing PA levels to prevent and manage hypertension among these populations.

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“…Despite the well-known benefits of PA, there are significant disparities in participation rates among specific racial/ethnic minority populations [7]. Asian Americans have reported lower rates of PA in comparison to Non-Hispanic Whites and other ethnic groups [8,9,10,11,12]. Due to national-level data identifying Asians Americans as a homogenous group, this has conveyed false measures regarding their health and specifically the hidden disparities in physical activity and chronic disease rates [13,14,15,16].…”

Section: Introductionmentioning

confidence: 99%

“…Filipinos represent the second largest Asian immigrant population in the US, yet the behaviors affecting PA among this population are largely understudied [17]. Studies that assessed general PA levels among Filipinos in the northeast US found rates of participation to be lower than the national average [8,18]. In a recent study among Asian American subgroups in California, middle-aged (45-64 years) Filipinos had the lowest odds of meeting the American College of Sport Medicine's (ACSM) PA recommendations compared to other ethnic groups, including Chinese, South Asian, Japanese, Korean and Vietnamese [15].…”

Section: Introductionmentioning

confidence: 99%

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A Feasibility Study Assessing a Culturally Relevant Physical Activity Intervention for Midlife Filipino Women

Bhimla¹,

Razón²,

Grace³

et al. 2018

JPAR

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Introduction: Regular participation in physical activity (PA) can prevent chronic disease and mental illness across the lifespan and during later adulthood. Few PA interventions have been implemented in underserved Filipino American women to address health related outcomes among this population. Purpose: This study assessed the effect of a culturally relevant community-based Zumba® program on anthropometrics, physical fitness, and exercise motivation among midlife Filipino women. Methods: We employed a single-group pretest-posttest design. Twenty-one female participants were recruited from Filipino community-based organizations (CBOs) in the Greater Philadelphia region. Sixteen female participants (N=16, M age = 55.88, SD = ± 9.479) completed the 8-week program, which consisted of attending three Zumba classes per week at the Filipino CBOs, which was led by a certified Zumba instructor of Filipino ethnicity. A paired samples t-test was conducted to detect the differences between the pre-and post-outcome measures. Results: A total of 16 out of 21 participants completed the intervention and the post-intervention assessment (76% retention rate). Adherence to the Zumba classes was 42.46% among participants who completed the post-intervention. With regards to pre-and post-primary outcome measures, there was a significant reduction in body weight (-3.18±2.61 lbs., p < 0.001), body mass index (BMI) (-0.44±0.49 kg/m 2 , p = 0.002), and increase in flexibility (1.93±3.22 cm, p = 0.035) among participants. There were no statistically significant differences in exercise motivation inventory (EMI-2) subscales, except affiliation scores increased among participants overall (-0.750±1.38, p = 0.047). Discussion: The incorporation of this community-based program can be a promising approach for potentially enhancing health outcomes for underserved Asian American populations such as Filipino Americans. Future research can examine the long-term impacts of Zumba and other exercise modalities for chronic disease prevention and management.

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Assessing Physical Activity Levels in Filipino Americans With Hypertension Using the Rapid Assessment of Physical Activity Questionnaire

Cited by 7 publications

References 20 publications

Health behavior practice among understudied Chinese and Filipino Americans with cardiometabolic diseases

Health behavior practice among understudied Chinese and Filipino Americans with cardiometabolic diseases

A Study of Physical Activity Determinants among High-Risk Hypertensive Filipino and Korean Americans

A Feasibility Study Assessing a Culturally Relevant Physical Activity Intervention for Midlife Filipino Women

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