期刊论文详细信息
International Journal of Behavioral Nutrition and Physical Activity
Physical activity among South Asian women: a systematic, mixed-methods review
Janice L Thompson1  Whitney S Babakus1 
[1] School of Sport and Exercise Sciences, University of Birmingham, Birmingham, B15 2TT, UK
关键词: Self-reported physical activity;    Sedentary time;    Health inequalities;   
Others  :  811097
DOI  :  10.1186/1479-5868-9-150
 received in 2012-04-25, accepted in 2012-12-06,  发布年份 2012
PDF
【 摘 要 】

Introduction

The objective of this systematic mixed-methods review is to assess what is currently known about the levels of physical activity (PA) and sedentary time (ST) and to contextualize these behaviors among South Asian women with an immigrant background.

Methods

A systematic search of the literature was conducted using combinations of the key words PA, ST, South Asian, and immigrant. A mixed-methods approach was used to analyze and synthesize all evidence, both quantitative and qualitative. Twenty-six quantitative and twelve qualitative studies were identified as meeting the inclusion criteria.

Results

Studies quantifying PA and ST among South Asian women showed low levels of PA compared with South Asian men and with white European comparison populations. However making valid comparisons between studies was challenging due to a lack of standardized PA measurement. The majority of studies indicated that South Asian women did not meet recommended amounts of PA for health benefits. Few studies assessed ST. Themes emerging from qualitative studies included cultural and structural barriers to PA, faith and education as facilitators, and a lack of understanding of the recommended amounts of PA and its benefits among South Asian women.

Conclusions

Quantitative and qualitative evidence indicate that South Asian women do not perform the recommended level of PA for health benefits. Both types of studies suffer from limitations due to methods of data collection. More research should be dedicated to standardizing objective PA measurement and to understanding how to utilize the resources of the individuals and communities to increase PA levels and overall health of South Asian women.

【 授权许可】

   
2012 Babakus and Thompson.; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20140709060339318.pdf 489KB PDF download
Figure 1. 36KB Image download
【 图 表 】

Figure 1.

【 参考文献 】
  • [1]Eyeler AA, Matson-Kaffman D, Young DR, Wilcox S, Wilbur J, Thompson JL, Sanderson BK, Evenson KR: Quantitative study of Correlates of physical activity in women from diverse racial/ethnic groups. Women’s Cardiovascular Health Network Project introduction and methodology. Am J Prev Med 2003, 25:1-14.
  • [2]Eapen D, Kalra GL, Mercharnt N, Arora A, Khan BV: Metabolic syndrome and cardiovascular disease in South Asians. Vasc Health Risk Manag 2009, 5:731-743.
  • [3]Gill JMR, Malkova D: Physical activity, fitness and cardiovascular disease risk in adults: interactions with insulin resistance and obesity. Clin Sci 2006, 110:409-425.
  • [4]Williams ED, Stamatakis E, Chandola T, Hamer M: Physical activity behaviour and coronary heart disease mortality among South Asian people in the UK: an observational longitudinal study. Heart 2010, 97:655-659.
  • [5]UK Department of Health: Physical activity guideline for adults (19–64 years). 2011, 1.
  • [6]US Department of Health and Human Services. http://www.health.gov/paguidelines/contact.aspx webcite
  • [7]World Health Organization: Global recommendations on physical activity for health. Switzerland: World Health Organization; 2010:1-60.
  • [8]Dogra S, Meisner BA, Adern CI: Variation in mode of physical activity by ethnicity and time since immigration: a cross-sectional analysis. Int J Behav Nutr Phys Act 2010, 7:75-85. BioMed Central Full Text
  • [9]Dunnell K: The changing demographic picture of the uk national statistician’s annual article on the population. Population Trend. 2007, 130:9-21.
  • [10]Hayes L, White M, Unwin N, Bhopal R, Fishcbacher C, Harland J, Alberti KGMM: Patterns of physical activity and relationship with risk markers for cardiovascular disease and diabetes in Indian, Pakistani, Bangladeshi and European adults in a UK population. J Public Health 2002, 24(3):170-178.
  • [11]Hosper K, Deutekom M, Stronks K: The effectiveness of “Exercise of Prescriptio” in stimulating physical activity among women in ethnic minority groups in the Netherlands: protocol for a randomized controlled trial. BMC Public Health 2008, 8:406-453. BioMed Central Full Text
  • [12]British Heart Foundation Web site. http://www.bhf.org.uk/heart-health/statistics/mortality.aspx webcite
  • [13]Banda J, Hutto B, Feeney A, Pfeiffer K, McIver K, Lamonte MJ, Blair SN, Vena J, Hooker SP: Comparing physical activity measures in a diverse group of midlife and older adults. Med Sci Sports Exerc 2010, 42:2251-2257.
  • [14]Caperchione CM, Kolt GS, Mummer WK: Physical activity in culturally and linguistically diverse migrant groups to Western Society. Sports Med 2009, 39:167-177.
  • [15]Walseth K: Bridging and bonding social capital in sport- experiences of young women with an immigrant background. Sport, Education and Society 2008, 13(1):1-17.
  • [16]Critical Appraisal Skills Programme: 10 questions to help you make sense of qualitative research. England: Public Health Resource Unit; 2006.
  • [17]Polgar A, Thomas SA: Chapter 22. In Introduction to Research in the Health Sciences. Melbourne: Churchill Livingstone; 1995:1-2.
  • [18]Thomas J, Harden A, Oakley A, Oliver S: Integrating qualitative research with trials in systematic reviews. Br Med J 2004, 328:1010-1012.
  • [19]Health Education Authority: Black and ethnic minority groups in England: the second health and lifestyles survey. London: Health Education Authority; 2000:1-6.
  • [20]Hine C, Fenton S, Hughes AO, Velleman G: Coronary heart disease and physical activity in South Asian women: local context and challenges. Health Educ J 1995, 54:431-443.
  • [21]Jonnalagadda S, Diwan S: Regional variations in dietary intake and body mass index of first-generation Asian-Indian immigrants in the United States. J Am Diet Assoc 2002, 102(9):1286-1289.
  • [22]Kolt GS, Grant SM, Rush EC, Oliver M, Chadha NK: Body fatness, physical activity, and nutritional behaviours in Asian Indian immigrants to New Zealand. Asia Pac J Clin Nutr 2007, 16(4):663-670.
  • [23]Lawton J, Ahmad N, Hanna L, Douglas M, Hallowell N: ‘I can’t do any serious exercise’: barriers to physical activity amongst people of Pakistani and Indian origin with Type 2 diabetes. Health Educ Res 2006, 21:43-54.
  • [24]Lip G, Luscombe C, McCarry M, Malik I, Beevers G: Ethnic differences in public health awareness, health perceptions, and physical exercise: implications for heart disease prevention. Ethn Health 1996, 1(1):47-53.
  • [25]Mahajan D, Bermingham MA: Risk factors for coronary heart disease in two similar Indian population groups, one residing in India, and the other in Sydney, Australia. Eur J Clin Nutr 2004, 58:751-760.
  • [26]McKeigue PM, Pierpont T, Ferrie JE, Marmot MG: Relationship of glucose intolerance and hyperinsulinaemia to body fat pattern in South Asians and Europeans. Diabetologia 1992, 35:785-791.
  • [27]Misra KB, Endemadd SW, Ayer M: Leisure time physical activity and metabolic syndrome in Asian Indian immigrants residing in Northern California. Ethnicity & Disease 2005, 15:627-634.
  • [28]Misra R, Gupta R: Predictors of health promotion behaviours among Asian Indian immigrants: implications for practitioners. Int. J. Sociol. Soc Policy 2004, 24(12):66-86.
  • [29]Mohanty SA, Woolhandler S, Himmelstein DU, Bor DH: Diabetes and cardiovascular disease among Asian Indians in the United States. J Gen Intern Med 2005, 20:474-478.
  • [30]O’Laughlin J, Maximova K, Tan Y, Gray-Donald K: Lifestyle risk factors for chronic disease across family origin among adults in multi-ethnic, low-income, urban neighborhoods. Ethnicity & Disease 2007, 17:657-663.
  • [31]Palaniappan L, Anthony MN, Mahesh C, Elliott M, Killeen A, Giacherio D, Patel JV, Vyas A, Cruickshank JK, Prabhakaran D, Hughes E, Reddy KS: Cardiovascular risk factors in ethnic minority women aged ≤ 30 years. Am J Cardiol 2002, 89:524-529.
  • [32]Patel JV, Vyas A, Cruickshank JK: Impact of migration on coronary heart disease risk factors: comparison of Gujaratis in Britain and their contemporaries in villages of origin in India. Atherosclerosis 2006, 185:297-306.
  • [33]Pomerleau J, McKeigue PM, Chaturvedi N: Factors associated with obesity in South Asian, Afro-Caribbean and European women. Int J Obesity 1999, 23:25-33.
  • [34]Riste L, Khan F, Cruickshank K: High prevalence of type 2 diabetes in all ethnic groups, including Europeans, in a British inner city. Diabetes Care 2001, 24(8):1377-1383.
  • [35]Sinnapah S, Antoine-Jonville S, Donnet JP, Hue O: Asian Indians of Guadeloupe are less physically active that their island counterparts. Scand J Med Sci Sports 2009, 19:222-227.
  • [36]Williams ED, Nazroo JY, Kooner JS, Steptoe A: Subgroup differences in psychosocial factors relating to coronary heart disease in the UK South Asian population. J. Psychosom. Res 2010, 69:379-387.
  • [37]Yates T, Davies MJ, Gray LJ: Levels of physical activity and relationship with markers of diabetes and cardiovascular disease risk in 5474 white European and South Asian adults screened for type 2 diabetes. Prev Med 2010, 51:290-294.
  • [38]Yates T, Phunti K, Wilmot EG: Self-reported sitting time and markers of inflammation, insulin resistance, and adiposity. Am J Prev Med 2012, 42(1):1-7.
  • [39]Ye J, Rust G, Baltrus P, Daniels E: Cardiovascular risk factors among Asian Americans: results from a national health survey. Ann Epidemiol 2009, 19:718-723.
  • [40]Lean MEJ, Han TS, Anderson AS, Bradby H, Williams R: Ethnic differences in athropometric and lifestyle measures related to coronary heart disease risk between South Asian, Italian and general-population British women living in the west of Scotland. Int J Obes 2001, 25:1800-1805.
  • [41]Rudat K: Black and minority ethnic groups in England. London: Health Education Authority; 1994:1-178.
  • [42]Williams R, Bhopal R, Hunt K: Coronary risk in a British Punjabi population: comparative profile of non-biochemical factors. Inter J Epidemiol 1994, 23(1):28-37.
  • [43]Minio AM, Xu J, Kochanek KD, Tejada-Vera B: Death in the United States, 2007. NCHS Data Brief. Hyattsville, MD: US Department of Health and Human Services. 2009, 1-8.
  • [44]Ridgers ND, Salmon J, Ridley K: Agreement between activPAL and ActiGraph for assessing children’s sedentary time. Int. J. Behav. Nutr. Phys. Act 2012, 9:15-22. BioMed Central Full Text
  • [45]Whittemore R, Knafl K: The integrative review: updated methodology. J Ad Nursing 2005, 52:546-553.
  • [46]Darr A, Astin F, Atkin K: Causal attributions, lifestyle change, and coronary heart disease: illness beliefs of patients of South Asian and European origin living in the United Kingdom. Heart Lung 2008, 37(2):91-104.
  • [47]Galadas PM, Oliffe JL, Kang BK: Punjabi Sikh patients’ perceived barriers to engaging in physical exercise following mycocardial infarction. Public Health Nurs 2012, n/a:1-8.
  • [48]Grace CB, Begum R, Subhani S, Kopelman P, Greenlaugh T: Prevention of type 2 diabetes in British Bangladeshis: qualitative study of community, religious, and professional perspectives. Br Med J 2008, 337:a1931-a1940.
  • [49]Horne M, Speed S, Skelton D, Todd C: What do community-dwelling Caucasian and South Asian 60–70 year olds think about exercise for fall prevention? Age Ageing 2009, 38:68-73.
  • [50]Kalra P, Srinivasan S, Ivey S, Greenlund K: Knowledge and practice: the risk of cardiovascular disease among Asian Indians. Results from focus groups conducted in Asian Indian communities in Northern California. Ethn Dis 2004, 14:497-504.
  • [51]Mohan S, Wilkes L, Jackson D: Lifestyle of Asian Indians with coronary heart disease: the Australian context. Collegian 2008, 15:115-121.
  • [52]Siddiqui FR, Ur-Rahman M, Bhatti MA, Mirza I, Shahid A: Knowledge, attitudes and practices to lifestyle risk factors for coronary heart disease(CHD) and diabetes amongst South Asians in North Kirklees, England- A focus group study. Pakistan Armed Forces Journal 2008, 3:1-9.
  • [53]Sriskantharajah J, Kai J: Promoting physical activity among South Asian women with coronary heart disease and diabetes: what might help? Family Practice 2007, 24(1):71-76.
  • [54]Pollard T, Guell C: Assessing physical activity in Muslim women of South Asian origin (forthcoming). J. Phys. Act. Health 2011., n/an/a
  • [55]Sani MU, Wahab KW, Yusuf BO, Gbadamosi M, Johnson OV, Gbadamosi A: Modifiable cardiovascular risk factors among apparently healthy adult Nigerian population - a cross sectional study. BMC Research Notes 2010, 3:1-7. BioMed Central Full Text
  • [56]Swan PD, Byrnes WC, Haymes EM: Energy expenditure of the Caltrac accelerometer for running, race walking, and stepping. Br. J. Sports Med 1997, 31(3):235-239.
  • [57]Evenson KR, Sarmiento OL, Ayala GX: Acculturation and physical activity among North Carolina Latina immigrants. Soc Sci Med 2004, 59:2509-2522.
  • [58]Farooqi A, Nagra D, Edgar T, Khunti K: Attitudes to lifestyle risk factors for coronary heart disease amongst South Asians in Leicester: a focus group study. Fam Pract 2000, 17(4):293-297.
  • [59]Ham SA, Ainsworth BE: Disparities in data on healthy people 2010 physical activity objectives collected by accelerometry and self-report. Res. Pract 2010, 100:S263-S268.
  • [60]Keyserling TC, Samuel-Hodge CD, Ammerman AS: A randomized trial of an intervention to improve self-care behaviours of African-American women with type 2 diabetes. Impact on physical activity. Diabetes Care 2002, 25(9):1576-1583.
  • [61]EPPI-Centre: EPPI-Centre methods for conducting systematic reviews. London: EPPI-Centre, Social Science Research Unit, Institute of Education. University of London; 2007:1-18.
  • [62]Cochrane Handbook for Systematic Reviews of Interventions. http://www.cochrane-handbook.org webcite
  • [63]Fischbacher CM, Hunt S, Alexander L: How physically active are South Asians in the United Kingdom? A literature review. J Public Health 2004, 26:250-258.
  • [64]Wolin KY, Colditz G, Stoddard AM, Emmonsc KM, Sorensen G: Acculturation and physical activity in a working class multiethnic population. Prev Med 2006, 42:266-272.
  • [65]Strandbu A: Identity, embodied culture and physical exercise: stories from Muslim girls in Oslo with immigrant backgrounds. Young 2005, 13:27-45.
  • [66]Daniel M, Wilbur J: Physical activity among South Asian Indian immigrants: an integrative review. Public Health Nurs 2011, 28:389-401.
  • [67]International Physical Activity Questionnaire website. http://www.ipaq.ki.se/ipaq.htm webcite
  文献评价指标  
  下载次数:0次 浏览次数:2次