Factors associated with physical activity levels in African-American women with type 2 diabetes

PURPOSE this paper describes a clinic and community-based diabetes intervention program designed to improve dietary, physical activity, and self-care behaviors of older African American women with type 2 diabetes. It also describes the study to evaluate this program and baseline characteristics of participants. METHODS The New Leaf... Choices for Healthy Living With Diabetes program consists of 4 clinic-based health counselor visits, a community intervention with 12 monthly phone calls from peer counselors, and 3 group sessions. A randomized, controlled trial to evaluate the effectiveness of this intervention is described. RESULTS Seventeen focus groups of African American women were used to assessed the cultural relevance/acceptability of the intervention and measurement instruments. For the randomized trial, 200 African American women with type 2 diabetes were recruited from 7 practices in central North Carolina. Mean age was 59, mean diabetes duration was 10 years, and participants were markedly overweight and physically inactive. CONCLUSIONS Participants found this program to be culturally relevant and acceptable. Its effects on diet, physical activity, and self-care behaviors will be assessed in a randomized trial.

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BLOOD LIPID LEVELS ARE RELATED TO PHYSICAL ACTIVITY LEVELS FOR AFRICAN AMERICAN WOMEN AND CHILDREN

Medicine & Science in Sports & Exercise ◽

10.1097/00005768-200205001-00107 ◽

2002 ◽

Vol 34 (5) ◽

pp. S20

Author(s):

M A. Phillippi ◽

B A. Murray ◽

E C. Johnson ◽

C J. Brahler

Keyword(s):

Physical Activity ◽

African American ◽

African American Women ◽

Blood Lipid ◽

Activity Levels ◽

Lipid Levels ◽

American Women ◽

Physical Activity Levels ◽

Women And Children ◽

Blood Lipid Levels

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Barrier Removal in Increasing Physical Activity Levels in Obese African American Women with Disabilities

Journal of Women s Health ◽

10.1089/jwh.2010.1941 ◽

2010 ◽

Vol 19 (10) ◽

pp. 1869-1876 ◽

Cited By ~ 31

Author(s):

James H. Rimmer ◽

Kelly Hsieh ◽

Benjamin C. Graham ◽

Ben S. Gerber ◽

Jennifer A. Gray-Stanley

Keyword(s):

Physical Activity ◽

African American ◽

African American Women ◽

Activity Levels ◽

Women With Disabilities ◽

American Women ◽

Physical Activity Levels ◽

Barrier Removal

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Physical Activity-Related Experiences, Counseling Expectations, Personal Responsibility, and Altruism among Urban African American Women with Type 2 Diabetes

The Diabetes Educator ◽

10.1177/0145721712437558 ◽

2012 ◽

Vol 38 (2) ◽

pp. 229-235 ◽

Cited By ~ 12

Author(s):

Stephania T. Miller ◽

Khensani Marolen

Keyword(s):

Physical Activity ◽

Type 2 Diabetes ◽

African American ◽

African American Women ◽

Personal Responsibility ◽

Counseling Expectations ◽

American Women

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CKD and CKDu in northern Peru: a cross-sectional analysis under the DEGREE protocol

BMC Nephrology ◽

10.1186/s12882-021-02239-8 ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Andrea Ruiz-Alejos ◽

Ben Caplin ◽

J. Jaime Miranda ◽

Neil Pearce ◽

Antonio Bernabé-Ortiz

Keyword(s):

Physical Activity ◽

Risk Factors ◽

Type 2 Diabetes ◽

Activity Levels ◽

Cross Sectional ◽

Heavy Proteinuria ◽

Factors Associated ◽

Physical Activity Levels ◽

Northern Peru

Abstract Background This study estimated the prevalence and risk factors for decreased estimated glomerular filtration rate (eGFR) in those without known hypertension, type 2 diabetes mellitus, or heavy proteinuria as a surrogate marker for chronic kidney disease of unknown cause (CKDu) among adults in the North of Peru. Methods A cross-sectional study was conducted following the Disadvantaged Populations eGFR Epidemiology (DEGREE) Study protocol. Low eGFR was defined based on a single eGFR ≤60 mL/min/1.7m2 estimated using the CKD-EPI equation. Environmental conditions related to CKDu (i.e., work in agriculture or sugarcane, water source, heat intolerance, and pesticide exposure) were evaluated, in addition to traditional risk factors for CKD (i.e., smoking, heavy drinking, physical activity, hypertension, type 2 diabetes mellitus, urolithiasis, among others). Results A total of 1514 subjects were included in the study, mean age 45.1 (SD: 16.4), and 55.2% were females. Overall, only 26 cases (1.7%; 95%CI: 1.1–2.5%) had an eGFR < 60 mL/min/1.7m2 compatible with CKD definition; when those with hypertension and type-2 diabetes or heavy proteinuria were excluded, according to the DEGREE protocol, the estimate fell to 0.9% (95%CI: 0.4–1.5%). Low physical activity levels (OR = 1.99; 95%CI: 1.18–3.34), hypertension (OR = 2.07; 1.26–3.41), and urolithiasis (OR = 1.97; 95%CI: 1.18–3.27) were factors associated with low eGFR. Conclusions A low population-based prevalence of low eGFR (as a surrogate for CKDu), both in rural and urban settings areas, in the Northern Peru, was found. Low physical activity levels, hypertension and urolithiasis were factors associated with low eGFR. Interventions to prevent CKD cases may be focused on well-known CV risk factors and urolithiasis.

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CKD and CKDu in Northern Peru: a cross-sectional analysis under the DEGREE protocol

10.21203/rs.3.rs-68853/v1 ◽

2020 ◽

Author(s):

Andrea O. Ruiz-Alejos ◽

Ben Caplin ◽

J. Jaime Miranda ◽

Neil Pearce ◽

Antonio Bernabé-Ortiz

Keyword(s):

Physical Activity ◽

Risk Factors ◽

Type 2 Diabetes ◽

Activity Levels ◽

Cross Sectional ◽

Heavy Proteinuria ◽

Factors Associated ◽

Physical Activity Levels ◽

Northern Peru

Abstract Aims: This study estimated the prevalence of low eGFR in those without known hypertension, T2DM or heavy proteinuria as a surrogate marker for chronic kidney disease of unknown cause (CKDu) among adults in the North of Peru. Methods: A cross-sectional study was conducted following the Disadvantaged Populations eGFR Epidemiology (DEGREE) Study protocol. Low eGFR was defined based on a single eGFR ≤ 60 mL/min/1.7 m2 estimated using the CKD-EPI equation. Environmental conditions related to CKDu (i.e. work in agriculture or sugarcane, water source, heat, and pesticide exposure) were evaluated, in addition to traditional risk factors for CKD (i.e. smoking, heavy drinking, physical activity, hypertension, type 2 diabetes mellitus, urolithiasis, among others). Results: A total of 1514 subjects were included in the study, mean age 45.1 (SD: 16.4), and 55.2% were females. Overall, only 26 cases (1.7%; 95%CI: 1.1% − 2.5%) had an eGFR < 60 mL/min/1.7 m2 compatible with CKD definition; when those with hypertension and type-2 diabetes or heavy proteinuria were excluded, according to the DEGREE protocol, the estimate fell to 0.9% (95%CI: 0.4% − 1.5%). Low physical activity levels (OR = 1.99; 95%CI: 1.18–3.34), hypertension (OR = 2.07; 1.26–3.41), and urolithiasis (OR = 1.97; 95%CI: 1.18–3.27) were factors associated with low eGFR. Conclusions: A low population-based prevalence of low eGFR (as a surrogate for CKDu), both in rural and urban settings areas, in the Northern Peru, was found. Low physical activity levels, hypertension and urolithiasis were factors associated with low eGFR. Interventions to prevent CKD cases may be focused on well-known CV risk factors and urolithiasis.

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CKD and CKDu in Northern Peru: a cross-sectional analysis under the DEGREE protocol

10.21203/rs.3.rs-68853/v2 ◽

2020 ◽

Author(s):

Andrea O. Ruiz-Alejos ◽

Ben Caplin ◽

J. Jaime Miranda ◽

Neil Pearce ◽

Antonio Bernabé-Ortiz

Keyword(s):

Physical Activity ◽

Risk Factors ◽

Type 2 Diabetes ◽

Activity Levels ◽

Cross Sectional ◽

Heavy Proteinuria ◽

Factors Associated ◽

Physical Activity Levels ◽

Northern Peru

Abstract Background:This study estimated the prevalence and risk factors for decreased estimated glomerular filtration rate (eGFR) in those without known hypertension, type 2 diabetes mellitus, or heavy proteinuria as a surrogate marker for chronic kidney disease of unknown cause (CKDu) among adults in the North of Peru.Methods:A cross-sectional study was conducted following the Disadvantaged Populations eGFR Epidemiology (DEGREE) Study protocol. Low eGFR was defined based on a single eGFR ≤60 mL/min/1.7m2 estimated using the CKD-EPI equation. Environmental conditions related to CKDu (i.e. work in agriculture or sugarcane, water source, heat intolerance, and pesticide exposure) were evaluated, in addition to traditional risk factors for CKD (i.e. smoking, heavy drinking, physical activity, hypertension, type 2 diabetes mellitus, urolithiasis, among others).Results:A total of 1514 subjects were included in the study, mean age 45.1 (SD: 16.4), and 55.2% were females. Overall, only 26 cases (1.7%; 95%CI: 1.1% - 2.5%) had an eGFR <60mL/min/1.7m2 compatible with CKD definition; when those with hypertension and type-2 diabetes or heavy proteinuria were excluded, according to the DEGREE protocol, the estimate fell to 0.9% (95%CI: 0.4% - 1.5%). Low physical activity levels (OR = 1.99; 95%CI: 1.18 – 3.34), hypertension (OR = 2.07; 1.26 – 3.41), and urolithiasis (OR = 1.97; 95%CI: 1.18 – 3.27) were factors associated with low eGFR.Conclusions:A low population-based prevalence of low eGFR (as a surrogate for CKDu), both in rural and urban settings areas, in the Northern Peru, was found. Low physical activity levels, hypertension and urolithiasis were factors associated with low eGFR. Interventions to prevent CKD cases may be focused on well-known CV risk factors and urolithiasis.

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CKD and CKDu in Northern Peru: a cross-sectional analysis under the DEGREE protocol

10.21203/rs.3.rs-68853/v3 ◽

2021 ◽

Author(s):

Andrea O. Ruiz-Alejos ◽

Ben Caplin ◽

J. Jaime Miranda ◽

Neil Pearce ◽

Antonio Bernabé-Ortiz

Keyword(s):

Physical Activity ◽

Risk Factors ◽

Type 2 Diabetes ◽

Activity Levels ◽

Cross Sectional ◽

Heavy Proteinuria ◽

Factors Associated ◽

Physical Activity Levels ◽

Northern Peru

Abstract Background: This study estimated the prevalence and risk factors for decreased estimated glomerular filtration rate (eGFR) in those without known hypertension, type 2 diabetes mellitus, or heavy proteinuria as a surrogate marker for chronic kidney disease of unknown cause (CKDu) among adults in the North of Peru.Methods:A cross-sectional study was conducted following the Disadvantaged Populations eGFR Epidemiology (DEGREE) Study protocol. Low eGFR was defined based on a single eGFR ≤60 mL/min/1.7m2 estimated using the CKD-EPI equation. Environmental conditions related to CKDu (i.e., work in agriculture or sugarcane, water source, heat intolerance, and pesticide exposure) were evaluated, in addition to traditional risk factors for CKD (i.e., smoking, heavy drinking, physical activity, hypertension, type 2 diabetes mellitus, urolithiasis, among others).Results:A total of 1514 subjects were included in the study, mean age 45.1 (SD: 16.4), and 55.2% were females. Overall, only 26 cases (1.7%; 95%CI: 1.1% - 2.5%) had an eGFR <60mL/min/1.7m2 compatible with CKD definition; when those with hypertension and type-2 diabetes or heavy proteinuria were excluded, according to the DEGREE protocol, the estimate fell to 0.9% (95%CI: 0.4% - 1.5%). Low physical activity levels (OR = 1.99; 95%CI: 1.18 – 3.34), hypertension (OR = 2.07; 1.26 – 3.41), and urolithiasis (OR = 1.97; 95%CI: 1.18 – 3.27) were factors associated with low eGFR.Conclusions: A low population-based prevalence of low eGFR (as a surrogate for CKDu), both in rural and urban settings areas, in the Northern Peru, was found. Low physical activity levels, hypertension and urolithiasis were factors associated with low eGFR. Interventions to prevent CKD cases may be focused on well-known CV risk factors and urolithiasis.

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