scholarly journals Increasing Physical Activity in Black Women: Results from a Randomized Trial Conducted in Faith-Based Settings

2017 ◽  
Vol 27 (4) ◽  
pp. 411 ◽  
Author(s):  
Melicia C. Whitt-Glover ◽  
Moses V. Goldmon ◽  
Ziya Gizlice ◽  
Marie Sillice ◽  
Lyndsey Hornbuckle ◽  
...  

<p><strong>Objective: </strong>The Learning and Developing Individual Exercise Skills (L.A.D.I.E.S.) for a Better Life study compared a faith-integrated (FI) and a secular (SEC) intervention for increasing physical activity with a self-guided (SG) control group among African American women. <strong></strong></p><p><strong>Design/Setting/Participants: </strong>L.A.D.I.E.S. was a cluster randomized, controlled trial. Churches (n=31) were randomized and women within each church (n=12 – 15) received the same intervention. <strong></strong></p><p><strong>Interventions: </strong>FI and SEC participants received 24 group-based sessions, delivered over 10 months. SG participants received printed materials to review independently for 10 months. Participants were followed for 12-months post-intervention to assess long-term intervention impact. </p><p><strong>Main Outcome Measures: </strong>Data on participant characteristics, physical activity, and intervention-related constructs were collected at baseline, 10 months, and 22 months. <strong></strong></p><p><strong>Results: </strong>Intervention session attendance was greater for FI compared with SEC participants (15.7 + 5.7 vs 12.4 + 7.3 sessions, respectively, P&lt;.01). After 10 months, FI and SEC participants significantly increased daily walking (+1,451 and +1,107 steps/ day, respectively) compared with SG participants (-128 steps/day). Increases were maintained after 22 months in the FI group compared with the SG group (+1092 vs. +336 daily steps, P&lt;.01). Between-group changes in accelerometer-assessed physical activity were not statistically significant at any time point. <strong></strong></p><p><strong>Conclusions: </strong>The FI intervention is a feasible strategy for short- and long-term increases in physical activity among African American women. Additional dissemination and evaluation of the strategy could be useful for reducing chronic disease in this high-risk population. <em></em></p><p><em>Ethn Dis.</em>2017;27(4):411- 420; doi:10.18865/ed.27.4.411. </p>

2017 ◽  
Vol 27 (3) ◽  
pp. 257 ◽  
Author(s):  
Melicia C. Whitt-Glover ◽  
Moses V. Goldmon ◽  
Ziya Gizlice ◽  
Daniel P. Heil ◽  
Njeri Karanja

<p><strong>Objective: </strong>Physical activity (PA) is beneficial for health, yet most African American women do not achieve recommended levels. Successful, sustainable strategies could help to address disparities in health outcomes associated with low levels of PA. The Learning and Developing Individual Exercise Skills (L.A.D.I.E.S.) for a Better Life study compared a faith-based and a secular intervention for increasing PA with a selfguided control group. </p><p><strong>Design Setting Participants: </strong>This cluster randomized, controlled trial was conducted from 2010 – 2011 in African American churches (n=31) in suburban North Carolina. Participants were 469 self-identified low active African American women. </p><p><strong>Measures: </strong>Baseline data were collected on participant demographics, objective and self-reported PA, and constructs related to social ecological theory and social cognitive theory. </p><p><strong>Results: </strong>Complete baseline data were available for 417 participants who were aged 51.4 ± 12.9 years, with average BMI (kg/ m2) 35.8 ± 9.9; 73% of participants were obese (BMI &gt;30). Participants averaged 3,990 ± 1,828 pedometer-assessed daily steps and 23.9 ± 37.7 accelerometer-assessed minutes of daily moderate-to-vigorous PA, and self-reported 25.4 ± 45.4 minutes of weekly walking and moderate- and vigorous-intensity PA. Baseline self-reported religiosity and social support were high. </p><p><strong>Conclusions: </strong>L.A.D.I.E.S. is one of the largest PA trials focused on individual behavior change in African American women. Baseline characteristics suggest participants are representative of the general population. Findings from the study will contribute toward understanding appropriate strategies for increasing PA in high-risk populations.</p><p><em>Ethn Dis. </em>2017;27(3):257-264; doi:10.18865/ed.27.3.257 </p>


2006 ◽  
Vol 36 (1) ◽  
pp. 97-112 ◽  
Author(s):  
Amy E. Harley ◽  
Janet Buckworth ◽  
Mira L. Katz ◽  
Sharla K. Willis ◽  
Angela Odoms-Young ◽  
...  

2018 ◽  
Vol 21 (2) ◽  
pp. 268-276 ◽  
Author(s):  
Dori Pekmezi ◽  
Cole Ainsworth ◽  
Renee Desmond ◽  
Maria Pisu ◽  
Victoria Williams ◽  
...  

African American women report low participation in physical activity and are disproportionately burdened by related conditions (obesity, breast, and colon cancer). Physical activity interventions have shown promising results among African American women, but most studies in this area have focused on short-term increases. More enduring changes in health behavior will be needed to eliminate existing health disparities. Thus, the current study examined 12-month physical activity and psychosocial outcomes from a pilot randomized controlled trial ( N = 84) of a Home-based Individually tailored Physical activity Print (HIPP) intervention for African American women in the Deep South. Retention was 77.4% at 12 months. HIPP participants increased self-reported moderate-to-vigorous physical activity from 35.1 minutes/week (standard deviation [SD] = 47.8) at baseline to 124 minutes/week ( SD = 95.5) at 12 months, compared with the wellness contact control participants who reported increases from 48.2 minutes/week ( SD = 51.3) to 102.5 minutes/week ( SD = 94.5) over 12 months (between-group p > .05). Results indicate that modest improvements in moderate-to-vigorous physical activity and related psychosocial variables occurred during the active intervention phase (months 0-6) and were sustained during the tapered maintenance period (months 6-12). Low-cost, high-reach, home-based strategies have great potential for supporting sustained participation in physical activity and achieving long-term health benefits among African American women in the Deep South.


2019 ◽  
Vol 6 (3) ◽  
pp. 603-617
Author(s):  
Amber W. Kinsey ◽  
Michelle L. Segar ◽  
Daheia J. Barr-Anderson ◽  
Melicia C. Whitt-Glover ◽  
Olivia Affuso

2009 ◽  
Vol 64B (2) ◽  
pp. 304-311 ◽  
Author(s):  
E. J. Tan ◽  
G. W. Rebok ◽  
Q. Yu ◽  
C. E. Frangakis ◽  
M. C. Carlson ◽  
...  

Nursing Forum ◽  
2019 ◽  
Vol 55 (2) ◽  
pp. 227-235
Author(s):  
Annette M. Hubbell ◽  
Elaine C. Hardy ◽  
Kim S. Astroth ◽  
Sheryl H. Jenkins ◽  
Wendy M. Woith ◽  
...  

2011 ◽  
Vol 15 (4) ◽  
pp. 738-748 ◽  
Author(s):  
Urmila Chandran ◽  
Kim M Hirshfield ◽  
Elisa V Bandera

AbstractObjectiveWhile the role of nutrition, physical activity and body size on breast cancer risk has been extensively investigated, most of these studies were conducted in Caucasian populations. However, there are well-known differences in tumour biology and the prevalence of these factors between African-American and Caucasian women. The objective of the present paper was to conduct a review of the role of dietary factors, anthropometry and physical activity on breast cancer risk in African-American women.DesignTwenty-six research articles that presented risk estimates on these factors in African-American women and five articles involving non-US black women were included in the current review.SettingRacial disparities in the impact of anthropometric and nutritional factors on breast cancer risk.SubjectsAfrican-American and non-US black women.ResultsBased on the few studies that presented findings in African-American women, an inverse association with physical activity was found for pre- and postmenopausal African-American women, while the association for anthropometric and other dietary factors, such as alcohol, was unclear. Studies assessing the effect by molecular subtypes in African-American women were too few and based on sample sizes too small to provide definitive conclusions.ConclusionsThe effect of certain nutrition and lifestyle factors on breast cancer in African-American women is not starkly distinct from those observed in white women. However, there is an enormous need for further research on this minority group to obtain more confirmatory findings.


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