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Physical activity of Chinese American immigrants with type 2 diabetes/prediabetes: A mixed method study
  • Published Date:
    Feb 2018
  • Source:
    Am J Nurs. 118(2):24-32
  • Language:
    English
Filetype[PDF-332.63 KB]


Details:
  • Pubmed ID:
    29329117
  • Pubmed Central ID:
    PMC5785420
  • Description:
    Aim

    To understand physical activity (PA) intensity, types, knowledge, and barriers to PA among Chinese American immigrants with type 2 diabetes/prediabetes.

    Background

    Although the benefits of aerobic and muscle-strengthening activity for patients with type 2 diabetes have been studied extensively, research on PA performance among Chinese American immigrants with type 2 diabetes/prediabetes is limited.

    Design

    A mixed-method design.

    Methods

    The short version of the International Physical Activity Questionnaire-Chinese version was used to measure participants’ levels of PA intensity. Semi-structured face-to-face interviews were conducted to obtain additional information regarding PA types, knowledge and barriers to PA.

    Results

    A total of 100 Chinese immigrants, within an average of three years of type 2 diabetes/prediabetes history and 22 years of living in the United States, were recruited in New York City, from January 2012 to July 2012. The average PA metabolic equivalent of task (MET) was 2743.590 ± 3210.209 METs/week, mainly from walking (1453.701±1913.772 METs/week) with mean walking minutes of 79.36 (SD = 106.770) per day. In regard to the subscales of IPAQ-C, mean vigorous PA was 398.788 (SD = 1117.204) METs/week with a mean total vigorous time of 17.22 minutes/week. The most common type of PA performed was housekeeping, followed by walking. Only 8.05% (n=36) of them preformed brisk walking, Tai Chi, and Kung Fu. Based on the interviews, three themes were identified as pertaining to barriers to perform moderate to vigorous PA: inadequate knowledge regarding the intensity and types of PA, concerns about PA due to health conditions, and a busy work schedule.

    Conclusion

    The majority of Chinese American immigrants with type 2 diabetes/prediabetes do not engage in sufficient PA, having a rate significantly below national populations with diabetes in the United States. An increase in the PA intensity level of the diabetic care for Chinese immigrants should be promoted.

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