Acculturation, Physical Activity, and Metabolic Syndrome in Asian American Adults.

Acculturation, Physical Activity, and Metabolic Syndrome in Asian American Adults.
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DOI:
10.1177/10436596221114150
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发表时间:
2022-11
影响因子:
2.1
通讯作者:
Wirth, Michael D.
Wirth, Michael D.
中科院分区:
医学4区
文献类型:
--
作者:
Sheng, Jingxi;Abshire, Demetrius A.;Heiney, Sue P.;Wirth, Michael D.

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亚裔美国人(ASAM)是代谢综合征(METS)的高发人群,是美国体力活动最少的种族之一。这项研究的目的是研究蛋氨酸与阿萨姆成人中中等到剧烈的体力活动(MVPA)之间的关系,以及文化适应是否改变了这种关系。数据来自参加2011-2016年全国健康与营养检查调查的2259名AsAms。PA自我报告为每周MVPA的分钟数。文化适应包括出生地、在美国居住的时间长短和语言偏好。使用国际糖尿病联合会的标准来确定甲硫氨酸受体的存在。约64.4%的ASAM不符合PA推荐标准(每周MVPA≥150min)。甲亢症患病率为39.2%。与符合MVPA建议的患者相比,不符合MVPA建议的ASAM患者发生MET的几率更高(OR=1.5,95%CI=1.11-2.07)。当按文化适应分层时,这种联系在15年前移民到美国并且只说英语的人群中仍然具有统计学意义。MVPA降低了ASAM成年人的METS风险,特别是在更适应文化的ASAM患者中。在这一人群中推广PA和足够的疾病预防知识是必要的,以适应文化。
Asian Americans (AsAm) have a high prevalence of metabolic syndrome (MetS) and are one of the least physically active racial groups in America. The purpose of this study was to examine the relationship between MetS and moderate-to-vigorous physical activity (MVPA) among AsAm adults and whether acculturation modifies this relationship. Data were from 2259 AsAms participating in the 2011–2016 National Health and Nutrition Examination Survey. PA was self-reported as minutes of weekly MVPA. Acculturation included nativity, length of residency in America, and language preference. The International Diabetes Federation criteria was used to determine the presence of MetS. About 64.4% of AsAms did not meet the PA recommendation (MVPA ≥ 150 min/week). The prevalence of MetS was 39.2%. The odds of having MetS were greater among AsAms who did not meet MVPA recommendations compared to those who did meet MVPA recommendations (OR=1.5, 95% CI=1.11–2.07). When stratified by acculturation, this association remained statistically significant in the groups that immigrated to America over 15 years ago and who spoke English-only. MVPA reduces MetS risk in AsAm adults, especially among more acculturated AsAms. Culturally adapted programs are warranted to promote PA and adequate knowledge of disease prevention in this population.
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影响因子: --
作者:
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通讯作者: Bornstein MH