Occupational Physical Activity and Weight-Related Outcomes in Immigrant Mothers.
Occupational Physical Activity and Weight-Related Outcomes in Immigrant Mothers.
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移民母亲的职业体力活动和体重相关结果。
DOI：
10.1016/j.amepre.2016.04.017
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发表时间：
2016
影响因子：
5.5
通讯作者：
Economos,ChristinaD
中科院分区：
文献类型：
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作者：
Sliwa,SarahA;Must,Aviva;Peréa,FlaviaC;Boulos,RebeccaJ;Economos,ChristinaD
新移民可能从事提供体力活动的职业；然而，这些职位可能使工人面临不利健康后果的风险。职业身体活动（OPA）之间的关系；体重相关行为;肥胖;而抑郁症在新移民中仍未得到充分研究。方法参与者（N=385）为巴西、海地和拉丁裔母亲，他们参加了一项以社区为基础的参与性研究生活方式干预移民母亲（在美国小于10年）。使用客观测量的身高和体重计算基线BMI。自我报告的基线数据包括社会人口统计学；身体活动（孕期身体活动问卷）；抑郁症状（流行病学研究中心抑郁量表）；以及熟食的采购频率。Logistic回归模型估计肥胖（BMI≥30.0）的几率；高抑郁症状（评分≥16）；按OPA四分位数购买预制食品（≥1次/周）。模型调整了协变量，包括家庭组成、原籍群体、母亲年龄、教育程度、家庭收入和招聘年份（2010年、2011年）。数据于2013年进行分析。结果受雇参与者（49%）主要从事家政服务人员、护理助理和食品服务人员。在调整后的模型中，OPA最高四分位数的女性与最低四分位数的女性相比，肥胖几率低65% (95% CI=0.16, 0.76)，出现高抑郁症状（2.01,95% CI=1.02, 4.27）和购买外卖食品（1.85,95% CI=0.90, 3.90）的几率约为两倍，在调整收入和教育水平后，这一几率有所降低（未调整OR=1.98, 95% CI=1.10, 3.52）。结论sopa对新移民母亲的能量消耗有促进作用，可能具有预防肥胖的作用；然而，它也与高度抑郁症状有关。对身体和心理健康的影响是复杂的。
IntroductionNew immigrants are likely to be employed in occupations that provide physical activity; however, these positions may place workers at risk for adverse health outcomes. Relationships between occupational physical activity (OPA); weight-related behaviors; obesity; and depression remain underexplored among recent immigrants.MethodsParticipants (N=385) were Brazilian, Haitian, and Latino mothers enrolled in a community-based participatory research lifestyle intervention among immigrant mothers (<10 years in U.S.). Baseline BMI was calculated using objectively measured height and weight. Self-reported baseline data included sociodemographics; physical activity (Pregnancy Physical Activity Questionnaire); depressive symptoms (Center for Epidemiological Studies–Depression Scale); and prepared food purchasing frequency. Logistic regression models estimated the odds of obesity (BMI ≥30.0); high depressive symptoms (score ≥16); and purchasing prepared foods (≥1 times/week) by OPA quartile. Models adjusted for covariates, including household composition, origin group, maternal age, education, household income, and recruitment year (2010, 2011). Data were analyzed in 2013.ResultsEmployed participants (49%) primarily worked as domestic workers, nursing assistants, and food service staff. In adjusted models, women in the highest OPA quartile versus lowest had 65% lower obesity odds (95% CI=0.16, 0.76) and approximately twice the odds of presenting high depressive symptoms (2.01, 95% CI=1.02, 4.27) and purchasing takeout food (1.85, 95% CI=0.90, 3.90), which was attenuated after adjusting for income and education (unadjusted OR=1.98, 95% CI=1.10, 3.52).ConclusionsOPA contributes to energy expenditure and may protect against obesity among new immigrant mothers; however, it is also associated with high depressive symptoms. Implications for physical and psychosocial well-being are mixed.