Psychosocial Correlates of Meeting National Guidelines for Muscle-Strengthening Activities in Latinas.

Psychosocial Correlates of Meeting National Guidelines for Muscle-Strengthening Activities in Latinas.
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DOI:
10.1177/10901981211005342
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发表时间:
2022-06
影响因子:
4.2
通讯作者:
Arredondo, Elva M.
Arredondo, Elva M.
中科院分区:
医学3区
文献类型:
--
作者:
Benitez, Tanya J.;Lopez, Nanette;Haughton, Jessica;Marcus, Bess H.;Sallis, James F.;Crespo, Noe;Perez, Lilian G.;Arredondo, Elva M.

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定期进行肌肉强化活动对健康有许多好处,包括改善血压,血红蛋白A1c和瘦体重。尽管生活方式相关的慢性疾病在拉丁美洲的患病率不成比例(糖尿病,高血压,肥胖症),大多数人没有报告符合肌肉强化活动的国家指南。拉丁美洲现有的体力活动(PA)研究几乎完全集中在有氧PA上。我们的研究检查了拉丁美洲人的社会人口统计学和心理社会相关的会议肌肉加强PA的指导方针,可以告知未来的PA干预措施。参与者(N = 436)参加了一项随机对照试验,促进PA和癌症筛查在拉丁美洲进行了横断面研究,t检验检查社会人口和心理社会因素与自我报告的肌肉强化活动之间的关联。在社会生态模型(社会人口统计学,个人和人际因素)的指导下,在单独的块中进行分层回归,以检查每个块对满足国家肌肉强化PA指南的结果的独立贡献。与不符合指南的参与者相比,符合国家PA指南(每周≥2天的肌肉强化活动)的参与者报告了对PA的社会支持显著更高(p <.001),更多地使用PA的行为策略(p < .001),以及对PA的障碍更低(p < .03)。分层二元逻辑回归表明PA的行为策略是符合肌肉强化PA国家指南的唯一显著相关性(比值比= 1.39,95%置信区间[1.18,1.65],p < .001)。结果支持一个假设,即指导拉丁美洲人使用行为改变策略可以帮助他们增加肌肉强化PA。
Performing regular muscle-strengthening activity has numerous health benefits, including improvements in blood pressure, hemoglobin A1c, and lean body mass. Despite the disproportionate prevalence of lifestyle-related chronic disease in Latinas (diabetes, hypertension, obesity), most do not report meeting the national guidelines for muscle-strengthening activity. Existing physical activity (PA) research in Latinas has focused almost exclusively on aerobic PA. Our study examined Latinas’ sociodemographic and psychosocial correlates of meeting muscle-strengthening PA guidelines that can inform future PA interventions. A cross-sectional study of participants (N = 436) enrolled in a randomized controlled trial promoting PA and cancer screening in Latinas was conducted, and t tests examined the associations between sociodemographic and psychosocial factors with self-reported muscle-strengthening activities. Hierarchical regression was conducted in separate blocks guided by the socioecological model (sociodemographic, individual, and interpersonal factors) to examine the independent contribution of each block to the outcome of meeting national guidelines for muscle-strengthening PA. Participants who met the national PA guidelines of ≥2 days/week of muscle-strengthening activities reported significantly higher social support for PA (p < .001), greater use of behavioral strategies for PA (p < .001), and lower barriers to PA (p < .03) than those who did not meet the guidelines. Hierarchical binary logistic regression indicated behavioral strategies for PA was the only significant correlate of meeting the national guidelines for muscle-strengthening PA (odds ratio = 1.39, 95% confidence interval [1.18, 1.65], p < .001). Results support a hypothesis that instructing Latinas to use behavior change strategies could help them increase muscle-strengthening PA.
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