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Correlates of Physical Activity Among Middle‐Aged and Older Korean Americans at Risk for Diabetes
Author(s) -
Han Benjamin H.,
Sadarangani Tina,
Wyatt Laura C.,
Zanowiak Jennifer M.,
Kwon Simona C.,
TrinhShevrin Chau,
Lee Linda,
Islam Nadia S.
Publication year - 2016
Publication title -
journal of nursing scholarship
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.009
H-Index - 80
eISSN - 1547-5069
pISSN - 1527-6546
DOI - 10.1111/jnu.12180
Subject(s) - gerontology , medicine , body mass index , demography , psychological intervention , logistic regression , marital status , odds ratio , population , middle age , cross sectional study , environmental health , pathology , psychiatry , sociology
Abstract Purpose To explore correlates of meeting recommended physical activity (PA) goals among middle‐aged and older Korean Americans at risk for diabetes mellitus (DM). Design and Methods PA patterns and their correlates were assessed among 292 middle‐aged and older Korean Americans at risk for DM living in New York City using cross‐sectional design of baseline information from a diabetes prevention intervention. PA was assessed by self‐report of moderate and vigorous activity, results were stratified by age group (45–64 and 65–75 years), and bivariate analyses compared individuals performing less than sufficient PA and individuals performing sufficient PA. Logistic regression was used to calculate adjusted odds ratios predicting sufficient PA. Findings After adjusting for sex, age group, years lived in the United States, marital status, health insurance, and body mass index (BMI), sufficient PA was associated with male sex, older age, lower BMI, eating vegetables daily, and many PA‐specific questions (lack of barriers, confidence, and engagement). When stratified by age group, male sex and eating vegetables daily was no longer significant among Koreans 65 to 75 years of age, and BMI was not significant for either age group. Conclusions PA interventions targeting this population may be beneficial and should consider the roles of sex, age, physical and social environment, motivation, and self‐efficacy. Clinical Relevance Clinical providers should understand the unique motivations for PA among Korean Americans and recognize the importance of culturally driven strategies to enable lifestyle changes and support successful aging for diverse populations.