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Associations between physical activity and functional limitations in Native Hawaiian and Pacific Islander middle-aged and older adults in the United States
Ethnicity & Health ( IF 3.1 ) Pub Date : 2021-05-05 , DOI: 10.1080/13557858.2021.1921120
Christopher S Walter 1 , Marie-Rachelle Narcisse 2 , Jennifer L Vincenzo 1 , Holly C Felix 3 , Pearl A McElfish 2
Affiliation  

ABSTRACT

Objectives

Physical activity (PA) can help individuals maintain physical function and independence. The association between PA and functional limitations (FL) has not been explored in the Native Hawaiian and Pacific Islander (NHPI) population. The purpose of this study was to examine relationships between PA and FL among NHPI adults (age ≥ 45 years) living in the United States.

Design

Cross-sectional data from the 2014 NHPI-National Health Interview Survey (N = 628) was used to create three constructs of FL based on responses from the Functioning and Disability Survey Module: needing equipment/assistance, having difficulty walking, and having difficulty with performing self-care and other fine motor activities. We used 2-stage least squares regression to examine the relationship between PA and FL of NHPI adults while accounting for the potential endogeneity of PA to FL.

Results

Compared to NHPI adults who met the guideline for recommended levels of aerobic and strengthening PA, those who met only the strengthening guideline experienced less difficulty in two FL constructs (use of medical equipment/assistance and difficulty walking). Those who met the aerobic guideline reported even less difficulties in all three FL constructs. NHPI adults who met both the aerobic and strengthening guidelines experienced the least difficulties in all three FL constructs compared to those who met neither PA guidelines.

Conclusions

PA is associated with function in this adult NHPI population. Aerobic guidelines alone may be more beneficial than meeting the strengthening guideline alone; however, meeting both the aerobic and strengthening guidelines is most protective against FL.



中文翻译:

美国夏威夷原住民和太平洋岛民中老年人体力活动与功能限制之间的关联

摘要

目标

体力活动(PA)可以帮助个人保持身体机能和独立性。尚未在夏威夷原住民和太平洋岛民 (NHPI) 人群中探讨 PA 与功能限制 (FL) 之间的关联。本研究的目的是调查居住在美国的 NHPI 成年人(年龄≥ 45 岁)的 PA 和 FL 之间的关系。

设计

2014 年 NHPI 全国健康访谈调查 ( N = 628)的横断面数据 用于根据功能和残疾调查模块的回答创建 FL 的三种结构:需要设备/协助、行走困难和行动困难进行自我护理和其他精细运动活动。我们使用 2 阶段最小二乘回归来检查 NHPI 成人的 PA 和 FL 之间的关系,同时考虑 PA 与 FL 的潜在内生性。

结果

与满足有氧运动和强化 PA 推荐水平指南的 NHPI 成年人相比,仅满足强化指南的成年人在两种 FL 结构(使用医疗设备/辅助和行走困难)中经历的困难较少。那些符合有氧运动指南的人报告说,在所有三种 FL 结构中的困难甚至更少。与不满足 PA 指南的成人相比,同时满足有氧运动和强化指南的 NHPI 成年人在所有三种 FL 结构中经历的困难最少。

结论

PA 与成人 NHPI 人群的功能相关。单独的有氧运动指南可能比单独满足强化指南更有益;然而,同时满足有氧运动和力量训练指南才是预防 FL 的最佳方法。

更新日期:2021-05-05
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