Physical Activity in a Randomized Culturally Adapted Lifestyle Intervention
(2018) In American Journal of Preventive Medicine 55(2). p.187-196- Abstract
Introduction: Middle Eastern immigrants exhibit high levels of physical inactivity and are at an increased risk for Type 2 diabetes. The primary aim of this study was to examine the changes in objectively assessed physical activity levels following a culturally adapted lifestyle intervention program. The secondary aim was to examine the association between objectively assessed physical activity and insulin sensitivity. Study design: RCT conducted over 4 months in 2015. Participants: Iraqi immigrants residing in Malmö Sweden, exhibiting one or more risk factors for Type 2 diabetes. Intervention: The intervention group (n=50) was offered a culturally adapted lifestyle intervention comprising seven group sessions including a cooking class.... (More)
Introduction: Middle Eastern immigrants exhibit high levels of physical inactivity and are at an increased risk for Type 2 diabetes. The primary aim of this study was to examine the changes in objectively assessed physical activity levels following a culturally adapted lifestyle intervention program. The secondary aim was to examine the association between objectively assessed physical activity and insulin sensitivity. Study design: RCT conducted over 4 months in 2015. Participants: Iraqi immigrants residing in Malmö Sweden, exhibiting one or more risk factors for Type 2 diabetes. Intervention: The intervention group (n=50) was offered a culturally adapted lifestyle intervention comprising seven group sessions including a cooking class. The control group (n=46) received usual care. Main outcome measures: Raw accelerometry data were processed by validated procedures and daily mean physical activity intensity, vector magnitude high-pass filtered (VM-HPF), was inferred. Further inferences into the number of hours/day spent in sedentary (VM-HPF <48 milli-Gs [mGs] where G=9.8 m/sec2) and light- (48– <163 mGs); moderate- (163– <420 mGs); and vigorous-intensity (≥420 mGs) activities were also calculated (year of analysis was 2016–2017). Results: No difference was observed between the two groups in terms of change over time in VM-HPF. There was a significant increase in the number of hours/day spent in light intensity physical activity in the intervention group compared with the control group (β=0.023, 95% CI=0.001, 0.045, p=0.037). The intervention group also increased the time spent in sedentary activities, with the highest VM-HPF (36– <48 mGs) within the sedentary behavior (B=0.022, 95% CI=0.002, 0.042, p=0.03). Higher VM-HPF was significantly associated with a higher insulin sensitivity index (β=0.014, 95% CI=0.0004, 0.025, p=0.007). Conclusions: The findings favor the culturally adapted intervention approach for addressing low physical activity levels among Middle Eastern immigrants. Replacing sedentary time with light-intensity activities could be an achievable goal and will have potential beneficial effects for diabetes prevention among this sedentary group of immigrants. Trial registration: This study was registered at www.clinicaltrials.gov NCT01420198.
(Less)
- author
- Siddiqui, Faiza LU ; Koivula, Robert W. LU ; Kurbasic, Azra LU ; Lindblad, Ulf LU ; Nilsson, Peter M. LU and Bennet, Louise LU
- organization
- publishing date
- 2018-08-01
- type
- Contribution to journal
- publication status
- published
- subject
- in
- American Journal of Preventive Medicine
- volume
- 55
- issue
- 2
- pages
- 10 pages
- publisher
- Elsevier
- external identifiers
-
- pmid:30031454
- scopus:85049745750
- ISSN
- 0749-3797
- DOI
- 10.1016/j.amepre.2018.04.016
- project
- Prevention of type 2 diabetes and poor mental health amongst immigrants from the Middle-East to Sweden
- The MEDIM project
- language
- English
- LU publication?
- yes
- id
- 3e445c1e-d445-438a-b868-97ceb9f2fa2c
- date added to LUP
- 2018-07-24 10:33:33
- date last changed
- 2024-09-02 23:13:22
@article{3e445c1e-d445-438a-b868-97ceb9f2fa2c, abstract = {{<p>Introduction: Middle Eastern immigrants exhibit high levels of physical inactivity and are at an increased risk for Type 2 diabetes. The primary aim of this study was to examine the changes in objectively assessed physical activity levels following a culturally adapted lifestyle intervention program. The secondary aim was to examine the association between objectively assessed physical activity and insulin sensitivity. Study design: RCT conducted over 4 months in 2015. Participants: Iraqi immigrants residing in Malmö Sweden, exhibiting one or more risk factors for Type 2 diabetes. Intervention: The intervention group (n=50) was offered a culturally adapted lifestyle intervention comprising seven group sessions including a cooking class. The control group (n=46) received usual care. Main outcome measures: Raw accelerometry data were processed by validated procedures and daily mean physical activity intensity, vector magnitude high-pass filtered (VM-HPF), was inferred. Further inferences into the number of hours/day spent in sedentary (VM-HPF <48 milli-Gs [mGs] where G=9.8 m/sec<sup>2</sup>) and light- (48– <163 mGs); moderate- (163– <420 mGs); and vigorous-intensity (≥420 mGs) activities were also calculated (year of analysis was 2016–2017). Results: No difference was observed between the two groups in terms of change over time in VM-HPF. There was a significant increase in the number of hours/day spent in light intensity physical activity in the intervention group compared with the control group (β=0.023, 95% CI=0.001, 0.045, p=0.037). The intervention group also increased the time spent in sedentary activities, with the highest VM-HPF (36– <48 mGs) within the sedentary behavior (B=0.022, 95% CI=0.002, 0.042, p=0.03). Higher VM-HPF was significantly associated with a higher insulin sensitivity index (β=0.014, 95% CI=0.0004, 0.025, p=0.007). Conclusions: The findings favor the culturally adapted intervention approach for addressing low physical activity levels among Middle Eastern immigrants. Replacing sedentary time with light-intensity activities could be an achievable goal and will have potential beneficial effects for diabetes prevention among this sedentary group of immigrants. Trial registration: This study was registered at www.clinicaltrials.gov NCT01420198.</p>}}, author = {{Siddiqui, Faiza and Koivula, Robert W. and Kurbasic, Azra and Lindblad, Ulf and Nilsson, Peter M. and Bennet, Louise}}, issn = {{0749-3797}}, language = {{eng}}, month = {{08}}, number = {{2}}, pages = {{187--196}}, publisher = {{Elsevier}}, series = {{American Journal of Preventive Medicine}}, title = {{Physical Activity in a Randomized Culturally Adapted Lifestyle Intervention}}, url = {{http://dx.doi.org/10.1016/j.amepre.2018.04.016}}, doi = {{10.1016/j.amepre.2018.04.016}}, volume = {{55}}, year = {{2018}}, }