TY - JOUR
T1 - Physical Activity Among Native Hawaiians and Pacific Islanders
T2 - A Systematic Review and Meta-Analysis
AU - Adams, Ingrid K.Richards
AU - Okoli, Chizimuzo T.C.
AU - Krok-Schoen, Jessica L.
AU - Hartel, Lynda
AU - Keita, Akilah Dulin
AU - Figueroa, Wilson
AU - Polanin, Joshua R.
AU - McElfish, Pearl Anna
AU - Kanesiro, Marcela H.
N1 - Publisher Copyright:
© 2018 Elsevier Ltd
PY - 2019/2
Y1 - 2019/2
N2 - Objective: To examine the proportion of Native Hawaiian and Pacific Islander (NHPI) meeting recommended physical activity guidelines for Americans (PAG) and determine differences in physical activity (PA) by sex and between NHPI and Asians when data are disaggregated. Design: Systematic review and meta-analysis. Setting: Articles identified in CINAHL, The Cochrane Library, Embase, PsychINFO, PubMed, Scopus, SocINDEX, SPORTDiscus, and Web of Science. Participants: NHPI children and adults, and Asian adults. Interventions: Proportion of NHPI meeting PAG and differences in PA involvement by sex and by ethnicity. Methods: Summary reporting for articles, and meta-analysis using random-effects and inverse-various weighted models. Conclusions and Implications: Just over one-third of NHPI children met the PAG (mean = 38.6%, 95% CI [32.43-45.08]), with more males (42.8%) than females (34.7%) meeting the guidelines (t = 6.74, df = 1, P =.02). Less than half met the PAG for combination (mean = 48.7%, 95% CI [34.69-62.97]), moderate (mean = 47.1%, 95% CI [33.62-61.07]), and about one-third met the PAG for vigorous PA (mean = 33.4%, 95% CI [24.55-43.62]). There were no significant differences between Asians and NHPI in PA. Policy, systems, and environmental changes as well as culturally appropriate interventions are needed to increase physical activity among NHPI.
AB - Objective: To examine the proportion of Native Hawaiian and Pacific Islander (NHPI) meeting recommended physical activity guidelines for Americans (PAG) and determine differences in physical activity (PA) by sex and between NHPI and Asians when data are disaggregated. Design: Systematic review and meta-analysis. Setting: Articles identified in CINAHL, The Cochrane Library, Embase, PsychINFO, PubMed, Scopus, SocINDEX, SPORTDiscus, and Web of Science. Participants: NHPI children and adults, and Asian adults. Interventions: Proportion of NHPI meeting PAG and differences in PA involvement by sex and by ethnicity. Methods: Summary reporting for articles, and meta-analysis using random-effects and inverse-various weighted models. Conclusions and Implications: Just over one-third of NHPI children met the PAG (mean = 38.6%, 95% CI [32.43-45.08]), with more males (42.8%) than females (34.7%) meeting the guidelines (t = 6.74, df = 1, P =.02). Less than half met the PAG for combination (mean = 48.7%, 95% CI [34.69-62.97]), moderate (mean = 47.1%, 95% CI [33.62-61.07]), and about one-third met the PAG for vigorous PA (mean = 33.4%, 95% CI [24.55-43.62]). There were no significant differences between Asians and NHPI in PA. Policy, systems, and environmental changes as well as culturally appropriate interventions are needed to increase physical activity among NHPI.
KW - Native Hawaiians and Pacific Islanders
KW - health disparity
KW - meta-analysis
KW - physical activity
KW - sex differences
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U2 - 10.1016/j.jneb.2018.09.005
DO - 10.1016/j.jneb.2018.09.005
M3 - Article
C2 - 30527674
AN - SCOPUS:85057601492
SN - 1499-4046
VL - 51
SP - 245
EP - 258
JO - Journal of Nutrition Education and Behavior
JF - Journal of Nutrition Education and Behavior
IS - 2
ER -