Physical Activity Among Native Hawaiians and Pacific Islanders: A Systematic Review and Meta-Analysis

Ingrid K.Richards Adams, Chizimuzo T.C. Okoli, Jessica L. Krok-Schoen, Lynda Hartel, Akilah Dulin Keita, Wilson Figueroa, Joshua R. Polanin, Pearl Anna McElfish, Marcela H. Kanesiro

Research output: Contribution to journalArticlepeer-review

10 Scopus citations


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.

Original languageEnglish
Pages (from-to)245-258
Number of pages14
JournalJournal of Nutrition Education and Behavior
Issue number2
StatePublished - Feb 2019

Bibliographical note

Publisher Copyright:
© 2018 Elsevier Ltd


  • Native Hawaiians and Pacific Islanders
  • health disparity
  • meta-analysis
  • physical activity
  • sex differences

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics


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