Mobile Health Technology Can Objectively Capture Physical Activity (PA) Targets Among African-American Women Within Resource-Limited Communities-the Washington, D.C. Cardiovascular Health and Needs Assessment.

Autor: Thomas S; Office of Intramural Training and Education, National Institutes of Health, Bethesda, MD, 20892, USA., Yingling L; Cardiovascular and Pulmonary Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, 10 Center Drive, Room 5-3340, Bethesda, MD, 20892, USA., Adu-Brimpong J; Office of Intramural Training and Education, National Institutes of Health, Bethesda, MD, 20892, USA., Mitchell V; Cardiovascular and Pulmonary Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, 10 Center Drive, Room 5-3340, Bethesda, MD, 20892, USA., Ayers CR; Donald W. Reynolds Cardiovascular Clinical Research Center at the University of Texas Southwestern Medical Center, Dallas, TX, 75390, USA., Wallen GR; Clinical Center, National Institutes of Health, Bethesda, MD, 20892, USA., Peters-Lawrence M; Division of Intramural Research - Hematology Branch, National Heart Lung and Blood Institute, NIH, Bethesda, MD, 20892, USA., Brooks AT; Clinical Center, National Institutes of Health, Bethesda, MD, 20892, USA., Sampson DM; Office of Behavioral and Social Sciences Research, Office of the Director, National Institutes of Health, Bethesda, MD, 20892, USA., Wiley KL Jr; Division of Genomic Medicine, National Human Genome Research Institute, Bethesda, MD, 20892, USA., Saygbe J; Cardiovascular and Pulmonary Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, 10 Center Drive, Room 5-3340, Bethesda, MD, 20892, USA., Henry J; Department of Epidemiology and Public Health, University of Maryland, Baltimore, MD, 21201, USA., Johnson A; Department of Nutritional Sciences, Howard University, Washington, DC, 20059, USA., Graham A; Department of Nutritional Sciences, Howard University, Washington, DC, 20059, USA., Graham L; Department of Nutritional Sciences, Howard University, Washington, DC, 20059, USA., Powell-Wiley TM; Cardiovascular and Pulmonary Branch, National Heart, Lung, and Blood Institute, National Institutes of Health, 10 Center Drive, Room 5-3340, Bethesda, MD, 20892, USA. tiffany.powell-wiley@nih.gov.
Jazyk: angličtina
Zdroj: Journal of racial and ethnic health disparities [J Racial Ethn Health Disparities] 2016 Dec 02, pp. . Date of Electronic Publication: 2016 Dec 02.
DOI: 10.1007/s40615-016-0290-4
Abstrakt: Background: Little is understood about using mobile health (mHealth) technology to improve cardiovascular (CV) health among African-American women in resource-limited communities.
Methods: We conducted the Washington, D.C. CV Health and Needs Assessment in predominantly African-American churches in city wards 5, 7, and 8 with the lowest socioeconomic status based on community-based participatory research (CBPR) principles. The assessment measured CV health factors: body mass index (BMI), fasting blood glucose and cholesterol, blood pressure, fruit/vegetable (F/V) intake, physical activity (PA), and smoking. Participants were trained to use a PA monitoring wristband to measure 30 days of PA, wirelessly upload the PA data to hubs at the participating churches, and access their data from a church/home computer. CV health factors were compared across weight classes.
Results: Among females (N = 78; 99 % African-American; mean age = 59 years), 90 % had a BMI categorized as overweight/obese. Across weight classes, PA decreased and self-reported sedentary time (ST) increased (p ≤ 0.05). Diastolic blood pressure and glucose increased across weight classes (p ≤ 0.05); however, cholesterol, glucose, and BP were near intermediate CV health goals.
Conclusions: Decreased PA and increased ST are potential community intervention targets for overweight and obese African-American women in resource-limited Washington D.C. areas. mHealth technology can assist in adapting CBPR intervention resources to improve PA for African-American women in resource-limited communities.
Databáze: MEDLINE
Externí odkaz: