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Objectively-Measured Physical Activity and Sedentary Behaviors and Related Factors in Chinese Immigrants in the US with Prior Gestational Diabetes Mellitus

Author

Listed:
  • Shuyuan Huang

    (Rutgers-NYU Center for Asian Health Promotion and Equity, NYU Rory Meyers College of Nursing, New York, NY 10010, USA)

  • Garrett I. Ash

    (Pain Research, Informatics, Multi-Morbidities, and Education (PRIME), VA Connecticut Healthcare System, West Haven, CT 06516, USA
    Yale School of Medicine, Yale University, New Haven, CT 06510, USA)

  • Soohyun Nam

    (Yale School of Nursing, Yale University, West Haven, CT 06477, USA)

  • Sangchoon Jeon

    (Yale School of Nursing, Yale University, West Haven, CT 06477, USA)

  • Erin McMahon

    (College of Nursing, The University of Arizona, Tucson, AZ 85721, USA)

  • Robin Whittemore

    (Yale School of Nursing, Yale University, West Haven, CT 06477, USA)

Abstract

Chinese immigrants in the US are disproportionately affected by gestational diabetes mellitus (GDM) and type 2 diabetes (T2D). The aims of this study were to describe their physical activity (PA) and sedentary behaviors (SB) patterns and to identify determinates of objectively-measured PA and SB among Chinese immigrants in the US with prior GDM. We conducted a cross-sectional study among 106 Chinese immigrants with prior GDM across the US. PA and SB were measured by GT9X+ hip accelerometers for 7 consecutive days. Validated questionnaires in English and Chinese were used to assess knowledge and risk perceptions as well as cultural and psychosocial characteristics. Descriptive, bivariate, and multiple regression analyses were performed. Only 27% of participants met the PA guidelines. The median duration of moderate–vigorous-intensity PA (MVPA) per week was 79 (IQR 38–151) minutes. Participants had an average of 9.2 ± 1.4 h of sedentary time per day. Living with parents (who may provide family support) was associated with more MVPA minutes per week, more steps per day, and a greater likelihood of meeting PA guidelines. Higher levels of acculturative stress were associated with fewer MVPA minutes per week. Being employed and having a lower BMI were associated with more SB. Strategies are needed to increase MVPA among this high-risk group, including decreasing acculturative stress and increasing family support. Different strategies are needed to decrease SB among this population.

Suggested Citation

  • Shuyuan Huang & Garrett I. Ash & Soohyun Nam & Sangchoon Jeon & Erin McMahon & Robin Whittemore, 2022. "Objectively-Measured Physical Activity and Sedentary Behaviors and Related Factors in Chinese Immigrants in the US with Prior Gestational Diabetes Mellitus," IJERPH, MDPI, vol. 19(18), pages 1-14, September.
  • Handle: RePEc:gam:jijerp:v:19:y:2022:i:18:p:11409-:d:911853
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    References listed on IDEAS

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    1. Youlim Kim & Young-Me Lee & Mikyeong Cho & Hyeonkyeong Lee, 2019. "Effect of a Pedometer-Based, 24-Week Walking Intervention on Depression and Acculturative Stress among Migrant Women Workers," IJERPH, MDPI, vol. 16(22), pages 1-11, November.
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