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Physical Activity Among Native Hawaiians and Pacific Islanders: A Systematic Review and Meta-Analysis
Authors: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
Affiliation:1. College of Food, Agricultural, and Environmental Sciences, Department of Extension, Ohio State University Columbus, OH;2. Division of Medical Dietetics and Health Sciences, School of Health and Rehabilitation Sciences, College of Medicine, Ohio State University, Columbus, OH;3. Tobacco Treatment and Prevention Division, Tobacco Policy Research Program, University of Kentucky College of Nursing, Lexington, KY;4. Health Sciences Library, Ohio State University, Columbus, OH;5. Institute for Community Health Promotion, Department of Behavioral and Social Sciences, Brown University, Providence, RI;6. American Institutes for Research, Washington, DC;7. Office of Community Health and Research, Center for Pacific Islander Health, University of Arkansas for Medical Sciences, Fayetteville, AR;8. Universidade Federal de Alfenas–UNIFAL-MG, Alfenas, Minas Gerais, Brazil
Abstract:

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.
Keywords:health disparity  meta-analysis  Native Hawaiians and Pacific Islanders  physical activity  sex differences
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