A Study of Physical Activity Determinants among High-Risk Hypertensive Filipino and Korean Americans

Aisha Bhimla, Crystal A. Gadegbeku, Yin Tan, Lin Zhu, Ferdinand Aczon and Grace X. Ma
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Aisha Bhimla: Center for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, PA 19140, USA
Crystal A. Gadegbeku: Division of Nephrology, Temple University School of Medicine, Philadelphia, PA 19140, USA
Yin Tan: Center for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, PA 19140, USA
Lin Zhu: Center for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, PA 19140, USA
Ferdinand Aczon: Filipino American Society of South Jersey, Inc., Mount Laurel, NJ 08084, USA
Grace X. Ma: Center for Asian Health, Lewis Katz School of Medicine, Temple University, Philadelphia, PA 19140, USA

IJERPH, 2019, vol. 16, issue 7, 1-13

Abstract: Physical activity (PA) serves a critical role in maintaining health and preventing chronic diseases, though its influence on high-risk Asian American populations is unclear. The purpose of this study was to determine PA levels among Filipino and Korean Americans at high risk of hypertension and to identify sociodemographic and health-related factors associated with PA levels in these populations. A cross-sectional survey was administered to 137 participants in the Greater Philadelphia Area. Data was collected on PA levels, sociodemographic factors, and health factors. Multinomial logistic regression was conducted to determine predictors associated with low, moderate, and high PA and predictive probabilities were calculated for interaction terms, incorporating ethnicity and blood pressure variables. Overall, 42.33% of participants belonged to the moderately active PA group and 21.90% belonged to the highly active group. In the final multinomial regression model, it was found that having gone to college increased the odds of being in the moderately active PA group (coef. = 1.96, p = 0.034), while having high blood pressure reduced the odds of being in the moderately active PA group (coef. = −2.21, p = 0.022). Lastly, being Korean versus Filipino reduced the odds of being in the highly active category (coef. = −2.89, p = 0.035). Based on predictive probabilities, Koreans and Filipinos with high blood pressure were more likely to belong in the low active PA category (52.31% and 46.33%). These findings highlight the need for culturally relevant PA interventions for promoting and increasing PA levels to prevent and manage hypertension among these populations.

Keywords: physical activity; Asian American; hypertension (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
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