1. Two-year outcomes of Faith in Action/Fe en Acción: a randomized controlled trial of physical activity promotion in Latinas.
- Author
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Arredondo, Elva M., Haughton, Jessica, Ayala, Guadalupe X., Slymen, Donald, Sallis, James F., Perez, Lilian G., Serrano, Natalicio, Ryan, Sherry, Valdivia, Rodrigo, Lopez, Nanette V., and Elder, John P.
- Subjects
SEDENTARY lifestyles ,LEISURE ,SOCIAL support ,HISPANIC Americans ,WOMEN ,ACCELEROMETERS ,PHYSICAL activity ,RANDOMIZED controlled trials ,COMMUNITY-based social services ,EXERCISE intensity ,WAIST circumference ,STATISTICAL sampling ,BODY mass index ,CHURCH buildings ,HEALTH promotion - Abstract
Background: Latina women are less likely to report engaging in leisure-time physical activity (PA) than non-Latina white women. This study evaluated the 24-month impact of a faith-based PA intervention targeting Latinas. Methods: The study is a cluster randomized controlled trial of a PA intervention or cancer screening comparison condition, with churches as the randomization unit. A total of 436 Latinas (aged 18-65 years) from 16 churches who engaged in low levels of self-report and accelerometer-based PA were enrolled. The experimental condition was a 24-month PA intervention, with in-person classes, social support, and environmental changes, led by community health workers (i.e., promotoras). At baseline, 12-, and 24 months, we assessed changes in accelerometer-based and self-reported moderate to vigorous physical activity (MVPA; primary outcomes). Secondary outcomes were light intensity activity, sedentary time, body mass index (BMI), and waist circumference. Results: After adjusting for sociodemographic factors, a mixed effects analysis found significant increases in self-reported leisure time MVPA (p < 0.005) and marginal increases in accelerometer-assessed MVPA (p < 0.08) 24 months post-baseline in the intervention compared to the attention-control condition. Data showed significant associations between PA class attendance and engaging in MVPA as assessed by self-report and accelerometry. No significant changes were found for light activity, sedentary time, BMI, or waist circumference. Conclusions: Participants who attended the PA classes at least once a month engaged in significantly higher MVPA compared to those who did not. Maximizing engagement and maintenance strategies to enhance PA maintenance could contribute to important long-term health benefits. Trial registration: NCT01776632, Registered March 18, 2011. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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