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.
Key Words
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Article info
Publication history
Published online: December 06, 2018
Accepted:
September 19,
2018
Footnotes
Conflict of Interest Disclosure: The authors have not stated any conflicts of interest.
Identification
Copyright
© 2018 Society for Nutrition Education and Behavior. Published by Elsevier Inc. All rights reserved.
