PDF(Pubmed)
Abstract：
Physical activity (PA) is critical for healthy aging, yet < 16% of U.S. older adults meet federal recommendations for moderate to vigorous PA. Asian Americans are a rapidly growing segment of the older adult population, who are less likely to meet these guidelines, and are frequently under-represented in clinical trials. This quasi-experimental pilot study evaluated the feasibility, acceptability, and preliminary effectiveness of a culturally tailored walking program to improve PA and social engagement for older Chinese Americans in Boston, MA. Participants at two community organizations were assigned to an enhanced walking or walking only condition for 12 weeks. Mixed effect repeated measures analysis addressed the study aims. The enhanced walking group (intervention) had fewer steps at baseline and less of a reduction in steps by 12 weeks as compared with the walking only (control) condition. Mean social engagement scores were significantly higher at 12 weeks (p = .03) for the intervention group. A culturally tailored walking intervention was feasible and acceptable for older Chinese Americans, improving social engagement and PA scores.
摘要：
身体活动（PA）对于健康衰老至关重要，然而，<16%的美国老年人符合联邦关于中度至重度PA的建议。亚裔美国人是老年人口中快速增长的一部分，不太可能符合这些指导方针的人，并且在临床试验中经常代表性不足。这项准实验试点研究评估了可行性，可接受性,和文化上定制的步行计划的初步有效性，以提高波士顿老年华裔美国人的PA和社会参与度，两个社区组织的参与者被分配到增强的步行或仅步行条件下12周。混合效应重复测量分析解决了研究目标。与仅步行（对照）条件相比，增强步行组（干预）的基线步数较少，步数减少12周。干预组的平均社会参与得分在12周时显著较高(p=.03)。文化定制的步行干预措施对于年长的华裔美国人来说是可行和可接受的，提高社会参与度和PA得分。
