Acculturation, Physical Activity, and Metabolic Syndrome in Asian American Adults.
Jingxi Sheng, Demetrius A Abshire, Sue P Heiney and 1 others
PMID 35924549WHAT IT FOUND
Asian American adults not meeting 150 weekly minutes of moderate to vigorous activity had higher odds of metabolic syndrome.
US-born status and English-only home language were linked to meeting activity guidelines, but this cross-sectional study cannot prove cause.
Key findings
0139.2% of Asian American adults with fasting samples met International Diabetes Federation criteria for metabolic syndrome.
0264.4% of Asian American adults did not meet the recommendation of 150 weekly minutes of moderate to vigorous physical activity.
03Not meeting 150 weekly minutes of moderate to vigorous physical activity was associated with higher odds of metabolic syndrome in the fully adjusted model (OR 1.52, 95% CI 1.03-2.22).
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study measured physical activity and metabolic syndrome at the same time, so it cannot show whether low activity causes metabolic syndrome or the reverse. Metabolic syndrome was determined only for 1,034 participants with fasting samples, not all 2,259 adults. Physical activity was measured by questionnaire about a typical week, and the study did not test an exercise intervention. Acculturation was measured by proxies, which the authors say omit individual differences and cannot account for every domain of acculturation. Asian American subgroups were combined, which may hide differences among them. The interaction between physical activity and acculturation was not significant, but stratified analyses were still conducted.
Declared interests
The supplied publication types list NIH extramural research support. No author conflict of interest declaration is included in the article text.
The easy way to misread this
Do not conclude that increasing physical activity will reduce metabolic syndrome in Asian American adults. This was a cross-sectional survey, so it found an association, not a treatment effect.