PTRNOtherThe American journal of nursing2018

CE: Original Research: Physical Activity Among Chinese American Immigrants with Prediabetes or Type 2 Diabetes.

H Hu Sophia, R Fu Mei, Shan Liu and 2 others

PMID 29329117

WHAT IT FOUND

Walking, housekeeping, and hourly movement were the main activities; very few did aerobic or strength training.

Participants knew diet mattered but often did not know what exercise to do, how hard, or how safe it was with their health problems.

Key findings

01Housekeeping was reported by 62 participants, walking or stairs by 54, hourly walking or stretching at work by 53, and stretching before exercise by 49; very few performed aerobic or strength training.

02Participants learned about physical activity mainly from family doctors (53%), newspapers (36%), and friends (31%), and only a very small portion from endocrinologists or nurses.

03Interview themes were insufficient education about exercise, health concerns that limited activity, and work-related barriers such as busy schedules and fatigue.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for RNs

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What it does not show

The sample was a convenience sample from one community health center, so the findings may not apply to other Chinese American immigrants. Physical activity was self-reported and could be overestimated or underestimated because of recall bias. People who could not stand alone on a stadiometer or who had a physical disability were excluded, so the study says little about those patients. The study described patterns and barriers at one time point; it did not test whether an exercise program improved blood glucose or other outcomes. Only 67 of 100 participants took the interview, although the interview group and non-interview group had no significant demographic differences. The study could not show how activity changes over time or with illness.

The easy way to misread this

Do not conclude that walking or housekeeping is enough to manage blood glucose. This study did not test diabetes outcomes, and activity was self-reported, so it only describes what participants did and said.

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