PTPilotJournal of transcultural nursing : official journal of the Transcultural Nursing Society2018

Outcomes of a Culturally Tailored Partially Randomized Patient Preference Controlled Trial to Increase Physical Activity Among Low-Income Immigrant Latinas.

Karen T D'Alonzo, Barbara A Smith, Lee H Dicker

PMID 28826382

WHAT IT FOUND

Community health worker-led Latin dance classes twice weekly increased physical activity and flexibility in low-income immigrant Latinas.

Daytime classes improved muscle strength more; evening classes improved aerobic fitness more. BMI did not decrease.

Key findings

01Physical activity and flexibility improved in both groups.

02Muscle strength improved more in the day group, while aerobic fitness improved more in the evening group.

03BMI increased slightly and body fat percentage did not significantly decrease.

STILL TO COME

How it was doneWhat they foundWhat it means for PTs

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What it does not show

Most participants chose their group, so the design was not a fully randomized trial. The delayed group knew it would receive the intervention later, which can affect behavior before the study intervention starts. Attendance was low, especially in the evening group, and pregnancy accounted for 16.8% of the sample stopping classes. The sample size was planned to test feasibility and calculate effect sizes for a larger trial, not to prove effectiveness. Diet and caloric intake were not measured, so changes in BMI or body fat cannot be interpreted. Aerobic fitness was estimated from a non-exercise measure that partly depended on body fat percentage. The authors report that fear of appearing too muscular lowered muscle strength scores in the evening group. The paper lists several outcomes but does not name one primary endpoint.

Declared interests

The authors declared no potential conflicts of interest. The publication types indicate N.I.H. extramural support, but the article text does not name a specific funder.

The easy way to misread this

Do not read this as a fully randomized trial. Most participants chose their group, and only women without preference were randomly assigned.

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