Two-year outcomes of Faith in Action/Fe en Acción: a randomized controlled trial of physical activity promotion in Latinas

doi:10.1186/s12966-022-01329-6

Randomized Controlled Trial

. 2022 Jul 30;19(1):97.

doi: 10.1186/s12966-022-01329-6.

Two-year outcomes of Faith in Action/Fe en Acción: a randomized controlled trial of physical activity promotion in Latinas

Affiliations

¹ Department of Psychology, San Diego State University and the Institute for Behavioral and Community Health, 9245 Sky Park Ct, San Diego, CA, 92123, USA. earredon@sdsu.edu.
² Institute for Behavioral and Community Health, San Diego State University, San Diego, USA.
³ School of Public Health, San Diego State University and the Institute for Behavioral and Community Health, San Diego, USA.
⁴ School of Public Health, San Diego State University, San Diego, USA.
⁵ Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, La Jolla, USA.
⁶ Australian Catholic University, Melbourne, Australia.
⁷ Behavioral and Policy Sciences Department, RAND Corporation, Santa Monica, USA.
⁸ School of Public Health, University of Illinois at Chicago, Chicago, USA.
⁹ School of Public Affairs, San Diego State University, San Diego, USA.
¹⁰ The Roman Catholic Diocese of San Diego, San Diego, USA.
¹¹ Health Sciences, Northern Arizona University, Flagstaff, USA.

PMID: 35907867
PMCID: PMC9338625
DOI: 10.1186/s12966-022-01329-6

Randomized Controlled Trial

Two-year outcomes of Faith in Action/Fe en Acción: a randomized controlled trial of physical activity promotion in Latinas

Elva M Arredondo et al. Int J Behav Nutr Phys Act. 2022.

. 2022 Jul 30;19(1):97.

doi: 10.1186/s12966-022-01329-6.

Authors

Affiliations

¹ Department of Psychology, San Diego State University and the Institute for Behavioral and Community Health, 9245 Sky Park Ct, San Diego, CA, 92123, USA. earredon@sdsu.edu.
² Institute for Behavioral and Community Health, San Diego State University, San Diego, USA.
³ School of Public Health, San Diego State University and the Institute for Behavioral and Community Health, San Diego, USA.
⁴ School of Public Health, San Diego State University, San Diego, USA.
⁵ Herbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, La Jolla, USA.
⁶ Australian Catholic University, Melbourne, Australia.
⁷ Behavioral and Policy Sciences Department, RAND Corporation, Santa Monica, USA.
⁸ School of Public Health, University of Illinois at Chicago, Chicago, USA.
⁹ School of Public Affairs, San Diego State University, San Diego, USA.
¹⁰ The Roman Catholic Diocese of San Diego, San Diego, USA.
¹¹ Health Sciences, Northern Arizona University, Flagstaff, USA.

PMID: 35907867
PMCID: PMC9338625
DOI: 10.1186/s12966-022-01329-6

Abstract

Background: Latina women are less likely to report engaging in leisure-time physical activity (PA) than non-Latina white women. This study evaluated the 24-month impact of a faith-based PA intervention targeting Latinas.

Methods: The study is a cluster randomized controlled trial of a PA intervention or cancer screening comparison condition, with churches as the randomization unit. A total of 436 Latinas (aged 18-65 years) from 16 churches who engaged in low levels of self-report and accelerometer-based PA were enrolled. The experimental condition was a 24-month PA intervention, with in-person classes, social support, and environmental changes, led by community health workers (i.e., promotoras). At baseline, 12-, and 24 months, we assessed changes in accelerometer-based and self-reported moderate to vigorous physical activity (MVPA; primary outcomes). Secondary outcomes were light intensity activity, sedentary time, body mass index (BMI), and waist circumference.

Results: After adjusting for sociodemographic factors, a mixed effects analysis found significant increases in self-reported leisure time MVPA (p < 0.005) and marginal increases in accelerometer-assessed MVPA (p < 0.08) 24 months post-baseline in the intervention compared to the attention-control condition. Data showed significant associations between PA class attendance and engaging in MVPA as assessed by self-report and accelerometry. No significant changes were found for light activity, sedentary time, BMI, or waist circumference.

Conclusions: Participants who attended the PA classes at least once a month engaged in significantly higher MVPA compared to those who did not. Maximizing engagement and maintenance strategies to enhance PA maintenance could contribute to important long-term health benefits.

Trial registration: NCT01776632 , Registered March 18, 2011.

Keywords: Community health worker; Exercise; Faith based intervention; Health equity; Health promotion; Hispanic/Latinos.

PubMed Disclaimer

Conflict of interest statement

JFS receives royalties from San Diego State University Research Foundation and honoraria from Gopher Sport, Inc., both related to SPARK physical activity programs and not to the present study. No other declarations of interest or financial disclosures are reported by the authors.

Figures

**Fig. 1**
Consort flow chart: Fe en Accion, San Diego, CA

See this image and copyright information in PMC

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References

1. U.S. Department of Health and Human Services. Physical activity guidelines for Americans. 2nd ed. Washington, DC; 2018.
1. Arredondo EM, Sotres-Alvarez D, Stoutenberg M, et al. Physical activity levels in U.S. Latino/Hispanic adults: results from the Hispanic community health study/study of Latinos. Am J Prev Med. 2016;50(4):500–508. doi: 10.1016/j.amepre.2015.08.029. - DOI - PMC - PubMed
1. Fogelholm M. Physical activity, fitness and fatness: relations to mortality, morbidity and disease risk factors. A systematic review. Obes Rev. 2010;11(3):202–221. doi: 10.1111/j.1467-789X.2009.00653.x. - DOI - PubMed
1. Wu S, Fisher-Hoch SP, Reininger B, McCormick JB. Recommended levels of physical activity are associated with reduced risk of the metabolic syndrome in Mexican-Americans. PLoS One. 2016;11(4):1–10. - PMC - PubMed
1. Evenson KR, Fang W, Herring AH. Associations of Accelerometry-assessed and self-reported physical activity and sedentary behavior with all-cause and cardiovascular mortality among US adults. Am J Epidemiol. 2016;184(9):621–632. doi: 10.1093/aje/kww070. - DOI - PMC - PubMed

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[1] U.S. Department of Health and Human Services. Physical activity guidelines for Americans. 2nd ed. Washington, DC; 2018.

[2] U.S. Department of Health and Human Services. Physical activity guidelines for Americans. 2nd ed. Washington, DC; 2018.

[3] Arredondo EM, Sotres-Alvarez D, Stoutenberg M, et al. Physical activity levels in U.S. Latino/Hispanic adults: results from the Hispanic community health study/study of Latinos. Am J Prev Med. 2016;50(4):500–508. doi: 10.1016/j.amepre.2015.08.029. - DOI - PMC - PubMed

[4] Arredondo EM, Sotres-Alvarez D, Stoutenberg M, et al. Physical activity levels in U.S. Latino/Hispanic adults: results from the Hispanic community health study/study of Latinos. Am J Prev Med. 2016;50(4):500–508. doi: 10.1016/j.amepre.2015.08.029. - DOI - PMC - PubMed

[5] Fogelholm M. Physical activity, fitness and fatness: relations to mortality, morbidity and disease risk factors. A systematic review. Obes Rev. 2010;11(3):202–221. doi: 10.1111/j.1467-789X.2009.00653.x. - DOI - PubMed

[6] Fogelholm M. Physical activity, fitness and fatness: relations to mortality, morbidity and disease risk factors. A systematic review. Obes Rev. 2010;11(3):202–221. doi: 10.1111/j.1467-789X.2009.00653.x. - DOI - PubMed

[7] Wu S, Fisher-Hoch SP, Reininger B, McCormick JB. Recommended levels of physical activity are associated with reduced risk of the metabolic syndrome in Mexican-Americans. PLoS One. 2016;11(4):1–10. - PMC - PubMed

[8] Wu S, Fisher-Hoch SP, Reininger B, McCormick JB. Recommended levels of physical activity are associated with reduced risk of the metabolic syndrome in Mexican-Americans. PLoS One. 2016;11(4):1–10. - PMC - PubMed

[9] Evenson KR, Fang W, Herring AH. Associations of Accelerometry-assessed and self-reported physical activity and sedentary behavior with all-cause and cardiovascular mortality among US adults. Am J Epidemiol. 2016;184(9):621–632. doi: 10.1093/aje/kww070. - DOI - PMC - PubMed

[10] Evenson KR, Fang W, Herring AH. Associations of Accelerometry-assessed and self-reported physical activity and sedentary behavior with all-cause and cardiovascular mortality among US adults. Am J Epidemiol. 2016;184(9):621–632. doi: 10.1093/aje/kww070. - DOI - PMC - PubMed

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Two-year outcomes of Faith in Action/Fe en Acción: a randomized controlled trial of physical activity promotion in Latinas

Affiliations

Two-year outcomes of Faith in Action/Fe en Acción: a randomized controlled trial of physical activity promotion in Latinas

Authors

Affiliations

Abstract

Conflict of interest statement

Figures

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Cited by

References

Publication types

MeSH terms

Associated data

Grants and funding

LinkOut - more resources

Full Text Sources

Medical

Research Materials