Variation in mode of physical activity by ethnicity and time since immigration: a cross-sectional analysis

BackgroundPhysical activity (PA) levels are known to be significantly lower in ethnic minority and immigrant groups living in North America and Europe compared to the general population. While there has been an increase in the number of interventions targeting these groups, little is known about their preferred modes of PA.MethodsUsing three cycles of the Canadian Community Health Survey (cycles 1.1, 2.1, 3.1; 2000-2005, n = 400,055) this investigation determined PA preferences by self-ascribed ethnicity (White, South Asian, South-East Asian, Blacks, Latin American, West Asian, Aboriginal persons and Other) and explored variation in PA preference across time since immigration categories (non-immigrant, established immigrant [> 10 years], and recent immigrant [≤ 10 years]). PA preferences over the past three months were collapsed into eight categories: walking, endurance, recreation, sports, conventional exercise, active commuting, and no PA. Logistic regression models were used to estimate the odds of participating in each PA across ethnicity and time since immigration compared to Whites and non-immigrants, respectively.ResultsCompared to Whites, all other ethnic groups were more likely to report no PA and were less likely to engage in walking, with the exception of Aboriginal persons (OR: 1.25, CI: 1.16-1.34). Further, all ethnic groups including Aboriginal persons were less likely to engage in endurance, recreation, and sport activities, but more likely to have an active commute compared to Whites. Recent and established immigrants were more likely to have an active commute and no PA, but a lower likelihood of walking, sports, endurance, and recreation activities than non-immigrants.ConclusionEthnic minority groups and immigrants in Canada tend to participate in conventional forms of exercise compared to Whites and non-immigrants and are less likely to engage in endurance exercise, recreation activities, and sports. Health promotion initiatives targeting ethnic and immigrant groups at high-risk for physical inactivity and chronic disease should consider mode of PA preference in intervention development.

[1]  S. Kennedy,et al.  Insights into the 'healthy immigrant effect': health status and health service use of immigrants to Canada. , 2004, Social science & medicine.

[2]  Jennifer B. Unger,et al.  Acculturation, Physical Activity, and Fast-Food Consumption Among Asian-American and Hispanic Adolescents , 2004, Journal of Community Health.

[3]  García-Pando Ac,et al.  Dietary and activity profiles of selected immigrant older adults in Canada. , 2003 .

[4]  J. Chen,et al.  The health of Canada's immigrants in 1994-95. , 1996, Health reports.

[5]  Anoop Misra,et al.  The metabolic syndrome in South Asians: epidemiology, determinants, and prevention. , 2009, Metabolic syndrome and related disorders.

[6]  Lawrence D Frank,et al.  Economic interventions to promote physical activity: application of the SLOTH model. , 2004, American journal of preventive medicine.

[7]  M. Tremblay,et al.  Physical activity and immigrant status: evidence from the Canadian Community Health Survey. , 2006, Canadian journal of public health = Revue canadienne de sante publique.

[8]  J. Woo,et al.  Effects of Tai Chi and resistance training on cardiovascular risk factors in elderly Chinese subjects: a 12‐month longitudinal, randomized, controlled intervention study , 2005, Clinical endocrinology.

[9]  B. Ainsworth,et al.  Race/ethnicity, social class, and leisure-time physical inactivity. , 2007, Medicine and science in sports and exercise.

[10]  Caitlin Gutheil,et al.  Social Influences, Social Context, and Health Behaviors Among Working-Class, Multi-Ethnic Adults , 2007, Health education & behavior : the official publication of the Society for Public Health Education.

[11]  J F Sallis,et al.  Personal and environmental factors associated with physical inactivity among different racial-ethnic groups of U.S. middle-aged and older-aged women. , 2000, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[12]  X. Castells,et al.  Hospital emergency department utilisation rates among the immigrant population in Barcelona, Spain , 2008, BMC health services research.

[13]  H. Houston,et al.  Distance learning package for eye disease. , 1995, The British journal of general practice : the journal of the Royal College of General Practitioners.

[14]  M. Deutekom,et al.  Bmc Public Health the Effectiveness of "exercise on Prescription" in Stimulating Physical Activity among Women in Ethnic Minority Groups in the Netherlands: Protocol for a Randomized Controlled Trial , 2008 .

[15]  M. Tremblay,et al.  Physical activity and ethnicity: evidence from the Canadian Community Health Survey. , 2006, Canadian journal of public health.

[16]  B. Swinburn,et al.  Effectiveness of prevention programmes for obesity and chronic diseases among immigrants to developed countries – a systematic review , 2009, Public Health Nutrition.

[17]  J. Kruger,et al.  Physical inactivity during leisure time among older adults--Behavioral Risk Factor Surveillance System, 2005. , 2008, Journal of aging and physical activity.

[18]  S. Haberman The Analysis of Residuals in Cross-Classified Tables , 1973 .

[19]  B. Belza,et al.  “It Is Our Exercise Family”: Experiences of Ethnic Older Adults in a Group-Based Exercise Program , 2007, Preventing chronic disease.

[20]  E. Boyko,et al.  Type 2 diabetes prevalence in Asian Americans: results of a national health survey. , 2004, Diabetes care.

[21]  K. Bainey,et al.  Increased burden of coronary artery disease in South-Asians living in North America. Need for an aggressive management algorithm. , 2009, Atherosclerosis.

[22]  J. Sundquist,et al.  The Influence of Ethnicity and Length of Time since Immigration on Physical Activity , 2005, Ethnicity & health.

[23]  B H Marcus,et al.  Determinants of physical activity and interventions in adults. , 1992, Medicine and science in sports and exercise.

[24]  M. Floyd,et al.  Race, class, and leisure activity preferences: marginality and ethnicity revisited. , 1994 .

[25]  C. Johnson,et al.  Dietary and Activity Profiles of Selected Immigrant Older Adults in Canada , 2003, Journal of nutrition for the elderly.