Highlights
- •Exercise improves health perception in Hispanic adolescents with obesity or type 2 diabetes.
- •Hispanic adolescents with type 2 diabetes experience increased barriers to exercise.
- •Cultural preferences are needed in regular exercise for Hispanic adolescents.
Abstract
Purpose
Hispanic adolescents experience high rates of obesity and type 2 diabetes. The purpose
of this study was to examine adherence to a 16-week personalized exercise intervention
and the perception of family support for exercise, benefits and barriers to exercise
and overall health in Hispanic adolescents diagnosed with obesity or type 2 diabetes.
Design and methods
Using a secondary analysis of a larger feasibility trial, data from 21 Hispanic adolescents,
13 with T2D and 8 who were obese and 14 that completed the entire 16-week study (7
T2D; 7 obese) were analyzed. Adolescents wore an Actigraph™ accelerometer for tracking
exercise throughout the 16-week intervention.
Results
The adherence rate for the intervention was 59% for those with T2D and was 88% for
those with obesity. Overall perceptions of health improved for those completing the
16-week intervention. Barriers to exercise were negatively associated with moderate-to-vigorous
physical activity and were higher in those with T2D.
Conclusions
Adolescents with T2D were less adherent to their personalized exercise program than
those who were obese.
Practice implications
Strategies that address cultural preferences and family engagement are needed to address
barriers to exercise for Hispanic youth, particularly those already diagnosed with
T2D that have high risks for early onset of disease complications.
Keywords
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Article info
Publication history
Published online: November 09, 2020
Accepted:
September 15,
2020
Received in revised form:
September 12,
2020
Received:
July 22,
2020
Identification
Copyright
© 2020 Elsevier Inc. All rights reserved.
