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Periodic Change in Sufficient Physical Activity: A 2-Year Study of a Multi-Ethnic Cohort

Rod K. Dishman and Claudio Nigg


Measuring the way people vary across time in meeting recommended levels of physical activity is a prerequisite to quantifying exposure in outcome studies or identifying determinants of sufficient physical activity. The study determined whether distinct patterns of change in sufficient physical activity could be identified in a population.


A cohort (N = 497) from a random, multiethnic sample of adults living in Hawaii was assessed every 6 months for 2 years beginning spring 2004. Latent transition analysis classified people as sufficiently or insufficiently active each time.


In the total cohort, odds that people would move from insufficient to sufficient activity (45% to 59%) at each 6-month transition were higher than odds they would move from sufficient to insufficient activity (8% to 13%). However, those odds, as well as types and amounts of physical activity, differed widely among and within 3 of 4 transition classes that represented 21% of the cohort.


Point-prevalence of sufficient physical activity in the total cohort was similar to contemporary U.S. estimates. However, physical activity varied between and within subgroups of the cohort. Further research is needed using self-report and objective measures to determine patterns of change in sufficient physical activity in other representative cohorts.

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Understanding Correlates of Physical Activity in American Indian Families: The Healthy Children Strong Families-2 Study

Vernon M. Grant, Emily J. Tomayko, Ronald J. Prince, Kate Cronin, and Alexandra Adams

.430–1.036 .07  College degree or postgraduate 1.467 0.735–2.982 .28 1.608 0.768–3.444 .21 Note: Bold values indicate a significant odds ratio. N/A = not applicable as variable not included in the final model. a Hispanic/Latino, Native Hawaiian/Pacific Islander, White, and Asian. * P value significant at α

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Metabolic Rate in Adolescent Athletes: The Development and Validation of New Equations, and Comparison to Previous Models

Reid J. Reale, Timothy J. Roberts, Khalil A. Lee, Justina L. Bonsignore, and Melissa L. Anderson

.6%)  American Indian/Native Alaskan 1 (1.0%) 1 (3.4%) 2 (1.6%)  Black/African American 8 (8.2%) 4 (13.8%) 12 (9.5%)  Asian 13 (13.4%) 0 (0.0%) 13 (10.4%)  Native Hawaiian/Pacific Islander 0 (0.0%) 0 (0.0%) 0 (0.0%)  Other 6 (6.2%) 4 (13.8%) 10 (7.9%) Resting metabolic rate (kcal/day) 2,009.5 ± 294.4 1

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It Takes a Village Coach: Cost-Effectiveness of an Intervention to Improve Diet and Physical Activity Among Minority Women

Iris Buder, Cathleen Zick, Norman Waitzman, Sara Simonsen, Grant Sunada, and Kathleen Digre

Native Hawaiians/Pacific Islanders. The study was approved by the University of Utah Institutional Review Board and the Phoenix Area Indian Health Service Institutional Review Board. This trial was also registered with clinical (#NCT02470156). The CHC-UWAG health intervention focused on women

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An Analysis of Olympic Mascot Design Toward Attitude and Purchase Intention

Amanda Palladino, Minkyo Lee, and Xiaochen Zhou

25–30 (14.0%), ages 31–40 (8.1%), ages 41–50 (3.5%), ages 61 and older (3.5%), and ages 51–60 (1.1%). Most of the participants identified as White (79.6%), followed by African American/Black (8.1%), Asian (5.8%), Latino/Hispanic (4.7%), Native Hawaiian/Pacific Islander (1.2%), and then American

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Motivational Profile as a Predictor of Physical Activity Among US Adults During the Early Months of the COVID-19 Pandemic: A Daily Diary Study

Kristen N. Moore, Kayla Nuss, Bridgette Do, Shirlene D. Wang, Kaigang Li, Dan J. Graham, Genevieve F. Dunton, and Jimikaye B. Courtney

(%)  White 392 (83.7%)  Black 11 (2.3%)  Asian 51 (10.8%)  American Indian/Alaska Native 10 (2.1%)  Native Hawaiian/Pacific Islander 4 (0.85%) Education, n (%)  12th grade or less 1 (0.2%)  High school/GED 7 (1.4)  Some college 15 (3.2%)  College graduate 193 (41.2%)  Graduate degree 252 (53.8%) Work status

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The Relationship Between Policy Strength and Physical Activity Practices in Arizona Public Elementary Schools

Kahyun Nam, Kylie Wilson, Marissa Schulke, Pamela Hodges Kulinna, and Allison Poulos

.52% 5.78%   Asian — — 2.59% 4.18%   Hispanic — — 42.88% 25.53%   Native Hawaiian/Pacific Islander — — 0.56% 1.95%   White — — 40.85% 26.45%   Two or more — — 4.36% 2.98% Table 2 Descriptive Results of Physical Education Policy and Practice in Summative Scales Questions Points Yes, % Don’t know, % No

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Physical Activity Barriers and Facilitators Among US Pacific Islanders and the Feasibility of Using Mobile Technologies for Intervention: A Focus Group Study With Tongan Americans

Neng Wan, Ming Wen, Jessie X. Fan, O. Fahina Tavake-Pasi, Sara McCormick, Kirsten Elliott, and Emily Nicolosi

Bureau ; 2010 . 2. Bacong AM , Holub C , Porotesano L . Comparing obesity-related health disparities among Native Hawaiians/Pacific Islanders, Asians, and Whites in California: reinforcing the need for data disaggregation and operationalization . Hawaii J Med Public Health . 2016 ; 75 ( 11

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The Influence of Source and Type of Support on College Students’ Physical Activity Behavior

Nicole M.S. Belanger and Julie Hicks Patrick

married 724 (98.8)  Married 2 (0.3)  Divorced 1 (0.1)  Other 2 (0.3) Race    White 666 (90.9)  African American/black 16 (2.2)  Native Hawaiian/Pacific Islander/Asian 14 (1.9)  American Indian/Alaska Native 2 (0.3)  Multiracial 23 (3.1)  Other 12 (1.6) Measures Demographics Participants indicated their

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Beyond the List of Traits: Addressing and Assessing Cultural Needs of Patients in Health Care Settings

René Revis Shingles

Active medical doctors, 2013 b Athletic trainers, 2017 c African American/Black 12.6 4.1 3.9 American Indian/Alaskan Native 0.8 0.4 0.4 Asian 5.2 11.7 3.5 Native Hawaiian/Pacific Islander 0.2 N/A (included with Asian) Hispanic/Latino 17.3 4.4 5.0 White 73.3 48.9 80.5 Multiethnic N/A N/A 1.8 a U.S. Census