Correlates of Moderate-to-Vigorous Physical Activity and Exercise Motivation in Underserved African American Men

Demetrius A Abshire, Dawn K Wilson, Allison M Sweeney, Bernardine M Pinto, Demetrius A Abshire, Dawn K Wilson, Allison M Sweeney, Bernardine M Pinto

Abstract

Effective interventions are needed to increase physical activity (PA) in African American men, but little is known about correlates of PA and exercise motivation in this population. Using an ecological approach that considers cognitive, social, and environmental factors, correlates of moderate-to-vigorous physical activity (MVPA) and exercise motivation in underserved African American men were examined. Greater exercise motivation, greater social support for exercise, and more favorable environmental perceptions were hypothesized to be associated with higher MVPA, and greater social support and environmental perceptions were hypothesized to be associated with higher exercise motivation. This secondary analysis used baseline data from the Positive Action for Today's Health (PATH) trial. African American men ( n = 166, aged 48 ± 15 years) completed surveys that assessed cognitive, social, and environmental factors theoretically relevant to MVPA. Accelerometers were used to obtain a 7-day estimate of MVPA. Hierarchical linear regression analyses showed that exercise motivation was positively associated with MVPA ( B = 1.15, SE = .41, p = .006). Exercise attitudes ( B = .16, SE = .07, p = .037), exercise self-concept ( B = .28, SE = .06, p < .001), exercise support from friends ( B = .12, SE = .06, p = .048), and places for walking and cycling ( B = .13, SE = .06, p = .032) were positively associated with exercise motivation. Interventions that improve exercise motivation and associated variables may be warranted to increase MVPA in underserved African American men. ClinicalTrials.gov # NCT01025726.

Keywords: African American men; environment; moderate-to-vigorous physical activity; motivation.

Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

References

    1. Bandura A. (1978). Self-efficacy: Toward a unifying theory of behavioral change. Advances in Behaviour Research and Therapy, 1, 139–161.
    1. Bandura A. (2004). Health promotion by social cognitive means. Health Education & Behavior, 31(2), 143–164. doi:10.1177/1090198104263660
    1. Benjamin E. J., Virani S. S., Callaway C. W., Chamberlain A. M., Chang A. R., Cheng S., … Stroke Statistics S. (2018). Heart disease and stroke statistics-2018 update: A report from the American Heart Association. Circulation, 137(12), e67–e492. doi:10.1161/CIR.0000000000000558
    1. Blackwell D. L., Lucas J. W., Clarke T. C. (2014). Summary health statistics for U.S. adults: National Health Interview Survey, 2012. Vital and Health Statistics, 10(260), 1–161.
    1. Bopp M., Lattimore D., Wilcox S., Laken M., McClorin L., Swinton R., … Bryant D. (2007). Understanding physical activity participation in members of an African American church: A qualitative study. Health Education Research, 22(6), 815–826. doi:10.1093/her/cyl149
    1. Bopp M., Wilcox S., Laken M., Butler K., Carter R. E., McClorin L., Yancey A. (2006). Factors associated with physical activity among African-American men and women. American Journal of Preventive Medicine, 30(4), 340–346. doi:10.1016/j.amepre.2005.11.007
    1. Bronfenbrenner U. (1994). Ecological models of human development (2 ed Vol. 3). Oxford: Elsevier.
    1. Casagrande S. S., Whitt-Glover M. C., Lancaster K. J., Odoms-Young A. M., Gary T. L. (2009). Built environment and health behaviors among African Americans: A systematic review. American Journal of Preventive Medicine, 36(2), 174–181. doi:10.1016/j.amepre.2008.09.037
    1. Centers for Disease Control and Prevention. (2013). Adult participation in aerobic and muscle-strengthening physical activities–United States, 2011. Morbidity and Mortality Weekly Report, 62(17), 326–330.
    1. Cerin E., Cain K. L., Conway T. L., Van Dyck D., Hinckson E., Schipperijn J., … Sallis J. F. (2014). Neighborhood environments and objectively measured physical activity in 11 countries. Medicine and Science in Sports and Exercise, 46(12), 2253–2264. doi:10.1249/MSS.0000000000000367
    1. Conn V. S., Hafdahl A., Phillips L. J., Ruppar T. M., Chase J. A. (2014). Impact of physical activity interventions on anthropometric outcomes: Systematic review and meta-analysis. The Journal of Primary Prevention, 35(4), 203–215. doi:10.1007/s10935-014-0352-5
    1. Cornish E. K., McKissic S. A., Dean D. A., Griffith D. M. (2015). Lessons learned about motivation from a pilot physical activity intervention for African American men. Health Promotion Practice, 18(1), 102–109. doi:10.1177/1524839915614800
    1. Coulon S. M., Wilson D. K., Egan B. M. (2013). Associations among environmental supports, physical activity, and blood pressure in African-American adults in the PATH trial. Social Science & Medicine, 87, 108–115. doi:10.1016/j.socscimed.2013.03.018
    1. Diez Roux A. V., Evenson K. R., McGinn A. P., Brown D. G., Moore L., Brines S., Jacobs D. R., Jr. (2007). Availability of recreational resources and physical activity in adults. American Journal of Public Health, 97(3), 493–499. doi:10.2105/AJPH.2006.087734
    1. Diez Roux A. V., Mujahid M. S., Hirsch J. A., Moore K., Moore L. V. (2016). The impact of neighborhoods on CV risk. Global Heart, 11(3), 353–363. doi:10.1016/j.gheart.2016.08.002
    1. Edmunds J., Ntoumanis N., Duda J. L. (2006). A test of self-determination theory in the exercise domain. Journal of Applied Social Psychology, 36(9), 2240–2265. doi:10.1111/j.0021-9029.2006.00102.x
    1. Friedman D. B., Hooker S. P., Wilcox S., Burroughs E. L., Rheaume C. E. (2012). African American men’s perspectives on promoting physical activity: “We’re not that difficult to figure out!”. Journal of Health Communication, 17(10), 1151–1170. doi:10.1080/10810730.2012.665424
    1. Garcia A. W., King A. C. (1991). Predicting long-term adherence to aerobic exercise: A comparison of two models. Journal of Sport & Exercise Psychology, 13, 394–410. doi:10.1123/jsep.13.4.394
    1. Gary-Webb T. L., Walker E. A., Realmuto L., Kamler A., Lukin J., Tyson W., … Weiss L. (2018). Translation of the National Diabetes Prevention Program to engage men in disadvantaged neighborhoods in New York City: A description of Power Up for Health. American Journal of Men’s Health, 12(4), 998–1006. doi:10.1177/1557988318758788
    1. Gothe N. P. (2018). Correlates of physical activity in urban African American adults and older adults: Testing the Social Cognitive Theory. Annals of Behavioral Medicine, 52(9), 743–751. doi:10.1093/abm/kax038
    1. Griffith D. M., Bergner E. M., Cornish E. K., McQueen C. M. (2018). Physical activity interventions with African American or Latino men: A systematic review. American Journal of Men’s Health, 12(4), 1102–1117. doi:10.1177/1557988318763647
    1. Griffith D. M., Gunter K., Allen J. O. (2011). Male gender role strain as a barrier to African American men’s physical activity. Health Education & Behavior, 38(5), 482–491. doi:10.1177/1090198110383660
    1. Griffith D. M., King A., Ober Allen J. (2013). Male peer influence on African American men’s motivation for physical activity: Men’s and women’s perspectives. American Journal of Men’s Health, 7(2), 169–178. doi:10.1177/1557988312465887
    1. Hood S., Linnan L., Jolly D., Muqueeth S., Hall M. B., Dixon C., Robinson S. (2015). Using the PRECEDE planning approach to develop a physical activity intervention for African American men who visit barbershops: Results from the FITShop Study. American Journal of Men’s Health, 9(4), 262–273. doi:10.1177/1557988314539501
    1. Hooker S. P., Harmon B., Burroughs E. L., Rheaume C. E., Wilcox S. (2011). Exploring the feasibility of a physical activity intervention for midlife African American men. Health Education Research, 26(4), 732–738. doi:10.1093/her/cyr034
    1. Hooker S. P., Hutto B., Zhu W., Blair S. N., Colabianchi N., Vena J. E., … Howard V. J. (2016). Accelerometer measured sedentary behavior and physical activity in white and black adults: The REGARDS study. Journal of Science and Medicine in Sport, 19(4), 336–341. doi:10.1016/j.jsams.2015.04.006
    1. Hooker S. P., Wilcox S., Rheaume C. E., Burroughs E. L., Friedman D. B. (2011). Factors related to physical activity and recommended intervention strategies as told by midlife and older African American men. Ethnicity & Disease, 21(3), 261–267.
    1. Hooker S. P., Wilson D. K., Griffin S. F., Ainsworth B. E. (2005). Perceptions of environmental supports for physical activity in African American and white adults in a rural county in South Carolina. Preventing Chronic Disease, 2(4), A11.
    1. Hurt T. R., Seawell A. H., O’Connor M. C. (2015). Developing effective diabetes programming for Black men. Global Qualitative Nursing Research, 2, 2333393615610576. doi:10.1177/2333393615610576
    1. Jakicic J. M. (2009). The effect of physical activity on body weight. Obesity (Silver Spring), 17(Suppl 3), S34–S38. doi:10.1038/oby.2009.386
    1. Kelley G. A., Kelley K. S., Roberts S., Haskell W. (2012). Comparison of aerobic exercise, diet or both on lipids and lipoproteins in adults: A meta-analysis of randomized controlled trials. Clinical Nutrition, 31(2), 156–167. doi:10.1016/j.clnu.2011.11.011
    1. Kerr Z., Evenson K. R., Moore K., Block R., Diez Roux A. V. (2015). Changes in walking associated with perceived neighborhood safety and police-recorded crime: The multi-ethnic study of atherosclerosis. Preventive Medicine, 73, 88–93. doi:10.1016/j.ypmed.2015.01.017
    1. Kosma M., Cardinal B. J. (2016). Theory-based physical activity beliefs by race and activity levels among older adults. Ethnicity & Health, 21(2), 181–195. doi:10.1080/13557858.2015.1047741
    1. Liao Y., Bang D., Cosgrove S., Dulin R., Harris Z., Taylor A., … Centers for Disease Control and Prevention. (2011). Surveillance of health status in minority communities - Racial and Ethnic Approaches to Community Health Across the U.S. (REACH U.S.) Risk Factor Survey, United States, 2009. Morbidity and Mortality Weekly Report. Surveillance Summaries, 60(6), 1–44.
    1. Matthews C. E., Keadle S. K., Troiano R. P., Kahle L., Koster A., Brychta R., … Berrigan D. (2016). Accelerometer-measured dose-response for physical activity, sedentary time, and mortality in US adults. The American Journal of Clinical Nutrition, 104(5), 1424–1432. doi:10.3945/ajcn.116.135129
    1. McDaniel T. C., Wilson D. K., Coulon S. M., Hand G. A., Siceloff E. R. (2015). Neighborhood social predictors of weight-related measures in underserved African Americans in the PATH Trial. Ethnicity & Disease, 25(4), 405–412. doi:10.18865/ed.25.4.405
    1. McNeill L. H., Kreuter M. W., Subramanian S. V. (2006). Social environment and physical activity: A review of concepts and evidence. Social Science & Medicine, 63(4), 1011–1022. doi:10.1016/j.socscimed.2006.03.012
    1. Mohammed A., Harrell J. P., Makambi K. H., Campbell A. L., Jr., Sloan L. R., Carter-Nolan P. L., Taylor T. R. (2016). Factors associated with exercise motivation among African-American men. Journal of Racial and Ethnic Health Disparities, 3(3), 457–465. doi:10.1007/s40615-015-0158-z
    1. Motl R. W., Dishman R. K., Trost S. G., Saunders R. P., Dowda M., Felton G., … Pate R. R. (2000). Factorial validity and invariance of questionnaires measuring social-cognitive determinants of physical activity among adolescent girls. Preventive Medicine, 31(5), 584–594. doi:10.1006/pmed.2000.0735
    1. Mullan E., Markland D., Ingledew D. K. (1997). A graded conceptualisation of self-determination in the regulation of exercise behaviour: Development of a measure using confirmatory factor analytic procedures. Personality and Individual Differences, 23(5), 745–752. doi:10.1016/S0191-8869(97)00107-4
    1. Newton R. L., Jr., Griffith D. M., Kearney W. B., Bennett G. G. (2014). A systematic review of weight loss, physical activity and dietary interventions involving African American men. Obesity Reviews, 15(Suppl 4), 93–106. doi:10.1111/obr.12209
    1. Porch T. C., Bell C. N., Bowie J. V., Usher T., Kelly E. A., LaVeist T. A., Thorpe R. J., Jr. (2016). The role of marital status in physical activity among African American and White Men. American Journal of Men’s Health, 10(6), 526–532. doi:10.1177/1557988315576936
    1. Realmuto L., Kamler A., Weiss L., Gary-Webb T. L., Hodge M. E., Pagan J. A., Walker E. A. (2018). Power Up for Health-participants’ perspectives on an adaptation of the National Diabetes Prevention Program to engage men. American Journal of Men’s Health, 12(4), 981–988. doi:10.1177/1557988318758786
    1. Richardson A. S., Troxel W. M., Ghosh-Dastidar M. B., Beckman R., Hunter G. P., DeSantis A. S., … Dubowitz T. (2017). One size doesn’t fit all: Cross-sectional associations between neighborhood walkability, crime and physical activity depends on age and sex of residents. BMC Public Health, 17(1), 97. doi:10.1186/s12889-016-3959-z
    1. Ryan R. M., Deci E. L. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. The American Psychologist, 55(1), 68–78. 10.1037/0003-066X.55.1.68
    1. Saelens B. E., Sallis J. F., Black J. B., Chen D. (2003). Neighborhood-based differences in physical activity: An environment scale evaluation. American Journal of Public Health, 93(9), 1552–1558.
    1. Sallis J. F., Floyd M. F., Rodriguez D. A., Saelens B. E. (2012). Role of built environments in physical activity, obesity, and cardiovascular disease. Circulation, 125(5), 729–737. doi:10.1161/CIRCULATIONAHA.110.969022
    1. Sallis J. F., Grossman R. M., Pinski R. B., Patterson T. L., Nader P. R. (1987). The development of scales to measure social support for diet and exercise behaviors. Preventive Medicine, 16(6), 825–836.
    1. Schmid D., Ricci C., Baumeister S. E., Leitzmann M. F. (2016). Replacing sedentary time with physical activity in relation to mortality. Medicine and Science in Sports and Exercise, 48(7), 1312–1319. doi:10.1249/MSS.0000000000000913
    1. Siceloff E. R., Coulon S. M., Wilson D. K. (2014). Physical activity as a mediator linking neighborhood environmental supports and obesity in African Americans in the path trial. Health Psychology, 33(5), 481–489. doi:10.1037/a0032758
    1. Sohn E. K., Porch T., Hill S., Thorpe R. J., Jr. (2017). Geography, race/ethnicity, and physical activity among men in the United States. American Journal of Men’s Health, 11(4), 1019–1027. doi:10.1177/1557988316689498
    1. Sweeney A. M., Wilson D. K., Van Horn M. L. (2017). Longitudinal relationships between self-concept for physical activity and neighborhood social life as predictors of physical activity among older African American adults. International Journal of Behavioral Nutrition and Physical Activity, 14(1), 67. doi:10.1186/s12966-017-0523-x
    1. Teixeira P. J., Carraca E. V., Markland D., Silva M. N., Ryan R. M. (2012). Exercise, physical activity, and self-determination theory: A systematic review. International Journal of Behavioral Nutrition and Physical Activity, 9, 78. doi:10.1186/1479-5868-9-78
    1. Teixeira P. J., Silva M. N., Mata J., Palmeira A. L., Markland D. (2012). Motivation, self-determination, and long-term weight control. International Journal of Behavioral Nutrition and Physical Activity, 9, 22. doi:10.1186/1479-5868-9-22
    1. Thorpe R. J., Jr., Wilson-Frederick S. M., Bowie J. V., Coa K., Clay O. J., LaVeist T. A., Whitfield K. E. (2013). Health behaviors and all-cause mortality in African American men. American Journal of Men’s Health, 7(4 Suppl), 8S–18S. doi:10.1177/1557988313487552
    1. Trumpeter N. N., Lawman H. G., Wilson D. K., Pate R. R., Van Horn M. L., Tate A. K. (2012). Accelerometry cut points for physical activity in underserved African Americans. International Journal of Behavioral Nutrition and Physical Activity, 9, 73. doi:10.1186/1479-5868-9-73
    1. Trumpeter N. N., Wilson D. K. (2014). Positive Action for Today’s Health (PATH): Sex differences in walking and perceptions of the physical and social environment. Environment and Behavior, 46(6), 745–767. doi:10.1177/0013916513480860
    1. Tucker J. M., Welk G. J., Beyler N. K. (2011). Physical activity in U.S.: Adults compliance with the Physical Activity Guidelines for Americans. American Journal of Preventive Medicine, 40(4), 454–461. doi:10.1016/j.amepre.2010.12.016
    1. Watson K. B., Carlson S. A., Gunn J. P., Galuska D. A., O’Connor A., Greenlund K. J., Fulton J. E. (2016). Physical inactivity among adults aged 50 years and older - United States, 2014. Morbidity and Mortality Weekly Report, 65(36), 954–958. doi:10.15585/mmwr.mm6536a3
    1. Whelton S. P., Chin A., Xin X., He J. (2002). Effect of aerobic exercise on blood pressure: A meta-analysis of randomized, controlled trials. Annals of Internal Medicine, 136(7), 493–503.
    1. Whitt-Glover M. C., Keith N. R., Ceaser T. G., Virgil K., Ledford L., Hasson R. E. (2014). A systematic review of physical activity interventions among African American adults: Evidence from 2009 to 2013. Obesity Reviews, 15(Suppl 4), 125–145. doi:10.1111/obr.12205
    1. Wilson D. K., Friend R., Teasley N., Green S., Reaves I. L., Sica D. A. (2002). Motivational versus social cognitive interventions for promoting fruit and vegetable intake and physical activity in African American adolescents. Annals of Behavioral Medicine, 24(4), 310–319. doi:10.1207/S15324796ABM2404_07
    1. Wilson D. K., Trumpeter N. N., St George S. M., Coulon S. M., Griffin S., Van Horn M. L., … Gadson B. (2010). An overview of the “Positive Action for Today’s Health” (PATH) trial for increasing walking in low income, ethnic minority communities. Contemporary Clinical Trials, 31(6), 624–633. doi:10.1016/j.cct.2010.08.009
    1. Wilson D. K., Van Horn M. L., Siceloff E. R., Alia K. A., St George S. M., Lawman H. G., … Gadson B. (2015). The results of the “Positive Action for Today’s Health” (PATH) Trial for increasing walking and physical activity in underserved African-American communities. Annals of Behavioral Medicine, 49(3), 398–410. doi:10.1007/s12160-014-9664-1

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