Skip Navigation
Grant Details

Grant Number: 5R01CA109403-05 Interpret this number
Primary Investigator: Lee, Rebecca
Organization: University Of Houston
Project Title: Maintaining Physical Activity in Ethnic Minority Women
Fiscal Year: 2009
Back to top


Abstract

inactivity contributes to health maladies including breast and colon cancers directly, and numerous other cancers indirectly, in part by contributing to obesity. Ethnic minorities report higher rates of physical inactivity and obesity. Individually-focused physical activity (PA) interventions are initially effective. Up to 50% drop out within 6 months, and maintenance continues to decline after this time. Ecological models posit that environments do not support PA impede PA maintenance. There have been few investigations testing the combined effects of supportive environments with individually focused interventions that increase PA. The purpose of the proposed study is (1) to determine whether a 24 week social cohesion intervention (SOCO) is more effective for adopting walking for leisure exercise and transport in comparison to a delayed control (CONT), (2) to determine whether walking is more effectively maintained by participants who reside in highly supportive PA areas (HIGH) in comparison to those who reside in low supportive PA areas (LOW), and (3) to determine whether this effect is transculturally replicable across 2 cultural groups from 2 cities. African American women in Houston and Hispanic women in Austin will be recruited from churches and community centers and randomized to either SOCO or CONT. Participants' neighborhoods will be classified as HIGH or LOW supportive. Participants will complete written socio demographic, walking (International Physical Activity Questionnaire), and health measures at baseline (T1), post intervention (T2), and 6 month follow-up (T3). Participants will complete accelerometer assessments as a validity check. It is hypothesized that (1) participants in SOCO will report more walking at T2 than CONT, (2) SOCO participants residing in HIGH neighborhoods will report greater minutes of walking than LOW at T3, and (3) this effect will be transculturally replicable. If supported, hypotheses will suggest that the sustained effect of SOCO strategies is moderated by environmental supports.

Back to top


Publications

Neighborhood street scale elements, sedentary time and cardiometabolic risk factors in inactive ethnic minority women.
Authors: Lee RE, Mama SK, Adamus-Leach HJ
Source: PLoS One, 2012;7(12), p. e51081.
EPub date: 2012 Dec 7.
PMID: 23236434
Related Citations

Back to top


Mediating effects of group cohesion on physical activity and diet in women of color: health is power.
Authors: Lee RE, O'Connor DP, Smith-Ray R, Mama SK, Medina AV, Reese-Smith JY, Banda JA, Layne CS, Brosnan M, Cubbin C, McMillan T, Estabrooks PA
Source: Am J Health Promot, 2012 Mar-Apr;26(4), p. e116-25.
PMID: 22375580
Related Citations

Back to top


Concordance and correlates of direct and indirect built environment measurement among minority women.
Authors: McAlexander KM, Mama SK, Medina AV, O'Connor DP, Lee RE
Source: Am J Health Promot, 2012 Mar-Apr;26(4), p. 239-44.
PMID: 22375575
Related Citations

Back to top


Relationship of fruit, vegetable, and fat consumption to binge eating symptoms in African American and Hispanic or Latina women.
Authors: Wilson PL, O'Connor DP, Kaplan CD, Bode S, Mama SK, Lee RE
Source: Eat Behav, 2012 Apr;13(2), p. 179-82.
EPub date: 2012 Jan 24.
PMID: 22365808
Related Citations

Back to top


Neighborhood factors influence physical activity among African American and Hispanic or Latina women.
Authors: Lee RE, Mama SK, Medina AV, Ho A, Adamus HJ
Source: Health Place, 2012 Jan;18(1), p. 63-70.
PMID: 22243907
Related Citations

Back to top


Body image and physical activity among Latina and African American women.
Authors: Mama SK, Quill BE, Fernandez-Esquer ME, Reese-Smith JY, Banda JA, Lee RE
Source: Ethn Dis, 2011 Summer;21(3), p. 281-7.
PMID: 21942159
Related Citations

Back to top


Health is Power: an ecological, theory-based health intervention for women of color.
Authors: Lee RE, Medina AV, Mama SK, Reese-Smith JY, O'Connor DP, Brosnan M, Cubbin C, McMillan T, Estabrooks PA
Source: Contemp Clin Trials, 2011 Nov;32(6), p. 916-23.
EPub date: 2011 Jul 18.
PMID: 21782975
Related Citations

Back to top


The concordance of directly and indirectly measured built environment attributes and physical activity adoption.
Authors: McAlexander KM, Mama SK, Medina A, O'Connor DP, Lee RE
Source: Int J Behav Nutr Phys Act, 2011 Jul 7;8, p. 72.
EPub date: 2011 Jul 7.
PMID: 21736740
Related Citations

Back to top


Multiple measures of physical activity, dietary habits and weight status in African American and Hispanic or Latina women.
Authors: Lee RE, Mama SK, Medina AV, Reese-Smith JY, Banda JA, Layne CS, Baxter M, O'Connor DP, McNeill L, Estabrooks PA
Source: J Community Health, 2011 Dec;36(6), p. 1011-23.
PMID: 21519867
Related Citations

Back to top


Development of an ecologically valid approach to assess moderate physical activity using accelerometry in community dwelling women of color: a cross-sectional study.
Authors: Layne CS, Mama SK, Banda JA, Lee RE
Source: Int J Behav Nutr Phys Act, 2011 Mar 25;8, p. 21.
EPub date: 2011 Mar 25.
PMID: 21439052
Related Citations

Back to top


Striding toward social justice: the ecologic milieu of physical activity.
Authors: Lee RE, Cubbin C
Source: Exerc Sport Sci Rev, 2009 Jan;37(1), p. 10-7.
PMID: 19098519
Related Citations

Back to top