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首页> 外文期刊>SAGE Open >A Systematic Literature Review of Physical Activity-Based Health Programs for Indigenous Women: Impacts on Physical Activity Levels, Obesity, and Community Building
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A Systematic Literature Review of Physical Activity-Based Health Programs for Indigenous Women: Impacts on Physical Activity Levels, Obesity, and Community Building

机译：对土着妇女的身体活动的健康计划的系统文献综述：对身体活动水平，肥胖和社区建设的影响

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Indigenous women experience a disproportionate burden of chronic diseases and health challenges related to obesity. The need for culturally relevant programming to support and empower women to optimize health is well established. Participatory physical activity [PA]-focused programming responsive to the sociocultural realities of Indigenous women may hold promise. However, obesity and chronic disease literature for Indigenous women focusing on PA change predominantly discusses individual behaviors, leaving a knowledge gap around the social and environmental supports needed to realize improved outcomes. We searched PubMed, Ovid MEDLINE, CINAHL, Bibliography of Native North Americans, and the University of New Mexico’s Native Health Databases for English language peer-reviewed articles on PA-based programs addressing prevention or management of obesity with Indigenous women as a primary focus. Fifteen articles, representing 13 unique programs, were included in the review. Outcome measures included program attendance and factors influencing program acceptance, PA, biochemical markers and blood pressure, weight and waist circumference measurements, the development of social supports, and nutritional knowledge acquisition. Although some studies found improvements in PA level and other outcomes, the marked variability in study design makes it difficult to draw conclusions about best practices for PA-based wellness and weight management programs for Indigenous women. However, programming that acknowledges and provides accommodation for the complex factors that influence behavior, incorporates cultural and community elements, and integrates opportunities for supportive network development may improve outcomes.
机译：土着妇女经历不成比例的慢性疾病和与肥胖有关的健康挑战的负担。需要在文化相关的方案中支持和赋予妇女优化健康的需要。参与性身体活动[PA] - 敏感的编程响应土着妇女的社会文化现实可能持有承诺。然而，专注于PA变革的土着妇女的肥胖和慢性病文献主要讨论了个性的行为，围绕社会和环境支持留下了知识差距，以实现改善的结果。我们搜索了Pubmed，Ovid Medline，Cinahl，Cinahl，Nation North Americals的教学博学，以及新墨西哥州的本土健康数据库英语同行审查的PA课程的文章，用于解决与土着妇女为主要焦点的预防或管理肥胖。审查中包含十五篇，代表13个独特计划。结果措施包括影响方案验收，PA，生化标志物和血压，重量和腰围测量，社会支持的发展和营养知识获取的因素。虽然一些研究发现了PA水平和其他结果的改善，但研究设计的明显变化使得难以得出关于土着妇女的基于PA的健康和体重管理计划的最佳实践的结论。但是，对影响行为的复杂因素提供的编程和为文化和社区要素提供的复杂因素，并整合支持性网络开发的机会可能会改善结果。

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