The Feasibility of a Lifestyle Physical Activity Intervention for Black Women with Asthma

Overview

Journal J Allergy Clin Immunol Pract

Specialty Allergy & Immunology

Date 2021 Aug 1

PMID 34333191

Citations 3

Authors

Sharmilee M Nyenhuis

Nida Shah

Hajwa Kim

David X Marquez

JoEllen Wilbur

Lisa K Sharp

Affiliations

Soon will be listed here.

Abstract

Background: Black women are disproportionately affected by both physical inactivity and asthma. Lifestyle physical activity (PA) interventions targeted for Black women with asthma are lacking.

Objective: To assess the feasibility and acceptability as well as preliminary effects of a lifestyle PA intervention culturally tailored for Black women with asthma.

Methods: Black women (age 18-70 years) with uncontrolled asthma (Asthma Control Test <20) were recruited. Outcome assessments at baseline and 24 weeks included measures of: feasibility and acceptability, asthma control, quality of life, health care use, and PA levels. Participants were randomized to the intervention (asthma education, Fitbit, monthly group sessions, text messages, individual step goals, and study manual) or enhanced usual care (EUC) (asthma education plus Fitbit) group.

Results: Of the 53 women randomized (EUC = 28; intervention = 25), 92% remained in the intervention (23 of 25) and 76% completing the 24-week outcome assessment. Overall intervention satisfaction (mean score, 6.88 of 7) and individual components were high at 24 weeks. Mean change in asthma control questionnaire between groups was not significant at 24 weeks (intervention = -0.41 vs EUC = 0.03 [P = .08]; effect size = -0.38) but approached clinical significance (0.5). At 24 weeks, more women receiving the intervention had controlled asthma compared with EUC (36.84% vs 9.52%; P = .04). Clinically significant improvements (0.5) in quality of life were found in the intervention group (mean change: intervention = 0.58 vs EUC = 0.10; P = .10) at 24 weeks.

Conclusions: A culturally tailored lifestyle PA intervention is feasible and demonstrates improvements in asthma control and quality of life among Black women with asthma. These preliminary findings support the need for PA lifestyle interventions in urban Black women with asthma.

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References

Cordova-Rivera L, Gibson P, Gardiner P, Powell H, McDonald V . Physical Activity and Exercise Capacity in Severe Asthma: Key Clinical Associations. J Allergy Clin Immunol Pract. 2017; 6(3):814-822. DOI: 10.1016/j.jaip.2017.09.022. View

Chen K, Acra S, Majchrzak K, Donahue C, Baker L, Clemens L . Predicting energy expenditure of physical activity using hip- and wrist-worn accelerometers. Diabetes Technol Ther. 2004; 5(6):1023-33. PMC: 2901160. DOI: 10.1089/152091503322641088. View

Nyenhuis S, Balbim G, Ma J, Marquez D, Wilbur J, Sharp L . A Walking Intervention Supplemented With Mobile Health Technology in Low-Active Urban African American Women With Asthma: Proof-of-Concept Study. JMIR Form Res. 2020; 4(3):e13900. PMC: 7101169. DOI: 10.2196/13900. View

Joseph R, Ainsworth B, Keller C, Dodgson J . Barriers to Physical Activity Among African American Women: An Integrative Review of the Literature. Women Health. 2015; 55(6):679-99. PMC: 4516615. DOI: 10.1080/03630242.2015.1039184. View

Carson K, Chandratilleke M, Picot J, Brinn M, Esterman A, Smith B . Physical training for asthma. Cochrane Database Syst Rev. 2013; (9):CD001116. DOI: 10.1002/14651858.CD001116.pub4. View

Miller M, Hankinson J, Brusasco V, Burgos F, Casaburi R, Coates A . Standardisation of spirometry. Eur Respir J. 2005; 26(2):319-38. DOI: 10.1183/09031936.05.00034805. View

Joseph R, Royse K, Benitez T . A Systematic Review of Electronic and Mobile Health (e- and mHealth) Physical Activity Interventions for African American and Hispanic Women. J Phys Act Health. 2019; 16(3):230-239. DOI: 10.1123/jpah.2018-0103. View

Malkia E, Impivaara O . Intensity of physical activity and respiratory function in subjects with and without bronchial asthma. Scand J Med Sci Sports. 1998; 8(1):27-32. DOI: 10.1111/j.1600-0838.1998.tb00225.x. View

Bacon S, Lemiere C, Moullec G, Ninot G, Pepin V, Lavoie K . Association between patterns of leisure time physical activity and asthma control in adult patients. BMJ Open Respir Res. 2015; 2(1):e000083. PMC: 4521535. DOI: 10.1136/bmjresp-2015-000083. View

10.

Sim J, Lewis M . The size of a pilot study for a clinical trial should be calculated in relation to considerations of precision and efficiency. J Clin Epidemiol. 2011; 65(3):301-8. DOI: 10.1016/j.jclinepi.2011.07.011. View

11.

Whitehead A, Julious S, Cooper C, Campbell M . Estimating the sample size for a pilot randomised trial to minimise the overall trial sample size for the external pilot and main trial for a continuous outcome variable. Stat Methods Med Res. 2015; 25(3):1057-73. PMC: 4876429. DOI: 10.1177/0962280215588241. View

12.

Krishnan J, Lemanske Jr R, Canino G, Elward K, Kattan M, Matsui E . Asthma outcomes: symptoms. J Allergy Clin Immunol. 2012; 129(3 Suppl):S124-35. PMC: 4263029. DOI: 10.1016/j.jaci.2011.12.981. View

13.

Juniper E, Bousquet J, Abetz L, Bateman E . Identifying 'well-controlled' and 'not well-controlled' asthma using the Asthma Control Questionnaire. Respir Med. 2005; 100(4):616-21. DOI: 10.1016/j.rmed.2005.08.012. View

14.

Freitas P, Ferreira P, Silva A, Stelmach R, Carvalho-Pinto R, Fernandes F . The Role of Exercise in a Weight-Loss Program on Clinical Control in Obese Adults with Asthma. A Randomized Controlled Trial. Am J Respir Crit Care Med. 2016; 195(1):32-42. DOI: 10.1164/rccm.201603-0446OC. View

15.

Wilbur J, McDevitt J, Wang E, Dancy B, Miller A, Briller J . Outcomes of a home-based walking program for African-American women. Am J Health Promot. 2008; 22(5):307-17. DOI: 10.4278/ajhp.22.5.307. View

16.

Emtner M, Finne M, Stalenheim G . High-intensity physical training in adults with asthma. A comparison between training on land and in water. Scand J Rehabil Med. 1998; 30(4):201-9. DOI: 10.1080/003655098443940. View

17.

Nyenhuis S, Shah N, Ma J, Marquez D, Wilbur J, Cattamanchi A . Identifying Barriers to Physical Activity Among African American Women with Asthma. Cogent Med. 2019; 6(1). PMC: 6871513. View

18.

Roger V, Go A, Lloyd-Jones D, Benjamin E, Berry J, Borden W . Heart disease and stroke statistics--2012 update: a report from the American Heart Association. Circulation. 2011; 125(1):e2-e220. PMC: 4440543. DOI: 10.1161/CIR.0b013e31823ac046. View

19.

Banks-Wallace J, Conn V . Interventions to promote physical activity among African American women. Public Health Nurs. 2002; 19(5):321-35. DOI: 10.1046/j.1525-1446.2002.19502.x. View

20.

Schatz M, Kosinski M, Yarlas A, Hanlon J, Watson M, Jhingran P . The minimally important difference of the Asthma Control Test. J Allergy Clin Immunol. 2009; 124(4):719-23.e1. DOI: 10.1016/j.jaci.2009.06.053. View