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Development of an Intervention to Promote Physical Activity and Reduce Dietary Sodium Intake for Preventing Hypertension and Chronic Disease in Filipino Americans

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Abstract

Hypertension is a common chronic health condition affecting Filipino Americans. This pilot study examined the feasibility of addressing high rates of hypertension among Filipino Americans through the implementation of a culturally tailored education intervention. Filipino Americans living in the Greater Philadelphia Area were recruited through community-based organizations for participation and were engaged using a community-based participatory research (CBPR) framework. The study included pre- and post-intervention blood pressure measurements, self-reported body mass index, and questionnaires about physical activity and salt intake. The intervention to promote physical activity and reduce salt intake was conducted through two educational sessions and was accompanied by follow-up at 3 months and by the collection of urine samples for 24-h urinary sodium intake biomarker analysis. Following intervention, a non-statistically significant decrease in urine sodium was observed in both the intervention and the control groups. For systolic blood pressure, a reduction of 12.6 mmHg and an increase in 5.3 mmHg was observed in the intervention and control groups, respectively. Diastolic pressure decreased 3.8 mmHg for the intervention group and increased 5.6 mmHg among controls. The culturally tailored education intervention reported here represents a promising tool for blood pressure reduction in high-risk ethnic populations. The methods used were effective for the recruitment and retention of ethnic minorities in a community-based setting.

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Funding

This project was supported by the U58DP005828 REACH grant (Racial and Ethnic approaches to Community Health, Principal Investigator: Grace X. Ma, PhD), funded by the Centers for Disease Control and Prevention, and U54 CA221704(5) funded by the National Cancer Institute (NCI) of NIH (contact PIs: Grace X. Ma, PhD and Olorunseun O. Ogunwobi, MD, PhD).

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Authors and Affiliations

  1. Center for Asian Health, Lewis Katz School of Medicine, Temple University, 3440 N Broad St., Suite 320, Kresge East Bldg, Philadelphia, PA, 19140, USA

    Grace X. Ma, Aisha Bhimla, Lin Zhu, Yin Tan & Omar Khan

  2. Department of Clinical Sciences, Lewis Katz School of Medicine, Temple University, Philadelphia, PA, USA

    Grace X. Ma

  3. Hunter College, The City University of New York (CUNY), New York, NY, USA

    Maayan Beeber

  4. Filipino American Society of South Jersey Inc., Mount Laurel, NJ, 08084, USA

    Ferdinand Aczon

  5. Division of Nephrology, Temple University School of Medicine, Philadelphia, PA, 19140, USA

    Sally Boyle Quinn & Crystal A. Gadegbeku

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  1. Grace X. Ma
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Correspondence to Grace X. Ma.

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The study was approved by the Temple University Institutional Review Board. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Ma, G.X., Bhimla, A., Zhu, L. et al. Development of an Intervention to Promote Physical Activity and Reduce Dietary Sodium Intake for Preventing Hypertension and Chronic Disease in Filipino Americans. J. Racial and Ethnic Health Disparities 8, 283–292 (2021). https://doi.org/10.1007/s40615-020-00781-z

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