Highlights
- •Twenty-nine percent of Hispanics with MS were classified as sufficiently active
- •Hispanics with MS spent an average of 531 minutes per day sitting
- •Hispanics with MS report a median of 3 days per week of walking for 10-minute periods
- •Rates of work, home, & leisure physical activity were similar across racial groups
Abstract
Background
Multiple sclerosis (MS) is the most common cause of non-traumatic neurological disability
among adults with an estimated incidence of 2.9 cases per 100,000 Hispanic adults.
Hispanics with MS experience disproportionate rates of mobility disability compared
to non-Hispanic Whites with MS. The current study aimed to examine the rates and patterns
of physical activity (PA) behavior among Hispanics with MS and compare physical activity
behavior to non-Hispanic Whites with MS in the North American Research Committee on
Multiple Sclerosis Registry (NARCOMS).
Methods
NARCOMS registry participants who completed the physical activity questions in the
Spring 2015 semi-annual survey were included in the analyses. Self-identified Hispanic
and non-Hispanic Whites were compared. Rates and patterns of physical activity were
based on the International Physical Activity Questionnaire. We performed a 2:1 propensity
score matching for comparing non-Hispanic White and Hispanic participants.
Results
Of the 6,352 NARCOMS participants in Spring 2015, we included 136 Hispanic and 6,216
non-Hispanic White participants. Among the Hispanic sample, median number of days
engaged in vigorous PA was 0 and moderate PA was 1 day. Mean number of minutes sitting
per day was 531±266 (approximately 9 hours). Further, a minority of Hispanic participants
classified themselves as moderate or heavy active for work (11%), home (24%), and
leisure (33%) physical activity. There were no significant differences between participants
who identified as Hispanic (n=119) and propensity-matched non-Hispanics White participants
(n=238) in demographics, clinical characteristics, or physical activity variables.
Conclusion
Rates of physical activity were low among Hispanics with MS. This highlights an opportunity
for examining the impact of physical activity interventions for improving mobility
disability.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Multiple Sclerosis and Related DisordersAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
United States Census Bureau. Quick Facts. https://www.census.gov/quickfacts/fact/table/US/PST045221 (2021, accessed 10 March 2022).
- Health disparities in the Latino population.Epidemiol. Rev. 2009; 31: 99-112
- The prevalence of MS in the United States: a population-based estimate using health claims data.Neurology. 2019; 92: e1029-e1040
- Incidence of multiple sclerosis in multiple racial and ethnic groups.Neurology. 2013; 80: 1734-1739
- Multiple sclerosis in Hispanics: a study of clinical disease expression.Mult. Scler. 2011; 17: 1010-1016
- Hispanic Americans and African Americans with multiple sclerosis have more severe disease course than Caucasian Americans.Mult. Scler. 2017; 23: 1554-1557
- Place of birth, age of immigration, and disability in Hispanics with multiple sclerosis.Mult. Scler. Relat. Disord. 2015; 4: 25-30
- Clinical characteristics of pediatric-onset and adult-onset multiple sclerosis in Hispanic Americans.J. Child Neurol. 2016; 31: 1068-1073
- Comparisons of Latinos, African Americans, and Caucasians with multiple sclerosis.Ethn. Dis. 2010; 20: 451-457
- Assessment of Racial/Ethnic Disparities in Volumetric MRI Correlates of Clinical Disability in Multiple Sclerosis: A Preliminary Study.J. Neuroimaging. 2021; 31: 115-123
- Factors related to difficulties with employment in patients with multiple sclerosis: a review of 2002–2011 literature.Int. J. Rehabil. Res. 2013; 36: 105-111
- Contribution of impaired mobility and general symptoms to the burden of multiple sclerosis.Adv. Ther. 2009; 26: 1043-1057
- Contribution of impaired mobility to patient burden in multiple sclerosis.Curr. Med. Res. Opin. 2010; 26: 109-119
- The safety of exercise training in multiple sclerosis: a systematic review.J. Neurol. Sci. 2014; 343: 3-7
- The relationship between physical activity and symptoms of fatigue, mood, and perceived cognitive impairment in adults with multiple sclerosis.J. Clin. Exp. Neuropsychol. 2019; 41: 715-722
- Mobility disability and the pattern of accelerometer-derived sedentary and physical activity behaviors in people with multiple sclerosis.Prev. Med.Rep. 2015; 2: 241-246
- Physical activity and cognitive function in multiple sclerosis.J. Sport. Exerc. Psychol. 2011; 33: 734-741
- Your patients with multiple sclerosis have set wellness as a high priority-and the National Multiple Sclerosis Society is responding. US.Neurology. 2015; 11: 80-86
- Characteristics of Adults With Neurologic Disability Recruited for Exercise Trials: A Secondary Analysis.Adapt. Phys. Activ. Q. 2018; 35: 476
- Validation of patient determined disease steps (PDDS) scale scores in persons with multiple sclerosis.BMC Neurol. 2013; 13: 1-8
- International physical activity questionnaire: 12-country reliability and validity.Med. Sci. Sports Exerc. 2003; 35: 1381-1395
- National estimates of self-reported sitting time in adults with multiple sclerosis.Mult. Scler. J. Exp.Transl. Clin. 2018; 42055217318754368
- A simple method to assess exercise behavior in the community.Can. J. Appl. Sport Sci. 1985; 10: 141-146
- Validation of the Godin Leisure-Time Exercise Questionnaire classification coding system using accelerometry in multiple sclerosis.Rehabil. Psychol. 2018; 63: 77
- Validity of performance scales for disability assessment in multiple sclerosis.Mult. Scler. 2007; 13: 1176-1182
- Reliability and validity of two self-report measures of impairment and disability for MS.Neurology. 1999; 52 (-63): 63
- Exercise barriers and preferences among women and men with multiple sclerosis.Disabil. Rehabil. 2013; 35: 353-361
- Effect of exercise training on walking mobility in multiple sclerosis: a meta-analysis.Neurorehabil. Neural Repair. 2009; 23: 108-116
- Physical Activity of Urban Community-Dwelling Older Latino Adults.J. Phys.Act. Health. 2011; 8: S161
- The descriptive epidemiology of daily sitting time as a sedentary behavior in multiple sclerosis.Disabil. Health J. 2015; 8: 594-601
- Physical inactivity and sitting time prevalence and trends in Mexican adults. Results from three national surveys.PLoS One. 2021; 16e0253137
- Sedentary behavior is associated with disability status and walking performance, but not cognitive function, in multiple sclerosis.Appl. Physiol. Nutr. Metab. 2015; 40: 203-206
- Sedentary behavior and blood pressure in patients with multiple sclerosis.Int. J.MS Care. 2018; 20: 1-8
- Social-cognitive theory variables as correlates of sedentary behavior in multiple sclerosis: preliminary evidence.Disabil.Health J. 2019; 12: 622-627
- Promotion of physical activity and exercise in multiple sclerosis: Importance of behavioral science and theory.Mult. Scler. J. Exp.Transl. Clin. 2018; 42055217318786745
Article info
Publication history
Published online: July 02, 2022
Accepted:
July 1,
2022
Received in revised form:
June 24,
2022
Received:
March 17,
2022
Identification
Copyright
© 2022 Elsevier B.V. All rights reserved.