Advertisement
Original article| Volume 65, 104018, September 2022

Download started.

Ok

Rates and patterns of physical activity among Hispanics with multiple sclerosis in the NARCOMS Registry

      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 access
      One-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 Disorders
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

      1. United States Census Bureau. Quick Facts. https://www.census.gov/quickfacts/fact/table/US/PST045221 (2021, accessed 10 March 2022).

        • Vega WA
        • Rodriguez MA
        • Gruskin E.
        Health disparities in the Latino population.
        Epidemiol. Rev. 2009; 31: 99-112
        • Wallin MT
        • Culpepper WJ
        • Campbell JD
        • et al.
        The prevalence of MS in the United States: a population-based estimate using health claims data.
        Neurology. 2019; 92: e1029-e1040
        • Langer-Gould A
        • Brara SM
        • Beaber BE
        • et al.
        Incidence of multiple sclerosis in multiple racial and ethnic groups.
        Neurology. 2013; 80: 1734-1739
        • Amezcua L
        • Lund B
        • Weiner L
        • et al.
        Multiple sclerosis in Hispanics: a study of clinical disease expression.
        Mult. Scler. 2011; 17: 1010-1016
        • Ventura RE
        • Antezana AO
        • Bacon T
        • et al.
        Hispanic Americans and African Americans with multiple sclerosis have more severe disease course than Caucasian Americans.
        Mult. Scler. 2017; 23: 1554-1557
        • Amezcua L
        • Conti DV
        • Liu L
        • et al.
        Place of birth, age of immigration, and disability in Hispanics with multiple sclerosis.
        Mult. Scler. Relat. Disord. 2015; 4: 25-30
        • Langille MM
        • Islam T
        • Burnett M
        • et al.
        Clinical characteristics of pediatric-onset and adult-onset multiple sclerosis in Hispanic Americans.
        J. Child Neurol. 2016; 31: 1068-1073
        • Americans A.
        Comparisons of Latinos, African Americans, and Caucasians with multiple sclerosis.
        Ethn. Dis. 2010; 20: 451-457
        • Pérez CA
        • Salehbeiki A
        • Zhu L
        • et al.
        Assessment of Racial/Ethnic Disparities in Volumetric MRI Correlates of Clinical Disability in Multiple Sclerosis: A Preliminary Study.
        J. Neuroimaging. 2021; 31: 115-123
        • Schiavolin S
        • Leonardi M
        • Giovannetti AM
        • et al.
        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
        • Zwibel HL.
        Contribution of impaired mobility and general symptoms to the burden of multiple sclerosis.
        Adv. Ther. 2009; 26: 1043-1057
        • Sutliff MH.
        Contribution of impaired mobility to patient burden in multiple sclerosis.
        Curr. Med. Res. Opin. 2010; 26: 109-119
        • Pilutti LA
        • Platta ME
        • Motl RW
        • et al.
        The safety of exercise training in multiple sclerosis: a systematic review.
        J. Neurol. Sci. 2014; 343: 3-7
        • Mayo CD
        • Miksche K
        • Attwell-Pope K
        • et al.
        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
        • Ezeugwu V
        • Klaren RE
        • Hubbard EA
        • et al.
        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
        • Motl RW
        • Gappmaier E
        • Nelson K
        • et al.
        Physical activity and cognitive function in multiple sclerosis.
        J. Sport. Exerc. Psychol. 2011; 33: 734-741
        • Dunn M
        • Bhargava P
        • Kalb R.
        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
        • Lai B
        • Cederberg K
        • Vanderbom KA
        • et al.
        Characteristics of Adults With Neurologic Disability Recruited for Exercise Trials: A Secondary Analysis.
        Adapt. Phys. Activ. Q. 2018; 35: 476
        • Learmonth YC
        • Motl RW
        • Sandroff BM
        • et al.
        Validation of patient determined disease steps (PDDS) scale scores in persons with multiple sclerosis.
        BMC Neurol. 2013; 13: 1-8
        • Craig CL
        • Marshall AL
        • Sjöström M
        • et al.
        International physical activity questionnaire: 12-country reliability and validity.
        Med. Sci. Sports Exerc. 2003; 35: 1381-1395
        • Sasaki J
        • Motl R
        • Cutter G
        • et al.
        National estimates of self-reported sitting time in adults with multiple sclerosis.
        Mult. Scler. J. Exp.Transl. Clin. 2018; 42055217318754368
        • Godin G
        • Shephard R.
        A simple method to assess exercise behavior in the community.
        Can. J. Appl. Sport Sci. 1985; 10: 141-146
        • Motl RW
        • Bollaert RE
        • Sandroff BM.
        Validation of the Godin Leisure-Time Exercise Questionnaire classification coding system using accelerometry in multiple sclerosis.
        Rehabil. Psychol. 2018; 63: 77
        • Marrie R
        • Goldman M.
        Validity of performance scales for disability assessment in multiple sclerosis.
        Mult. Scler. 2007; 13: 1176-1182
        • Schwartz CE
        • Vollmer T
        • Lee H.
        Reliability and validity of two self-report measures of impairment and disability for MS.
        Neurology. 1999; 52 (-63): 63
        • Asano M
        • Duquette P
        • Andersen R
        • et al.
        Exercise barriers and preferences among women and men with multiple sclerosis.
        Disabil. Rehabil. 2013; 35: 353-361
        • Snook EM
        • Motl RW.
        Effect of exercise training on walking mobility in multiple sclerosis: a meta-analysis.
        Neurorehabil. Neural Repair. 2009; 23: 108-116
        • Marquez DX
        • Hoyem R
        • Fogg L
        • et al.
        Physical Activity of Urban Community-Dwelling Older Latino Adults.
        J. Phys.Act. Health. 2011; 8: S161
        • Hubbard EA
        • Motl RW
        • Manns PJ.
        The descriptive epidemiology of daily sitting time as a sedentary behavior in multiple sclerosis.
        Disabil. Health J. 2015; 8: 594-601
        • Medina C
        • Jáuregui A
        • Hernández C
        • et al.
        Physical inactivity and sitting time prevalence and trends in Mexican adults. Results from three national surveys.
        PLoS One. 2021; 16e0253137
        • Hubbard EA
        • Motl RW.
        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
        • Hubbard EA
        • Motl RW
        • Fernhall B.
        Sedentary behavior and blood pressure in patients with multiple sclerosis.
        Int. J.MS Care. 2018; 20: 1-8
        • Motl RW
        • Sasaki JE
        • Cederberg KL
        • et al.
        Social-cognitive theory variables as correlates of sedentary behavior in multiple sclerosis: preliminary evidence.
        Disabil.Health J. 2019; 12: 622-627
        • Motl RW
        • Pekmezi D
        • Wingo BC.
        Promotion of physical activity and exercise in multiple sclerosis: Importance of behavioral science and theory.
        Mult. Scler. J. Exp.Transl. Clin. 2018; 42055217318786745