Introduction
Physical activity participation is low among blacks,
and strategies are needed to successfully create immediate and sustained
behavior change related to physical activity. Churches can play an important
role in health promotion efforts among blacks because of their central role in
spiritual guidance, communication, social support, and networking. This pilot
study evaluated the feasibility and acceptability of implementing a physical
activity program for sedentary black adults in churches.
Methods
We used a preintervention/postintervention single-group
design to evaluate the effect of a 3-month faith-based physical activity
intervention on daily walking and moderate- and vigorous-intensity physical
activity among sedentary blacks. Eighty-seven black adults participated in eight
group sessions that included discussion of physical activity-related topics, an
instructor-led physical activity session, and weekly incentives to promote
physical activity. We used a questionnaire to assess moderate and vigorous
physical activity in minutes per week at baseline and after 3 months. Walking
was assessed weekly in steps per day by using a pedometer.
Results
Participants (mean age, 52 yrs; mean body mass index, 35
kg/m2) reported 27 ± 54 and 10 ± 25 minutes per week in
moderate-intensity and vigorous-intensity physical activity, respectively, and
walked 4822 ± 2351 steps per day at baseline. After 12 weeks, moderate- and
vigorous-intensity physical activity increased by 67 ± 78 and 44 ± 66 minutes
per week, respectively (P ≤ .01), and daily walking increased by 1373 ±
728 steps per day (P < .001).
Conclusion
These data suggest that a faith-based physical activity
intervention may be an appropriate strategy for increasing physical activity
among sedentary black adults. Future research will determine the impact of this
program in a randomized, controlled design.