Promoting physical activity for low-income minority women in primary care

Am J Health Behav. Nov-Dec 2007;31(6):622-31. doi: 10.5555/ajhb.2007.31.6.622.


Objective: To examine the effects of a primary-care weight management intervention on physical activity (PA) among overweight/obese women.

Methods: This randomized controlled trial included 139 women (92% African American). The effects of a physician-delivered tailored intervention were compared with standard care. Repeated measures analyses of variance (ANOVA) were used to examine changes in PA (measured by a 7-day physical activity recall) and physical fitness (measured by heart rate recovery following exercise).

Results: Although the intervention group demonstrated an increase in PA, this did not differ significantly from standard care. A significantly greater proportion of intervention participants (90%) achieved current PA recommendations compared with standard care (77%), P<.03.

Conclusion: These results provide novel information suggesting that a physician-delivered intervention may have limited effectiveness for increasing PA among this at-risk population.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • African Americans / statistics & numerical data
  • Aged
  • Female
  • Health Promotion*
  • Humans
  • Middle Aged
  • Minority Groups*
  • Motor Activity*
  • Obesity / prevention & control*
  • Primary Health Care*
  • Socioeconomic Factors