Surfing In Groups To Increase Time Of Physical Activity For Native Hawaiians

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2020

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University of Hawaii at Manoa

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Background: Chronic diseases, such as diabetes, hypertension, obesity, results in 41 million deaths annually which translates to 71% of all deaths worldwide (WHO, 2018). Approximately 60% of adults in the United States have a chronic disease (CDC, 2019). In Hawaii, 82% of adults have at least one chronic disease while 53% of the population have two or more (Hawai’i State Department of Health, 2014). Native Hawaiians are 20% more likely to be obese, 10% more likely to be diagnosed with coronary heart disease, 2.2 times more likely to be diagnosed with diabetes, and 4 times more likely to die from a stroke than their Caucasian counterparts. Native Hawaiians have the highest rate of cancer-related mortality than any of the other ethnicities in the state of Hawaii (The U.S Department of Health and Human Services Office of Minority Health, 2017). Purpose and Objectives: Studies have shown that increased physical activity is essential in preventing chronic disease, the goal of this project was to conduct a pilot study to increase the duration of physical activity for Native Hawaiians through the implementation of surfing in groups as a culturally relevant intervention. Methods: The sample size of the study included a total of 12 participants recruited in a non-randomized method, through local Native Hawaiian organizations, flyers, online advertising, and word-of-mouth. Participants were instructed on the fundamentals of surfing and evaluated through a student-developed Surfing Group Participant Survey and Surfing Group Time Log. Results: Of the 46 individuals that expressed interest in the program, 16 completed the pre-program survey, 12 participated, and 7 completed participation in the Surf Group. Results from the Surfing Group Participant Survey and Surfing Group Time Log indicated a significant increase in physical activity through participation in the Surfing Group. The average increase in physical activity was from a reported mean between 45 min/week (SE) ±8.3 - 75 min/week (SE) ±20.4 before the program; to a final mean time of 182.1 min/week ± 29.4 in the final week of the program. Discussion: Chronic disease is a global epidemic, especially for Native Hawaiians. Through surfing in a group, Native Hawaiians can build relationships that supported the increase in the duration of physical activity in the combat of chronic disease. Despite surfing being a popular sport that many people were interested in wanting to learn, consistent commitment is an ongoing battle for any organized group.

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Nursing

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Hawaii

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