Negative mood is associated with sociobehavioral factors contributing to cardiovascular risk in an immigrant population.

Publisher: BioMed Central Country of Publication: England NLM ID: 100968562 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2458 (Electronic) Linking ISSN: 14712458 NLM ISO Abbreviation: BMC Public Health Subsets: MEDLINE

Original Publication: London : BioMed Central, [2001-

Affect* ; Cardiovascular Diseases*/prevention & control ; Cardiovascular Diseases*/psychology ; Cardiovascular Diseases*/ethnology ; Emigrants and Immigrants*/psychology ; Emigrants and Immigrants*/statistics & numerical data ; Exercise*/psychology ; Heart Disease Risk Factors*; Adult ; Female ; Humans ; Male ; Middle Aged ; Health Behavior ; Hispanic or Latino/psychology ; Hispanic or Latino/statistics & numerical data ; Minnesota ; Self Efficacy ; Social Support ; Somalia/ethnology ; Surveys and Questionnaires

Background: After settling in the United States (US), immigrants often accumulate obesity and cardiovascular risk factors. As mood is often associated with health behaviors in the US population, mood may be an important mediating factor in immigrant populations.
Methods: The Healthy Immigrant Community (HIC) study, set in southeast Minnesota, enrolled 475 adult participants in a weight loss intervention designed to reduce cardiovascular risk. Baseline questionnaires assessed mood, nutrition, physical activity, self-efficacy for healthy eating and physical activity, social support, and cohesion. A single-item mood rating of poor or fair was considered "negative", while ratings of good, very good, or excellent were considered "positive".
Results: Hispanic/Latino (n = 268) and Somali (n = 181) adults enrolled in HIC completed baseline measures and were included in this analysis. Participants endorsing negative mood compared to positive mood had lower healthy eating scores (p = 0.02), lower physical activity levels (p = 0.03), lower confidence in eating a healthy diet (p = 0.001), and felt less of a sense of belonging to their community (p = 0.01). Those endorsing negative mood reported receiving less social support to eat healthy (p =  < 0.001) and be physically active (p = 0.01). They also accessed community resources for healthy eating (p = 0.001) and physical activity (p =  < 0.01) less frequently than participants endorsing positive mood.
Conclusions: On self-report, negative mood was associated with less healthy nutrition, lower confidence in eating healthy, sedentary lifestyle, and perceived lack of belonging to the community. Integrating mood management and self-efficacy strategies may enhance the effectiveness of lifestyle interventions to reduce obesity and cardiovascular risk among immigrants who report negative mood.
Trial Registration: ClinicalTrials.gov registration: NCT05136339; April 23, 2022.
(© 2024. The Author(s).)

Update of: Res Sq. 2024 Mar 12:rs.3.rs-3934645. doi: 10.21203/rs.3.rs-3934645/v1. (PMID: 38559259)

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P50 MD017342 United States MD NIMHD NIH HHS

Keywords: Cardiovascular risk; Health behaviors; Immigrant communities; Mood; Self-efficacy

ClinicalTrials.gov NCT05136339

Date Created: 20240716 Date Completed: 20240716 Latest Revision: 20240904

20240904

PMC11253367

10.1186/s12889-024-19402-z

39014369