Exercise Adherence in Hispanic Adolescents with Obesity or Type 2 Diabetes
Open accessAbstract
Purpose Hispanic adolescents experience high rates of obesity and type 2 diabetes. The purpose of this study was to examine adherence to a 16-week personalized exercise intervention and the perception of family support for exercise, benefits and barriers to exercise and overall health in Hispanic adolescents diagnosed with obesity or type 2 diabetes.Design and methods Using a secondary analysis of a larger feasibility trial, data from 21 Hispanic adolescents, 13 with T2D and 8 who were obese and 14 that completed the entire 16-week study (7 T2D; 7 obese) were analyzed. Adolescents wore an Actigraph™ accelerometer for tracking exercise throughout the 16-week intervention.Results The adherence rate for the intervention was 59% for those with T2D and was 88% for those with obesity. Overall perceptions of health improved for those completing the 16-week intervention. Barriers to exercise were negatively associated with moderate-to-vigorous physical activity and were higher in those with T2D.Conclusions Adolescents with T2D were less adherent to their personalized exercise program than those who were obese.Practice implications Strategies that address cultural preferences and family engagement are needed to address barriers to exercise for Hispanic youth, particularly those already diagnosed with T2D that have high risks for early onset of disease complications.
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Exercise adherence is notoriously low among free-living individuals with obesity or type 2 diabetes, particularly when interventions are unsupervised or not integrated into clinical support systems.
“Exercise adherence is notoriously low among free-living individuals with obesity or type 2 diabetes, particularly when interventions are unsupervised or not integrated into clinical support systems [213–215].”
From Effects of Skeletal Muscle Hypertrophy on Fat Mass and Glucose Homeostasis in Humans and Animals: A Narrative Review with Systematic Literature Search (2025) · cites this paper as [215]
The Abstract Results report 59% intervention adherence among Hispanic adolescents with type 2 diabetes, supporting an adherence concern in that group, but report 88% among those with obesity. The Methods describe a community-based program with home visits every two weeks. The paper does not establish that adherence is generally low among free-living individuals or that it is particularly low without supervision or clinical support. (LLM, conf=0.87)
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References 46 · Cited by 18
- Authors
- Faulkner, M. S., & Michaliszyn, S. F.
- Affiliations
- Georgia State University (US)
- The Ohio State University (US)
- Corresponding author
- Faulkner, Melissa Spezia
- Venue
- Journal of Pediatric Nursing
- Publisher
- Elsevier BV
- Published
- 2021-01
- Volume
- 56
- Pages
- 7-12
- ISSN
- 0882-5963 (ISSN-L)
- PMC
- PMC7855355
- OpenAlex
- W3101271620
- Cited by
- 18
- References
- 46
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 3 · 2023: 3 · 2022: 4 · 2021: 2
- FWCI
- 1.35
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Pediatric Nursing (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Nursing Research
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Keywords
- exercise adherence, Latino youth, adolescent obesity, type 2 diabetes, barriers to exercise, moderate-to-vigorous physical activity, accelerometer-measured activity, health perception, cultural preferences, family involvement
- MeSH terms
- Adolescent, Diabetes Mellitus, Type 2, Health Promotion, Hispanic or Latino, Humans, Obesity, Exercise
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