Metabolic Equivalents of Outrigger Canoe Paddling for Health Equity: Methods of an Inclusive AccessMETs Study
Main Article Content
Keywords
outrigger canoe paddling, metabolic equivalents, emergy expenditure, NHPI, METs
Abstract
People with disabilities have relatively low reported physical activity rates, increasing risk for chronic diseases and early mortality. This paper proposes a study design for evaluating the metabolic equivalents of outrigger canoe paddling, a culturally relevant means for promoting physical activity, for those with and without spinal cord injuries.
References
AccesSurf Hawai`i. (2023). AccesSurf Hawai‘i—Non-profit Organization—Creating an Ocean of possibilities. https://www.accessurf.org
AccesSurf Hawai‘i. (2023). Adaptive Paddling. https://www.accessurf-training.org/adaptive-paddling/
Ahmed, F., Zuk, A. M., & Tsuji, L. J. S. (2021). The Impact of Land-Based Physical Activity Interventions on Self-Reported Health and Well-Being of Indigenous Adults: A Systematic Review. International Journal of Environmental Research and Public Health, 18(13), 7099. https://doi.org/10.3390/ijerph18137099
Ainsworth, B. E., Haskell, W., Herrmann, S. D., Meckes, N., & Bassett, D. R. J. (2011). 18—Water Activities—2011 Compendium PA References. Google Docs. https://drive.google.com/file/d/1WYuz1-wzREMq3gtC37TVpz8YUq3UeYP-/view?usp=drive_web&usp=embed_facebook
Ainsworth, B. E., Haskell, W., Herrmann, S. D., Meckes, N., Bassett, D. R. J., Tudor-Locke, C., Greer, J. L., Vezina, J., Whitt-Glover, M. C., & Leon, A. S. (2011). 2011 Compendium of Physical Activities: A Second Update of Codes and MET Values. Medicine & Science in Sports & Exercise, 43(8), 1575–1581. https://doi.org/10.1249/MSS.0b013e31821ece12
Amrhein, M., Barkhoff, H., & Heiby, E. M. (2016). Spirituality, Depression, and Anxiety Among Ocean Surfers. Journal of Clinical Sport Psychology, 10(2), 155–171. https://doi.org/10.1123/jcsp.2015-0016
An, R., Xiang, X., Yang, Y., & Yang, H. (2016). Mapping the Prevalence of Physical Inactivity in U.S. States, 1984-2015. 11(12), e0168175.
Barton, J., & Pretty, J. (2010). What is the best dose of nature and green exercise for improving mental health? A multi-study analysis. Environmental Science & Technology, 44(10), 3947–3955. https://doi.org/10.1021/es903183r
Canyon, D. V., & Sealey, R. (2016). A Systematic Review of Research on Outrigger Canoe Paddling and Racing. 3(5), 1076.
CDC. (2021). Disability and Health. Increasing Physical Activity among Adults with Disabilities. http://www.cdc.gov/ncbddd/disabilityandhealth/pa.html
CDC & ACSM. (N). General Physical Activities Defined by Level of Intensity. https://www.cdc.gov/nccdphp/dnpa/physical/pdf/pa_intensity_table_2_1.pdf
Collins, E. G., Gater, D., Kiratli, J., Butler, J., Hanson, K., & Langbein, W. E. (2010). Energy cost of physical activities in persons with spinal cord injury. Medicine and Science in Sports and Exercise, 42(4), 691–700. https://doi.org/10.1249/MSS.0b013e3181bb902f
Conger, S. A., Herrmann, S. D., Willis, E. A., Nightingale, T. E., Sherman, J. R., & Ainsworth, B. E. (2024). 2024 Wheelchair Compendium of Physical Activities: An update of activity codes and energy expenditure values. Journal of Sport and Health Science, 13(1), 18–23. https://doi.org/10.1016/j.jshs.2023.11.003
Craven, B. C., Baliouss, C., Hitzig, S. L., Moore, C., Verrier, M. C., Giangregorio, M., & Popopvic, M. R. (2014). Use of screening to recruitment ratios as a tool for planning and implementing spinal cord injury rehabilitation research. Spinal Cord, 52(10), 764–768. https://doi.org/10.1038/sc.2014.126
Erickson, W., Lee, C., & von Schrader, S. (2020). 2018 Disability Status Report—Hawaii. Cornell University Yang-Tan Institute on Employment and Disability (YTI). https://www.disabilitystatistics.org/StatusReports/2018-PDF/2018-StatusReport_HI.pdf
Gorman, S. L., Rivera, M., & McCarthy, L. (2014). Reliability of the Function in Sitting Test (FIST). Rehabilitation Research and Practice, 2014, 1–6. https://doi.org/10.1155/2014/593280
Haley, A., & Nichols, A. (2009). A Survey of Injuries and Medical Conditions Affecting Competitive Adult Outrigger Canoe Paddlers on O`ahu. Hawaii Medical Journal, 68(7), 162–165.
Haskell, W. L., Lee, I.-M., Pate, R. R., Powell, K. E., & Blair, S. N. (2007). Physical Activity and Public Health: Updated Recommendation for Adults From the American College of Sports Medicine and the American Heart Association. Physical Activity and Public Health, 116(9), 1081–1093. https://doi.org/10.1161/CIRCULATION.107.185649
Hawaiian Outrigger Canoeing | It’s History & Revival To Date. (n.d.). Kayak Tours & Maui Surf Lessons. Retrieved December 13, 2022, from https://hawaiianpaddlesports.com/social/outrigger-canoeing/
HDOH. (2022a). Hawaiʻi IBIS - Native Hawaiian Race/Ethnicity (DOH) Community Report 2017-2021. https://hhdw.org/report/community/indicators/ChronicDisease/RacEthDOH/2.html
HDOH. (2022b). Hawaiʻi IBIS - Query Result—Hawaii’s Behavioral Risk Factor Surveillance System (BRFSS) Data—Physical activity—Met aerobic and strengthening recommendations, Age Adjusted 2015, 2017,2019. https://hhdw.org/report/query/result/brfss/RecPhysicalAct/RecPhysicalActAA11_.html
Herrmann, S. D., Willis, E. A., Ainsworth, B. E., Barreira, T. V., Hastert, M., Kracht, C. L., Schuna, J. M., Cai, Z., Quan, M., Tudor-Locke, C., Whitt-Glover, M. C., & Jacobs, D. R. (2024). 2024 Adult Compendium of Physical Activities: A third update of the energy costs of human activities. Journal of Sport and Health Science, 13(1), 6–12. https://doi.org/10.1016/j.jshs.2023.10.010
Huffer, E. (2017, October 6). Raising and integrating the cultural values of the Ocean. IUCN. https://www.iucn.org/news/commission-environmental-economic-and-social-policy/201710/raising-and-integrating-cultural-values-ocean
Jetté, M., Sidney, K., & Blümchen, G. (1990). Metabolic equivalents (METS) in exercise testing, exercise prescription, and evaluation of functional capacity. Clinical Cardiology, 13(8), 555–565. https://doi.org/10.1002/clc.4960130809
Kaholokula, J. K., Look, M., Mabellos, T., Ahn, H. J., Choi, S. Y., Sinclair, K. A., Wills, T. A., Seto, T. B., & de Silva, M. (2021). A Cultural Dance Program Improves Hypertension Control and Cardiovascular Disease Risk in Native Hawaiians: A Randomized Controlled Trial. Annals of Behavioral Medicine: A Publication of the Society of Behavioral Medicine, 55(10), 1006–1018. https://doi.org/10.1093/abm/kaaa127
Kaholokula, J.K. (n.d.). Mauli Ola: Pathways to Optimal Kanaka ‘Ōiwi Health (Vol. 5). University of Hawai’i.
Kruger, J., Ham, S., Kohl, H., & Saphota, S. (2004, August 27). Physical Activity Among Asians and Native Hawaiian or Other Pacific Islanders—50 States and the District of Columbia, 2001—2003. MMWR Morb Mortal Wkly Report. https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5333a2.htm
Lee, M., Zhu, W., Hedrick, B., & Fernhall, B. (2010). Determining metabolic equivalent values of physical activities for persons with paraplegia. Disability and Rehabilitation, 32(4), 336–343. https://doi.org/10.3109/09638280903114402
Liu, L. (2021). Paddling Through Bluespaces: Understanding Waka Ama as a Post-Sport Through Indigenous Māori Perspectives. https://doi.org/10.1177/0193723520928596
Look, M. A., Kaholokula, J. K., Carvahlo, A., Seto, T. B., & de Silva, M. (2012). Developing a Culturally Based Cardiac Rehabilitation Program: The HELA Study. Progress in Community Health Partnerships : Research, Education, and Action, 6(1), 103–110. https://doi.org/10.1353/cpr.2012.0012
Lopes, J. T., Masdemont, M., & Cruz, G. M. V. (2018). Adaptive surfing: Leisure, competition or therapy? Cadernos de Educação Tecnologia e Sociedade, 11(1), 148. https://doi.org/10.14571/brajets.v11.n1.148-159
Martin Ginis, K. A., & Hicks, A. L. (2005). Exercise Research Issues in the Spinal Cord Injured Population. Exerc Sport Sci Rev, 33(1), 49–53.
Mau, M. K., Sinclair, K., Saito, E. P., Baumhofer, K. N., & Kaholokula, J. K. (2009). Cardiometabolic Health Disparities in Native Hawaiians and Other Pacific Islanders. Epidemiologic Reviews, 31, 113–129. https://doi.org/10.1093/ajerev/mxp004
Mauliola Keʻehi | Hawaiian Culture-Based Education | Sand Island Parkway, Honolulu, HI, USA. (2023). Mauliola Ke‘ehi. https://www.keehi.org
Okoro, C. A., Hollis, N., & Griffing-Blake, S. (2018). Prevalence of Disabilities and Health Care Access by Disability Status and Type Among Adults—United States, 2016. MMWR. Morbidity and Mortality Weekly Report, 67. https://doi.org/10.15585/mmwr.mm6732a3
Outrigger Duke Kahanamoku Foundation. (2023). Ann Yoshida | Hawaii Waterman Hall of Fame 2018. https://www.dukefoundation.org/inductee/ann-yoshida
Patton, M. (1990). Designing Qualitative Studies. In Qualitative evaluation and research methods (pp. 169–186). Sage. http://legacy.oise.utoronto.ca/research/field-centres/ross/ctl1014/Patton1990.pdf
Riebe, D., Franklin, B. A., Thompson, P. D., Garber, C. E., Whitfield, G. P., Magal, M., & Pescatello, L. S. (2015). Updating ACSM’s Recommendations for Exercise Preparticipation Health Screening. Medicine & Science in Sports & Exercise, 47(11), 2473–2479. https://doi.org/10.1249/MSS.0000000000000664
Rios, D., Magasi, S., Novak, C., & Harniss, M. (2016). Conducting Accessible Research: Including People With Disabilities in Public Health, Epidemiological, and Outcomes Studies. American Journal of Public Health, 106(12), 2137–2144. https://doi.org/10.2105/AJPH.2016.303448
Rochi, M., Routier, F., Latimer-Cheung, A., Ginis, K., Noreau, L., & Sweet, S. (2017). Are adults with spinal cord injury meeting the spinal cord injury-specific activity guidelines? A look at a sample from a Canadian province. Spinal Cord, 55(5), 454–459. https://doi.org/10.1038/sc.2016.181
Sentell, T., Thompson, Mika, Rodericks, Rebekah, Schmid, S. M., Pirkle, C. M., Ching, L., Look, M., Wu, Y. Y., Dudla, S., Finn, J., & Phillips, Michael M. (2023, November 15). Engagement in culturally-relevant physical activity (paddling, hula, surfing, and spearfishing) in the state of Hawai‘i over the lifecourse. [Oral presentation]. American Public Health Association Conference, Atlanta, GA.
Sentell, T., Wu, Y. Y., Look, M. A., Ching, L., Lee, R., & Prikle, C. (2023). Hula and Outrigger Canoe Paddling in the Behavioral Risk Factor Surveillance System in Hawaiʻi. Preventing Chronic Disease. Preventing Chronic Disease., In press.
Seto, J., Davis, J., & Taira, D. A. (2018). Examining the Association Between Different Aspects of Socioeconomic Status, Race, and Disability in Hawaii. Journal of Racial and Ethnic Health Disparities, 5(6), 1247–1253. https://doi.org/10.1007/s40615-018-0471-4
Taira, D. (2022, November 6). Examining Disability Rates for Native Hawaiian, Pacific Islander, and Asian American Subgroups. APHA 2022 Annual Meeting and Expo. https://apha.confex.com/apha/2022/meetingapp.cgi/Paper/513763
Tones, K. (2019). Health Promotion: Planning & Strategies. Health Promotion, 1–704.
United Health Foundation. (2021). Explore Physical Inactivity in the United States | 2020 Annual Report. America’s Health Rankings. https://www.americashealthrankings.org/explore/annual/measure/Sedentary/state/ALL
Usagawa, T., Look, M., de Silva, M., Stickley, C., Kaholokula, J. K., Seto, T., & Mau, M. (2013). Metabolic Equivalent Determination in the Cultural Dance of Hula. International Journal of Sports Medicine, 35(05), 399–402. https://doi.org/10.1055/s-0033-1353213
Wadhwa, G., & Aikat, R. (2016). Development, validity and reliability of the ‘Sitting Balance Measure’ (SBM) in spinal cord injury. Spinal Cord, 54(4), Article 4. https://doi.org/10.1038/sc.2015.148
Westrick, R. B., Miller, J. M., Carow, S. D., & Gerber, J. P. (2012). Exploration of the y-balance test for assessment of upper quarter closed kinetic chain performance. International Journal of Sports Physical Therapy, 7(2), 139–147.
Whaley, M. H., Brubaker, P. H. ,. &. Otto, R. M. (Ed.). (2006). ACSM’s Guidelines for exercise testing and prescription. Lippincott William & Wilkins.
WHO. (2008). Physical Activity and Health in Europe: Evidence for Action (92-890-1387–7; p. 46). World Health Organization.
WHO. (2011). World Report on Disability. Malta: World Health Organization. http://www.who.int/disabilities/world_report/2011/report/en/
WHO. (2023). Physical activity—Key Facts—What is physical activity? http://www.who.int/mediacentre/factsheets/fs385/en/
Willis, E. A., Herrmann, S. D., Hastert, M., Kracht, C. L., Barreira, T. V., Schuna, J. M., Cai, Z., Quan, M., Conger, S. A., Brown, W. J., & Ainsworth, B. E. (2024). Older Adult Compendium of Physical Activities: Energy costs of human activities in adults aged 60 and older. Journal of Sport and Health Science, 13(1), 13–17. https://doi.org/10.1016/j.jshs.2023.10.007
AccesSurf Hawai‘i. (2023). Adaptive Paddling. https://www.accessurf-training.org/adaptive-paddling/
Ahmed, F., Zuk, A. M., & Tsuji, L. J. S. (2021). The Impact of Land-Based Physical Activity Interventions on Self-Reported Health and Well-Being of Indigenous Adults: A Systematic Review. International Journal of Environmental Research and Public Health, 18(13), 7099. https://doi.org/10.3390/ijerph18137099
Ainsworth, B. E., Haskell, W., Herrmann, S. D., Meckes, N., & Bassett, D. R. J. (2011). 18—Water Activities—2011 Compendium PA References. Google Docs. https://drive.google.com/file/d/1WYuz1-wzREMq3gtC37TVpz8YUq3UeYP-/view?usp=drive_web&usp=embed_facebook
Ainsworth, B. E., Haskell, W., Herrmann, S. D., Meckes, N., Bassett, D. R. J., Tudor-Locke, C., Greer, J. L., Vezina, J., Whitt-Glover, M. C., & Leon, A. S. (2011). 2011 Compendium of Physical Activities: A Second Update of Codes and MET Values. Medicine & Science in Sports & Exercise, 43(8), 1575–1581. https://doi.org/10.1249/MSS.0b013e31821ece12
Amrhein, M., Barkhoff, H., & Heiby, E. M. (2016). Spirituality, Depression, and Anxiety Among Ocean Surfers. Journal of Clinical Sport Psychology, 10(2), 155–171. https://doi.org/10.1123/jcsp.2015-0016
An, R., Xiang, X., Yang, Y., & Yang, H. (2016). Mapping the Prevalence of Physical Inactivity in U.S. States, 1984-2015. 11(12), e0168175.
Barton, J., & Pretty, J. (2010). What is the best dose of nature and green exercise for improving mental health? A multi-study analysis. Environmental Science & Technology, 44(10), 3947–3955. https://doi.org/10.1021/es903183r
Canyon, D. V., & Sealey, R. (2016). A Systematic Review of Research on Outrigger Canoe Paddling and Racing. 3(5), 1076.
CDC. (2021). Disability and Health. Increasing Physical Activity among Adults with Disabilities. http://www.cdc.gov/ncbddd/disabilityandhealth/pa.html
CDC & ACSM. (N). General Physical Activities Defined by Level of Intensity. https://www.cdc.gov/nccdphp/dnpa/physical/pdf/pa_intensity_table_2_1.pdf
Collins, E. G., Gater, D., Kiratli, J., Butler, J., Hanson, K., & Langbein, W. E. (2010). Energy cost of physical activities in persons with spinal cord injury. Medicine and Science in Sports and Exercise, 42(4), 691–700. https://doi.org/10.1249/MSS.0b013e3181bb902f
Conger, S. A., Herrmann, S. D., Willis, E. A., Nightingale, T. E., Sherman, J. R., & Ainsworth, B. E. (2024). 2024 Wheelchair Compendium of Physical Activities: An update of activity codes and energy expenditure values. Journal of Sport and Health Science, 13(1), 18–23. https://doi.org/10.1016/j.jshs.2023.11.003
Craven, B. C., Baliouss, C., Hitzig, S. L., Moore, C., Verrier, M. C., Giangregorio, M., & Popopvic, M. R. (2014). Use of screening to recruitment ratios as a tool for planning and implementing spinal cord injury rehabilitation research. Spinal Cord, 52(10), 764–768. https://doi.org/10.1038/sc.2014.126
Erickson, W., Lee, C., & von Schrader, S. (2020). 2018 Disability Status Report—Hawaii. Cornell University Yang-Tan Institute on Employment and Disability (YTI). https://www.disabilitystatistics.org/StatusReports/2018-PDF/2018-StatusReport_HI.pdf
Gorman, S. L., Rivera, M., & McCarthy, L. (2014). Reliability of the Function in Sitting Test (FIST). Rehabilitation Research and Practice, 2014, 1–6. https://doi.org/10.1155/2014/593280
Haley, A., & Nichols, A. (2009). A Survey of Injuries and Medical Conditions Affecting Competitive Adult Outrigger Canoe Paddlers on O`ahu. Hawaii Medical Journal, 68(7), 162–165.
Haskell, W. L., Lee, I.-M., Pate, R. R., Powell, K. E., & Blair, S. N. (2007). Physical Activity and Public Health: Updated Recommendation for Adults From the American College of Sports Medicine and the American Heart Association. Physical Activity and Public Health, 116(9), 1081–1093. https://doi.org/10.1161/CIRCULATION.107.185649
Hawaiian Outrigger Canoeing | It’s History & Revival To Date. (n.d.). Kayak Tours & Maui Surf Lessons. Retrieved December 13, 2022, from https://hawaiianpaddlesports.com/social/outrigger-canoeing/
HDOH. (2022a). Hawaiʻi IBIS - Native Hawaiian Race/Ethnicity (DOH) Community Report 2017-2021. https://hhdw.org/report/community/indicators/ChronicDisease/RacEthDOH/2.html
HDOH. (2022b). Hawaiʻi IBIS - Query Result—Hawaii’s Behavioral Risk Factor Surveillance System (BRFSS) Data—Physical activity—Met aerobic and strengthening recommendations, Age Adjusted 2015, 2017,2019. https://hhdw.org/report/query/result/brfss/RecPhysicalAct/RecPhysicalActAA11_.html
Herrmann, S. D., Willis, E. A., Ainsworth, B. E., Barreira, T. V., Hastert, M., Kracht, C. L., Schuna, J. M., Cai, Z., Quan, M., Tudor-Locke, C., Whitt-Glover, M. C., & Jacobs, D. R. (2024). 2024 Adult Compendium of Physical Activities: A third update of the energy costs of human activities. Journal of Sport and Health Science, 13(1), 6–12. https://doi.org/10.1016/j.jshs.2023.10.010
Huffer, E. (2017, October 6). Raising and integrating the cultural values of the Ocean. IUCN. https://www.iucn.org/news/commission-environmental-economic-and-social-policy/201710/raising-and-integrating-cultural-values-ocean
Jetté, M., Sidney, K., & Blümchen, G. (1990). Metabolic equivalents (METS) in exercise testing, exercise prescription, and evaluation of functional capacity. Clinical Cardiology, 13(8), 555–565. https://doi.org/10.1002/clc.4960130809
Kaholokula, J. K., Look, M., Mabellos, T., Ahn, H. J., Choi, S. Y., Sinclair, K. A., Wills, T. A., Seto, T. B., & de Silva, M. (2021). A Cultural Dance Program Improves Hypertension Control and Cardiovascular Disease Risk in Native Hawaiians: A Randomized Controlled Trial. Annals of Behavioral Medicine: A Publication of the Society of Behavioral Medicine, 55(10), 1006–1018. https://doi.org/10.1093/abm/kaaa127
Kaholokula, J.K. (n.d.). Mauli Ola: Pathways to Optimal Kanaka ‘Ōiwi Health (Vol. 5). University of Hawai’i.
Kruger, J., Ham, S., Kohl, H., & Saphota, S. (2004, August 27). Physical Activity Among Asians and Native Hawaiian or Other Pacific Islanders—50 States and the District of Columbia, 2001—2003. MMWR Morb Mortal Wkly Report. https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5333a2.htm
Lee, M., Zhu, W., Hedrick, B., & Fernhall, B. (2010). Determining metabolic equivalent values of physical activities for persons with paraplegia. Disability and Rehabilitation, 32(4), 336–343. https://doi.org/10.3109/09638280903114402
Liu, L. (2021). Paddling Through Bluespaces: Understanding Waka Ama as a Post-Sport Through Indigenous Māori Perspectives. https://doi.org/10.1177/0193723520928596
Look, M. A., Kaholokula, J. K., Carvahlo, A., Seto, T. B., & de Silva, M. (2012). Developing a Culturally Based Cardiac Rehabilitation Program: The HELA Study. Progress in Community Health Partnerships : Research, Education, and Action, 6(1), 103–110. https://doi.org/10.1353/cpr.2012.0012
Lopes, J. T., Masdemont, M., & Cruz, G. M. V. (2018). Adaptive surfing: Leisure, competition or therapy? Cadernos de Educação Tecnologia e Sociedade, 11(1), 148. https://doi.org/10.14571/brajets.v11.n1.148-159
Martin Ginis, K. A., & Hicks, A. L. (2005). Exercise Research Issues in the Spinal Cord Injured Population. Exerc Sport Sci Rev, 33(1), 49–53.
Mau, M. K., Sinclair, K., Saito, E. P., Baumhofer, K. N., & Kaholokula, J. K. (2009). Cardiometabolic Health Disparities in Native Hawaiians and Other Pacific Islanders. Epidemiologic Reviews, 31, 113–129. https://doi.org/10.1093/ajerev/mxp004
Mauliola Keʻehi | Hawaiian Culture-Based Education | Sand Island Parkway, Honolulu, HI, USA. (2023). Mauliola Ke‘ehi. https://www.keehi.org
Okoro, C. A., Hollis, N., & Griffing-Blake, S. (2018). Prevalence of Disabilities and Health Care Access by Disability Status and Type Among Adults—United States, 2016. MMWR. Morbidity and Mortality Weekly Report, 67. https://doi.org/10.15585/mmwr.mm6732a3
Outrigger Duke Kahanamoku Foundation. (2023). Ann Yoshida | Hawaii Waterman Hall of Fame 2018. https://www.dukefoundation.org/inductee/ann-yoshida
Patton, M. (1990). Designing Qualitative Studies. In Qualitative evaluation and research methods (pp. 169–186). Sage. http://legacy.oise.utoronto.ca/research/field-centres/ross/ctl1014/Patton1990.pdf
Riebe, D., Franklin, B. A., Thompson, P. D., Garber, C. E., Whitfield, G. P., Magal, M., & Pescatello, L. S. (2015). Updating ACSM’s Recommendations for Exercise Preparticipation Health Screening. Medicine & Science in Sports & Exercise, 47(11), 2473–2479. https://doi.org/10.1249/MSS.0000000000000664
Rios, D., Magasi, S., Novak, C., & Harniss, M. (2016). Conducting Accessible Research: Including People With Disabilities in Public Health, Epidemiological, and Outcomes Studies. American Journal of Public Health, 106(12), 2137–2144. https://doi.org/10.2105/AJPH.2016.303448
Rochi, M., Routier, F., Latimer-Cheung, A., Ginis, K., Noreau, L., & Sweet, S. (2017). Are adults with spinal cord injury meeting the spinal cord injury-specific activity guidelines? A look at a sample from a Canadian province. Spinal Cord, 55(5), 454–459. https://doi.org/10.1038/sc.2016.181
Sentell, T., Thompson, Mika, Rodericks, Rebekah, Schmid, S. M., Pirkle, C. M., Ching, L., Look, M., Wu, Y. Y., Dudla, S., Finn, J., & Phillips, Michael M. (2023, November 15). Engagement in culturally-relevant physical activity (paddling, hula, surfing, and spearfishing) in the state of Hawai‘i over the lifecourse. [Oral presentation]. American Public Health Association Conference, Atlanta, GA.
Sentell, T., Wu, Y. Y., Look, M. A., Ching, L., Lee, R., & Prikle, C. (2023). Hula and Outrigger Canoe Paddling in the Behavioral Risk Factor Surveillance System in Hawaiʻi. Preventing Chronic Disease. Preventing Chronic Disease., In press.
Seto, J., Davis, J., & Taira, D. A. (2018). Examining the Association Between Different Aspects of Socioeconomic Status, Race, and Disability in Hawaii. Journal of Racial and Ethnic Health Disparities, 5(6), 1247–1253. https://doi.org/10.1007/s40615-018-0471-4
Taira, D. (2022, November 6). Examining Disability Rates for Native Hawaiian, Pacific Islander, and Asian American Subgroups. APHA 2022 Annual Meeting and Expo. https://apha.confex.com/apha/2022/meetingapp.cgi/Paper/513763
Tones, K. (2019). Health Promotion: Planning & Strategies. Health Promotion, 1–704.
United Health Foundation. (2021). Explore Physical Inactivity in the United States | 2020 Annual Report. America’s Health Rankings. https://www.americashealthrankings.org/explore/annual/measure/Sedentary/state/ALL
Usagawa, T., Look, M., de Silva, M., Stickley, C., Kaholokula, J. K., Seto, T., & Mau, M. (2013). Metabolic Equivalent Determination in the Cultural Dance of Hula. International Journal of Sports Medicine, 35(05), 399–402. https://doi.org/10.1055/s-0033-1353213
Wadhwa, G., & Aikat, R. (2016). Development, validity and reliability of the ‘Sitting Balance Measure’ (SBM) in spinal cord injury. Spinal Cord, 54(4), Article 4. https://doi.org/10.1038/sc.2015.148
Westrick, R. B., Miller, J. M., Carow, S. D., & Gerber, J. P. (2012). Exploration of the y-balance test for assessment of upper quarter closed kinetic chain performance. International Journal of Sports Physical Therapy, 7(2), 139–147.
Whaley, M. H., Brubaker, P. H. ,. &. Otto, R. M. (Ed.). (2006). ACSM’s Guidelines for exercise testing and prescription. Lippincott William & Wilkins.
WHO. (2008). Physical Activity and Health in Europe: Evidence for Action (92-890-1387–7; p. 46). World Health Organization.
WHO. (2011). World Report on Disability. Malta: World Health Organization. http://www.who.int/disabilities/world_report/2011/report/en/
WHO. (2023). Physical activity—Key Facts—What is physical activity? http://www.who.int/mediacentre/factsheets/fs385/en/
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