Skip to main content
Log in

Physical Activity Among Amish and Non-Amish Adults Living in Ohio Appalachia

  • Original Paper
  • Published:
Journal of Community Health Aims and scope Submit manuscript

Abstract

To understand the behavioral lifestyle factors that may contribute to lower cancer incidence rates among the Amish population, this study evaluated differences in physical activity (PA) levels between Amish and non-Amish adults living in Ohio Appalachia. Amish (n = 134) and non-Amish (n = 154) adults completed face-to-face interviews as part of a cancer-related lifestyle study. Self-report of PA level was measured by the International Physical Activity Questionnaire (IPAQ) and by a diary of steps/day (pedometer: Digi-Walker SW-200). Total metabolic equivalent tasks (MET) minutes was calculated from the IPAQ and average number of steps/day from a pedometer diary. Amish males walked more steps/day (mean ± standard error (SE): 11,447 ± 611 vs. 7,605 ± 643; P < 0.001) and had a higher IPAQ score (MET min/week) (mean ± SE: 8,354 ± 701 vs. 5,547 ± 690; P < 0.01) than non-Amish males. In addition, Amish farmers walked significantly more steps/day than Amish non-farmers (mean ± SE: 15,278 ± 1,297 vs. 10,742 ± 671; P < 0.01). There was a trend for Amish females to walk more steps/day (mean ± SE: 7,750 ± 477 vs. 6,547 ± 437; P = 0.06) and to have higher IPAQ scores (mean ± SE: 4,966 ± 503 vs. 3,702 ± 450; P = 0.06) compared to non-Amish females. Two measures of PA demonstrated a higher PA level among Amish males, especially farmers, and a trend for higher PA level among Amish females. Higher levels of PA warrants further investigation as one factor potentially contributing to lower cancer incidence rates documented among the Amish.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Curry, S. J., Byers, T., & Hewitt, M. (2003). Fulfilling the potential of cancer prevention and early detection (pp. 58–61). Washington, DC: Institute of Medicine.

    Google Scholar 

  2. Lee, I. M. (2003). Physical activity and cancer prevention-data from epidemiologic studies. Medicine and Science in Sports and Exercise, 35(11), 1823–1827.

    Article  PubMed  Google Scholar 

  3. Monninkhof, E. M., Elias, S. G., Vlems, F. A., et al. (2007). Physical activity and breast cancer: A systematic review. Epidemiology, 18(1), 137–157.

    Article  PubMed  Google Scholar 

  4. Trojian, T. H., Mody, K., & Chain, P. (2007). Exercise and colon cancer: Primary and secondary prevention. Current Sports Medicine Reports, 6(2), 120–124.

    Article  PubMed  Google Scholar 

  5. Berke, E. M., Koepsell, T. D., Moudon, A. V., Hoskins, R. E., & Larson, E. B. (2007). Association of the built environment with physical activity and obesity in older persons. American Journal of Public Health, 97(3), 486–492.

    Article  PubMed  Google Scholar 

  6. Nelson, M. C., Gordon-Larsen, P., Song, Y., & Popkin, B. M. (2006). Built and social environments associations with adolescent overweight and activity. American Journal of Preventive Medicine, 31(2), 109–117.

    Article  PubMed  Google Scholar 

  7. Transportation Research Board. (2005). Does the built environment influence physical activity? Examining the evidence. Washington, DC: Institute of Medicine.

    Google Scholar 

  8. Crespo, C. J., Smit, E., Andersen, R. E., Carter-Pokras, O., & Ainsworth, B. E. (2000). Race/ethnicity, social class and their relation to physical inactivity during leisure time: Results from the Third National Health and Nutrition Examination Survey, 1988–1994. American Journal of Preventive Medicine, 18(1), 46–53.

    Article  PubMed  CAS  Google Scholar 

  9. Marshall, S. J., Jones, D. A., Ainsworth, B. E., Reis, J. P., Levy, S. S., & Macera, C. A. (2007). Race/ethnicity, social class, and leisure-time physical inactivity. Medicine and Science in Sports and Exercise, 39(1), 44–51.

    Article  PubMed  Google Scholar 

  10. Patterson, P. D., Moore, C. G., Probst, J. C., & Shinogle, J. A. (2004). Obesity and physical inactivity in rural America. Journal of Rural Health, 20(2), 151–159.

    Article  PubMed  Google Scholar 

  11. Reis, J. P., Bowles, H. R., Ainsworth, B. E., Dubose, K. D., Smith, S., & Laditka, J. N. (2004). Nonoccupational physical activity by degree of urbanization and US geographic region. Medicine and Science in Sports and Exercise, 36(12), 2093–2098.

    PubMed  Google Scholar 

  12. Robert, S. A., & Reither, E. N. (2004). A multilevel analysis of race, community disadvantage, and body mass index among adults in the US. Social Science and Medicine, 59(12), 2421–2434.

    Article  PubMed  Google Scholar 

  13. Wilcox, S., Castro, C., King, A. C., Housemann, R., & Brownson, R. C. (2000). Determinants of leisure time physical activity in rural compared with urban older and ethnically diverse women in the United States. Journal of Epidemiology and Community Health, 54(9), 667–672.

    Article  PubMed  CAS  Google Scholar 

  14. Westman, J. A., Ferketich, A. K., Kauffman, R. M., et al. (2010). Low cancer incidence rates in Ohio Amish. Cancer Causes and Control, 21(1), 69–75.

    Article  PubMed  Google Scholar 

  15. Donnermeyer, J. F., Kreps, K. M., & Kreps, M. W. (1999). Lessons for living: A practical approach to daily life from the Amish community. Sugarcreek, OH: Carlisle Press.

    Google Scholar 

  16. Hostetler, J. (1995). Amish society. Baltimore, MD: The Johns Hopkins University Press.

    Google Scholar 

  17. Levinson, R. M., Fuchs, J. A., Stoddard, R. R., Jones, D. H., & Mullet, M. (1989). Behavioral risk factors in an Amish community. American Journal of Preventive Medicine, 5(3), 150–156.

    PubMed  CAS  Google Scholar 

  18. Bassett, D. R., Schneider, P. L., & Huntington, G. E. (2004). Physical activity in an Old Order Amish community. Medicine and Science in Sports and Exercise, 36(1), 79–85.

    Article  PubMed  Google Scholar 

  19. Bassett, D. R. (2008). Physical activity of Canadian and American children: A focus on youth in Amish, Mennonite, and modern cultures. Applied Physiology, Nutrition and Metabolism, 33(4), 831–835.

    Article  Google Scholar 

  20. Esliger, D. W., Tremblay, M. S., Copeland, J. L., Barnes, J. D., Huntington, G. E., & Bassett, D. R. (2009). Physical activity profile of Old Order Amish, Mennonite, and contemporary children. Medicine and Science in Sports and Exercise, 42(2), 296–303.

    Google Scholar 

  21. Tremblay, M. S., Esliger, D. W., Copeland, J. L., Barnes, J. D., & Bassett, D. R. (2008). Moving forward by looking back: Lessons learned from long-lost lifestyles. Applied Physiology, Nutrition and Metabolism, 33(4), 836–842.

    Article  Google Scholar 

  22. Appalachian Regional Commission. (n.d.). Appalachian Regional Commission Online Resource Center. Retrieved from http://www.arc.gov/index.asp.

  23. Wengerd, M. (2005). Ohio Amish directory. Holmes county and vicinity. Walnut Creek. Ohio: Carlisle Press.

    Google Scholar 

  24. Abramson, R., & Haskell, J. (2006). Encyclopedia of Appalachia. Knoxville, TN: The University of Tennessee Press.

    Google Scholar 

  25. Haaga, J. (2004). Educational attainment in Appalachia. Washington, DC: Population Reference Bureau.

    Google Scholar 

  26. Centers for Disease Control and Prevention. (2005). Behavioral risk factor surveillance system survey data [Data file]. Retrieved from http://apps.nccd.cdc.gov/BRFSS/display_c.asp?state_c=UB&state=OH&cat=EX&yr=2005&qkey=4347&bkey=20053905&qtype=C&grp=0&SUBMIT3=Compare.

  27. Appalachian Community Cancer Network. (2009). The cancer burden in Appalachia. Lexington, KY: Appalachian Community Cancer Network.

    Google Scholar 

  28. Craig, C. L., Marshall, A. L., Sjostrom, M., et al. (2003). International physical activity questionnaire: 12-country reliability and validity. Medicine and Science in Sports and Exercise, 35(8), 1381–1395.

    Article  PubMed  Google Scholar 

  29. Ainsworth, B. E., Haskell, W. L., Whitt, M. C., et al. (2000). Compendium of physical activities: An update of activity codes and MET intensities. Medicine and Science in Sports and Exercise, 32(9), S498–S504.

    PubMed  CAS  Google Scholar 

  30. Steeh, C., Kirgis, N., Cannon, B., & DeWitt, J. (2001). Are they really as bad as they seem? Nonresponse rates at the end of the twentieth century. Journal of Official Statistics, 17, 227–247.

    Google Scholar 

  31. Sallis, J. F., & Saelens, B. E. (2000). Assessment of physical activity by self-report: Status, limitations, and future directions. Research Quarterly for Exercise and Sport, 71(2), S1–S14.

    PubMed  CAS  Google Scholar 

Download references

Funding

(1) NIH P50 CA015632; (2) The Ohio State Comprehensive Cancer Center’s Behavioral Measurement Shared Resource, NIH P30 CA16058; (3) NCI K07 CA107079 (MLK); and 4) Coleman Leukemia Research Foundation.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mira L. Katz.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Katz, M.L., Ferketich, A.K., Broder-Oldach, B. et al. Physical Activity Among Amish and Non-Amish Adults Living in Ohio Appalachia. J Community Health 37, 434–440 (2012). https://doi.org/10.1007/s10900-011-9460-9

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10900-011-9460-9

Keywords

Navigation