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Updated: May 11, 2026

Collecting Hair Samples for Hair Cortisol Analysis in African Americans
Published on: June 10, 2018
Hair care practices as a barrier to physical activity in African American women
Rebecca R Hall1, Shani Francis, Melicia Whitt-Glover
1Departments of Dermatology, Wake Forest University School of Medicine, Winston-Salem, NC 27104, USA.
Objective:
To characterize the influence of hair style maintenance on exercise behavior in African American women.
Design:
A 40-item survey with questions concerning hair care practices, physical activity, and the relationship between the two.
Setting:
University-affiliated dermatology department at an academic medical center in Winston-Salem, North Carolina.
Participants:
A total of 123 African American women from 21 to 60 years of age were surveyed; 103 women completed the questionnaire.
Main Outcome Measures:
The statistical significance of relationships between hair care practices and physical activity was determined.
Results:
Fifty percent of African American women surveyed have modified their hair style to accommodate exercise and nearly 40% (37.9%) avoid exercise at times owing to hair-related issues. Respondents who exercised less owing to hair concerns were 2.9 times less likely to exercise more than 150 min/wk (95% CI,0.9-9.4; P=.08).
Conclusion:
Dermatologists can discuss hair management strategies during exercise that facilitate routinely performing exercise.
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