Perspectives on Diabetes Care

This is the official blog of the Association of Diabetes Care & Education Specialists where we share recent research and professional opinions on diabetes care and education.


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If you're looking for professional opinions on diabetes care and education, you're in the right place. Perspectives on Diabetes Care is the official ADCES® diabetes care and education blog that shares helpful views on diabetes care and education. 

This is where you'll find practical tips on working with people affected by prediabetes, diabetes and related cardiometabolic conditions and the latest research and viewpoints on issues facing diabetes care and education specialists and the people they serve.



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African American Women’s Hair Care: Overcoming This Barrier to Exercise

Mar 31, 2020, 11:55 AM

National Minority Health Monthby Constance Brown-Riggs, MSEd, RD, CDCES, CDN  

Have you ever given tips to your African American female patients or clients on hair care and maintenance during physical activity? There is a good chance you haven’t, unless of course, you happen to be a  diabetes care and education specialist of color.  

In a recent survey of healthcare providers, the majority reported engaging in discussions with African American female patients regarding physical activity. However, 76% of the providers never included a hairstyling or maintenance assessment in their discussion, and only 34% were comfortable discussing this topic. Moreover, the clinicians didn’t believe hair care and maintenance was a significant barrier to exercise. Yet, African American women often report “sweating out my hairstyle” as a barrier to exercise. Also, if the topic was discussed, many African American women did not feel as though their health care provider understood African American hair. 

If diabetes care and education specialists are to address the hair care barrier that exists among African American females, there must be a baseline knowledge of the hair care and maintenance barriers. Most of all, diabetes care and education specialist must also be comfortable engaging in cross-cultural conversations.  

Styling African American hair can be tedious, time-consuming, and costly. Many hairstyles can be maintained without washing for one to two weeks. However, exercise and sweating hair out would require more time and money to restyle the hair. 

To gain a greater appreciation of the process and time it takes for many African American hairstyles, I encourage you to view a couple of YouTube videos on African American hairstyles. Most hairstyles will fall into two categories; relaxed or natural. All African American hair is naturally curly—some curlier than others. Relaxed hair is treated with a chemical to make the hair easier to straighten and manage. The hair care for relaxed and natural hair is different. Therefore, you should search for “Natural African American/Black Hairstyles” and “Relaxed African American/Black Hairstyles.” You can also search each category for workout hairstyles. 

Here are a few suggestions to help your clients preserve their hairstyle while exercising: 

  • Try a protective hairstyle, such as braids, cornrows, twists, buns or extensions, and leave it in until ready to wash hair.
  • Reduce contact with sweat by keeping hair off the face and neck with a ponytail or pineapple for curly hair. A pineapple is done by loosely securing curly hair on the top of the head. A dreadlock tube or scarf is a great way to secure a pineapple.
  • Schedule workouts on a day you plan to restyle your hair.
  • Exercise in cooler environments to prevent sweat and frizzing.
  • If the hair is relaxed, complete low-intensity workouts after wash day and save sweaty high-intensity workouts, until a few days before wash day.  

You don’t have to know everything about African American hair care and maintenance. However, expressing empathy and understanding will open the door for informative cross-cultural conversations.  


Author Bio

Constance Brown-Riggs

Constance – President and Owner of CBR Nutrition Enterprises is the author of the newly released Diabetes Guide to Enjoying Foods of the Worldpublished by the Academy of Nutrition and Dietetics; The African American Guide to Living Well With Diabetes, which received the Favorably Reviewed designation from the Association of Diabetes Care & Education Specialists; and Eating Soulfully and Healthfully with DiabetesConstance was elected chair-elect of the Academy of Nutrition and Dietetics Diabetes Care and Education Practice Group (2018 – 2019), and she is a former member of the board of directors for the Association of Diabetes Care & Education Specialists.


Adiabetes care and education specialist Perspectives on Diabetes Care

The Association of Diabetes Care & Education Specialists Perspectives on Diabetes Care covers diabetes, prediabetes and other cardiometabolic conditions. Not all views expressed reflect the official position of the Association of Diabetes Care & Education Specialists.

Copyright is owned or held by the Association of Diabetes Care & Education Specialists and all rights are reserved. Permission is granted, at no cost and without need for further request, to link to, quote, excerpt or reprint from these stories in any medium as long as no text is altered, and proper attribution is made to the Association of Diabetes Care & Education Specialists.

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