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Fear of Falling, Depression, Physical Fitness and Physical Activity among Community Dwelling Elders (지역사회 노인의 신체활동도와 낙상 두려움, 우울, 신체기능)

  • Lee, Young-Hee;Choi, Mi-Kyoung
    • Korean Journal of Adult Nursing
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    • v.23 no.4
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    • pp.351-362
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    • 2011
  • Purpose: This study was designed to examine fear of falling, depression, physical fitness, and physical activity and further to identify the factors that predict physical activity among community dwelling elders. Methods: This study was a cross-sectional descriptive survey. Participants were 153 community dwelling elders from G city. Data were collected using structured questionnaires and were analyzed using descriptive statistics, ${\chi}^2$-test, t-test, ANOVA, and multinominal logistic regression analysis. Results: Activity levers were coded as inactive, minimal activity and enhancing physical active. Thirty-three point three percent reported inactivity, forty-seven point seven percent reported minimal activity and nineteen percent reported health enhancing physical activity. There were significant differences in physical activity relative to gender, age, falling experience, perceived health, and living situation. Further, there was significant difference in fear of falling, depression, and physical fitness by physical activity. For instance, Fear of falling (OR=1.04, p=.014) was a significant predicting factor for physical activity, In contrast for the enhancing physical active the variables of gender (OR=0.28, p=.046), age (OR=0.86, p=.021), perceived health (fair: OR=13.61, p=.006), fear of falling (OR=1.04, p=.026), and two-minute step (OR=1.04, p=.049) were significant. Conclusion: The results of this study indicate that physical activity intervention programs are needed to increase physical activity for community dwelling elders. Physical activity intervention programs should be developed and evaluated.

Analysis of Physical Activity Measured by International Physical Activity Questionnaire and Actigraph Accelerometer, and Participation Intention for Physical Activity of Breast Cancer Survivors (국제신체활동설문지(IPAQ)와 액티그래프 가속도계를 이용한 유방암 생존자들의 신체활동량과 신체활동 프로그램 참여 의도)

  • Park, Jee Yeon;Kim, Nahyun;Kang, Sun Hee
    • Journal of Korean Biological Nursing Science
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    • v.17 no.2
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    • pp.104-113
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    • 2015
  • Purpose: This study aimed to analyze physical activity as measured by the International Physical Activity Questionnaire (IPAQ) and an actigraph in breast cancer survivors, as well as to identify their intention to participate in a physical activity program. Methods: Breast cancer patients who had been diagnosed for more than six months (N=135) at a university hospital participated from June 2012 to May 2013. Physical activity was measured using the Korean version of the IPAQ-Short Form and Actigraph GT3X plus an accelerator for seven consecutive days. Data analyses were conducted using the SPSS WIN 19.0 program. Results: Mean total physical activity was 2298.21 metabolic equivalent task (MET)-min/week as assessed by IPAQ and 150,140.57 counts/day as measured by an actigraph. There were statistically significant correlations between moderate physical activity from IPAQ and light intensity of physical activity from the actigraph (r=.735, p<.001), vigorous physical activity from IPAQ and vigorous intensity of physical activity from the actigraph (r=.871, p<.001), total physical activity from IPAQ and light intensity of physical activity from the actigraph (r=.825, p<.001), respectively. Most (80.7%) cancer survivors reported a positive attitude toward physical activity and 57.8% expressed a willingness to participate in a physical activity program. More than half (60%) of the subjects preferred walking, 80.6% preferred more than 30 minutes of exercise, and 57.1% wanted to engage in physical activity three times a week and preferred home-based activities. Perceived barriers included fatigue, lack of strength and pain. Conclusion: It is necessary to consider intensity, personal preferences, and patient-perceived barriers when developing physical activity programs for breast cancer survivors.

The Relationship among Fun Seeking, Self-Efficacy, Interest in Physical Activity and Actual Physical Activity of Male College Students (남자 대학생들의 재미추구 성향, 자기효능감 및 운동에 대한 흥미와 운동량 간의 관계)

  • Suh, Kyung-Hyun
    • Korean Journal of Health Education and Promotion
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    • v.25 no.1
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    • pp.1-12
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    • 2008
  • Objectives: The researchers investigated the relationship among fun seeking, self-efficacy, interest in physical activity and actual physical activities of male college students, in orders to provide valuable information to professionals in health promotion. Methods: The participants were 316 male college students whose ages ranged from 18 to 30(M=22.53, SD=2.09). The questionnaires and psychological tests used in this research included the following: sub-scale of Korean Version of BAS/BIS Scale, The General Self-Efficacy Scale, International Physical Activity Questionnaires, & sub-scale of The Intrinsic Motivation Inventory for physical activity. Results: Results indicated that male students who had moderate level of fun seeking were more likely to engage in physical activities than those who showed low or high level of fun seeking. And students with the strong self-efficacy were more likely to do physical activity than with the weak self-efficacy, especially high level of physical activity. Male students who had greater interest in physical activity were more likely to engage in physical activities than those who were not interested in physical activity. A regression analysis revealed that interest in physical activity accounted for the most variance; it accounted for around 14.5% variance of actual physical activity with self-efficacy. The interaction effect of self-efficacy and interest in physical activity was significant for actual physical activity. Conclusion: This study reiterates the roles of self-efficacy and the interest in physical activity on physical activity, and found that non-linear relation of fun seeking to physical activity. These results may provide useful information for health practitioners.

Physical Activity and Obesity in Male and Female Middle and High School Students (남녀 중.고등학교 학생의 신체활동과 비만)

  • Park, Hyun-Ju
    • Journal of the Korean Society of School Health
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    • v.23 no.1
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    • pp.53-62
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    • 2010
  • Purpose: Adolescent obesity is a growing problem. This study examined the relationships between different types of physical activity and obesity in male and female middle and high school students. Methods: This study used the Korea National Health and Nutrition Examination Survey data of 2007. The study included 282 male and female middle and high school students who completed health survey questionnaires regarding physical activity. Physical activity was measured with vigorous and moderate activity and walking. BMI was used as an obesity indicator. Analyses were done using descriptive statistics, ANOVA, and chi-square test. In addition, multiple logistic regression were conducted to investigate the relationship between physical activity and obesity when adjusting for covariates. SAS/WIN 9.1 was used. Results: Boys spent more days in vigorous and moderate physical activity than girls (p for vigorous activity: <.001, for moderate activity: <.001). There was no significant difference in walking activity between boys and girls and between middle and high school students. Only days spent in vigorous activity was significantly higher in middle school student compared with high school students (p=.013). According to the relationship between physical activity and obesity, moderate physical activity was significantly related to BMI for high school boys (p=.041). However, when adjusting for age, sex, school, parental income, daily caloric intake, physical activity was not significantly related to obesity. Conclusions: The results showed that male and female middle and high school students spent not enough days in doing low moderate and vigorous physical activity. Thus, this strengthens the need to increase physical activity level in these populations. In spite of non-significant relationship between physical activity and obesity from multivariate analysis, increasing moderate physical activity for high school boy could be effective to prevent and manage obesity, since significant difference between moderate activity and obesity in this population.

Factors Influencing Physical Activity in Adolescents with Complex Congenital Heart Disease

  • Kwon, Su Jin;Choi, Eun Kyoung;Lee, Kyung Hee;Im, Yu-Mi
    • Child Health Nursing Research
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    • v.25 no.3
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    • pp.262-272
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    • 2019
  • Purpose: We aimed to identify factors influencing physical activity in adolescents with complex congenital heart disease. Methods: We recruited 92 adolescents with complex congenital heart disease from a tertiary medical center in Seoul, measured their levels of physical activity, and identified factors that influenced their physical activity levels using the Global Physical Activity Questionnaire, the New York Heart Association classification, congenital heart disease complexity, the Self-Efficacy Scale, and the Parental Bonding Instrument scale. Stepwise multiple linear regression was used to determine factors influencing physical activity. Results: Total physical activity was higher in males than in females (t=4.46, p<.001). Adolescents who participated in school physical education classes engaged in more physical activity than those who did not (t=6.77, p<.001). Higher self-efficacy (${\beta}=.41$, p<.001), male gender (${\beta}=.37$, p<.001) and participation in school physical education classes (${\beta}=.19$, p=.042) were associated with a higher likelihood of engagement in physical activity. Conclusion: It is necessary to develop nursing interventions that enhance self-efficacy in order to promote physical activity in adolescents with complex congenital heart disease. Physical activity should also be promoted in an individualized manner, taking into account gender, disease severity, and parental attitude.

The concept Analysis of Physical Activity (신체활동(Physical activity)의 개념분석)

  • Choi, Jung-An;Choe, Myoung-Ae
    • Journal of Korean Biological Nursing Science
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    • v.6 no.1
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    • pp.17-31
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    • 2004
  • The purpose of this study was to analyze the concept of physical activity. The method was based on the steps of concept analysis by Walker and Avant(1988). The result of this study were as follows; Upon the concept analysis, physical activity is defined as a series of bodily movements which is performed voluntarily by individual. The defining attributes of physical activity were a series of bodily movements, energy expenditure, goal-directedness, and self-control of the body. The antecedents of physical activity were neuromusculoskeletal function, cardiopulmonary function and cognitive function. And the consequences of physical activity were improvement of physical function, induction of fatigue, and need(physiopsychosocial) satisfaction. Further studies are needed to develop the concept of physical activity using the Hybrid model. In addition, considering personal characteristics it is important to study the facilitating factors of physical activity.

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The Optimal Level and Promoting Plan of Physical Activity for Prevention and Management of Chronic Diseases (만성질환 예방·관리를 위한 적정 신체활동 및 활성화 방안)

  • Kim, Wan-Soo
    • Korean Journal of Health Education and Promotion
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    • v.31 no.4
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    • pp.73-92
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    • 2014
  • Objectives: To provide basic data needed to develop national physical activity policy, this study was examined to identify the relationship among physical inactivity, physical activity, and chronic diseases. Methods: I have reviewed articles and research reports in relation to physical activity, health, and chronic disease published in national and international since 2005 through PubMed, RISS, and KISS. Results: physical activity should be the priority of public health for the prevention and management of chronic diseases as following reasons. 1) Prevalence of physical inactivity has been continuously increased. 2) There were strong evidences that sufficient physical activity could prevent and treat dozens of chronic diseases. Conclusions: Both central and local governments need to make the amount of physical activity to be increased by providing information and establishing a physical activity-friendly environment. Also, the local public health centers and the primary medical institutions are institutionally needed to counsel and prescribe every patient's exercise program at every visit.

Factors Influencing Physical Activity in Elderly Women at Senior Citizen Centers (경로당 여성노인의 신체활동에 대한 영향요인)

  • Seo, Kyung Hee;Eun, Young
    • Journal of muscle and joint health
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    • v.22 no.3
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    • pp.236-244
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    • 2015
  • Purpose: The purpose of this study was to investigate physical activity of elderly women at senior citizen centers and to identify factors influencing physical activity. Methods: The study was conducted from February 22 to April 20, 2013 for 200 elderly women at senior citizen centers in J City. Levels of physical activity, cognitive function, and nutritional status were measured. Results: The total physical activity amount was $2118.94{\pm}2.36$ MET-min. The average cognitive function score was $21.17{\pm}4.63$, and the average nutritional status score was $24.04{\pm}3.37$. There were significant relationships among physical activity, cognitive function, and nutritional status. In addition, there were significant differences of groups of physical activity by levels of cognitive function and nutritional status. Cognitive function, nutritional status, and age were significantly associated with level of physical activity in elderly women. Conclusion: The results showed many older women were doing moderate physical activity. Physical activity was associated with cognitive function and nutritive conditions. Integrated health promotion program needs to be implemented to increase physical activity level, the cognitive function, and nutritive conditions in elderly women.

Related Factors of Physical Activity in Rural Elderly Chronic Disease (농촌 만성질환 노인의 신체활동관련 요인)

  • Peak, Hyun-Hee;Kim, Jeong-Ja
    • Journal of Korean Clinical Health Science
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    • v.2 no.4
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    • pp.247-255
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    • 2014
  • Purpose. This study is based on physical and mental health and physical activity differences in Practice rate each physical activity according to the body to target the 319 people who live in rural areas of 65 and older who have chronic diseases Practice rate activities, general characteristics of chronic diseases, elderly differences in physical activity and investigate the factors that influence. Methods. Physical activity Practice rate was used for descriptive statistics. Each physical activity Practice rate in accordance with the general characteristics of the rural elderly chronic disease were independent T test and One-way ANOVA test. To evaluate the factors influencing the physical activity was the multiple logistic regression analysis. Results. Results of physical activity practice was the most flexibility exercise was walking then, Practice rate each physical activity in accordance with the general characteristics of the elderly are tangible and physical activity radish age, housing type, education level, health insurance part statistically significant were different. Physical health status according to the presence or absence of physical activity showed a significant difference in daily life activities and limited mental health differences were not significant. Factors affecting the physical activity of the elderly with chronic diseases appeared to limit the presence and activities of daily living. Conclusions. As well there is no activity restrictions can be more physically active everyday life well. It is suggested that it is important to approach everyday life, I can help eliminate the factors that independently giving limits on the activities of the elderly with chronic diseases.

Comparison of Physical Activity Questions in the Korea National Health and Nutrition Examination Surveys (국민건강영양조사 신체활동 설문 문항 비교)

  • Kim, Wan-Soo
    • Korean Journal of Health Education and Promotion
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    • v.29 no.3
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    • pp.23-34
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    • 2012
  • Objectives: This study aims to compare the contents of physical activity questions of Korean National Health and Nutrition Examination Survey(KNHANES), and to propose suggestions for improvement. Methods: Questions measuring physical activity prevalence of adults in the KNHANES from KNHANES I(1998) to the first year of KNHANES V(2010) were compared. Results: The questions used in each survey showed some problems in consistency and appropriateness. Major issues identified are as follows. First, the questions in each survey were not consistent, and would be inappropriate to make time series comparisons. Second, the purpose of physical activity was not clear. Third, the examples of physical activities suggested in the questions were not appropriate. Fourth, the intensity of physical activity were not adequately described. Fifth, by excluding walking from the moderate-intensity physical activity category, the prevalence of moderate-intensity physical activity could be underestimated. Sixth, it is difficult to measure the total amount of physical activity performed in one day because answers from the other domains cannot be clearly differentiated. Conclusions: The physical activity questions in the KNHANES questionnaire should be improved so that they are consistent with the purpose of survey, the respondents can easily understand the contents of the questions, and the questions can measure all physical activity performed in the different domains.