Journal of muscle and joint health (근관절건강학회지)

Korean Society of Muscle and Joint Health (대한근관절건강학회)
권호 표지
DOI QR코드

DOI QR Code

Discriminating Factors of Stages of Change for Exercise among Patients with Metabolic Syndrome

대사증후군 환자의 운동행위 변화단계 판별요인

  • Received : 2014.01.27
  • Accepted : 2014.03.17
  • Published : 2014.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study was designed to explore the stage distribution of subjects according to stages of change for exercise and to identify factors that could discriminate subjects in various stages. Methods: The sample consisted of 182 subjects who had metabolic syndrome. The instruments used in this study were the stage placement instrument for exercise, the metabolic syndrome knowledge and metabolic syndrome health belief scale, and the metabolic syndrome exercise self efficacy scale. Data were analyzed using chi-square, ANOVA, and discriminant analysis by using the SPSS 19.0 program. Results: For exercise stages, exercise efficacy, occupation, and exercise benefit showed high standardized canonical discriminant function coefficients. Subjects in precontemplation/contemplation stage for exercise were more likely to have occupations, had less exercise efficacy and exercise benefit than those in other stage. Conclusion: This study implies that the level of exercise efficacy and exercise benefit of subjects in precontemplation/contemplation stage need to be enhanced in developing exercise program incorporating the stage of change for metabolic syndrome patients.

Keywords

References

  1. American College of Sports Medicine. (2000). ACSM's guidelines for exercise testing and prescription (6th Ed.). Philadelphia: Lippincott, Williams and Wilkins.
  2. Blalock, S. J., DeVellis, R. F., Giorgino, K. B., DeVellis, B. M., Gold, D. T., Dooley, M. A., et al. (1996). Osteoporosis prevention in pre-menopausal women: Using a stage model approach to examine the predictors of behavior. Health Psychology, 15(2), 84-93. http://dx.doi.org/10.1037/0278-6133.15.2.84
  3. Chang, S. O., Lee, P. S., & Park, E. Y. (2002). A study on the relationships among the influential variables on stage of change of exercise in the elderly. Journal of Korean Academy of Nursing, 32(5), 609-623. https://doi.org/10.4040/jkan.2002.32.5.609
  4. Cho, Y. S., & Lee, H. J. (2003). The process of change, decision making, self-efficacy and perception of subjective health by the stage of exercise behavior among older adults. Korean Journal of Adult Nursing, 15(2), 236-246.
  5. Desmond, A. W., Conrad, K. M., Montgomery, A., & Simon, K. A. (1993). Factors associated with male worker's engagement in physical activity. American Association of Occupational Health Nurses, 41(2), 73-83.
  6. Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults. (2001). Executive summary of the third report of the National Cholesterol Education Program (NCEP) Expert Panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III). The Journal of the American Medical Association, 285(19), 2486-2497. http://dx.doi.org/10.1001/jama.285.19.2486
  7. Grundy, S. M. (1999). Hypertriglyceridemia, insulin resistance, and the metabolic syndrome. American Journal of Cardiology, 83, 25-29. http://dx.doi.org/10.1016/s0002-9149(99)00211-8
  8. Grundy, S. M., Cleeman, J. I., Daniels, S. R., Donato, K. A., Eckel, R. H., Franklin, B. A., et al. (2006). Diagnosis and management of the metabolic syndrome: An American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement. Current Opinion in Cardiology, 21(1), 1-6. https://doi.org/10.1097/01.hco.0000200416.65370.a0
  9. Gudat, U., Bungert, S., Kemmer, F., & Heinemann, L. (1998). The blood glucose lowering effects of exercise and glibenclamide in patients with type 2 diabetes mellitus. Diabetic Medicine, 15(3), 194-198. http://dx.doi.org/10.1002/(sici)1096-9136(199803)15:3<194::aid-dia546>3.0.co;2-2
  10. Hickey, M. L., Owen, S. V., & Froman, R. D. (1992). Instrument development: Cardiac diet and exercise self-efficacy. Nursing Research, 41(6), 347-351.
  11. Im, M. Y., Lee, Y. R., Han, S. J., & Cho, C. M. (2012). The effects of lifestyle factors on metabolic syndrome among Korean adults. Journal of Korean Academy of Community Health Nursing, 23(1), 13-21. http://dx.doi.org/10.12799/jkachn.2012.23.1.13
  12. Kang, J. S., Kang, H. S., Yun, E. K., & Choi, H. R. (2012). Factors influencing health behavior compliance of patients with metabolic syndrome. Korean Journal of Adult Nursing, 24(2), 191-199. http://dx.doi.org/10.7475/kjan.2012.24.2.191
  13. Kang, K. S., & Gu, M. O. (2006). A study on the stages of change of exercise and its related factors in patients with diabetes mellitus-Application of transtheoretical model-. Korean Journal of Adult Nursing, 18(3), 345-356.
  14. Kim, C. J. (2007). Cardiovascular risk level and self-care activities according to stage of change for exercise in diabetic elders with metabolic syndrome. Journal of Korean Gerontological Nursing, 9(1), 5-13.
  15. Kim, C. J. (2010). Mental health and self-care activities according to perceived stress level in type 2 diabetic patients with metabolic syndrome. Korean Journal of Adult Nursing, 22(1), 51-59.
  16. Kwon, K. J. (2001). Knowledge, belief and behavior on exercise of non insulin dependent diabetes mellitus patients . Unpublished master's thesis, Ewha Womans University, Seoul.
  17. Lee, E. N., & Son, H. M. (2007). Discriminating factors of stages of change in bone mass promoting behaviors after bone mineral densitometry. Korean Journal of Adult Nursing, 19(3), 389-400.
  18. Lee, E. O. (2007). Research evaluation & utilization . Seoul: Koonja Publisher.
  19. Lee, H. J. (2002). Effects of a self-efficacy enhancing exercise program on the physiological function, self-efficacy and life satisfaction of essential hypertension females. Unpublished doctoral dissertation, Seoul National University, Seoul.
  20. Marcus, B. H., Pinto, B. M., Simkin, L. R., Audrain, J. E., & Taylor, E. R. (1994). Application of theoretical models to exercise behavior among employed women. American Journal of Health Promotion, 9(1), 49-55. http://dx.doi.org/10.4278/0890-1171-9.1.49
  21. Marcus, B. H., Selby, V. C., Niaura, R. S., & Rossi, J. S. (1992). Self-efficacy and the stage of exercise behavior change. Research Quarterly for Exercise and Sport, 63(1), 60-66. http://dx.doi.org/10.1080/02701367.1992.10607557
  22. Min, E. S. (2011). The Knowledge, health belief and compliance of hypertensive patients. Unpublished master's thesis, Eulji University, Daejeon.
  23. Oh, E. G., Bang, S. Y., Hyun, S. S., Chu, S. H., Jeon, J. Y., & Kang, M. S. (2007). Knowledge, perception and health behavior about metabolic syndrome for an at risk group in a rural community area. Journal of Korean Academy of Nursing, 37(5), 790-800. https://doi.org/10.4040/jkan.2007.37.5.790
  24. Prochaska, J. O., & Velicer, W. F. (1997). The transtheoretical model of health behavior change. American Journal Health Promotion, 12(1), 38-48. https://doi.org/10.4278/0890-1171-12.1.38
  25. Reaven, G. M. (1988). Role of insulin resistance in human disease. Diabetes, 37(12), 1595-1607. http://dx.doi.org/10.2337/diab.37.12.1595
  26. Statistics Korea. (2012). Department of health and human services statistical press releases. Retrieved January 20, 2013. from http://stat.mw.go.kr/front/notice/noticeView.jsp?menuId=31&bbsSeq=4&nttSeq=18389&nPage=15&searchKey=&searchWord
  27. Wilson, P. W., D'Agostino, R. B., Parise, H., Sullivan, L., & Meigs, J. B. (2005). Metabolic Syndrome as a precursor of cardiovascular disease and type 2 diabetes mellitus. Circulation, 112, 3066-3072. http://dx.doi.org/10.1161/circulationaha.105.539528
  28. World Health Organization Western Pacific Region. (2000). The Asia-Pacific perceptive redefining obesity and its treatments. Retrieved January 12, 2013. from http://www.wpro.who.int/nutrition/documents/docs/Redefiningobesity.pdf

Cited by

  1. Evaluation of the Readability and Suitability of Printed Educational Materials on Metabolic Syndrome vol.30, pp.1, 2016, https://doi.org/10.5932/JKPHN.2016.30.1.149
  2. Motivation Factors for Stages of Behavioral Change among Individuals with Metabolic Syndrome vol.30, pp.1, 2018, https://doi.org/10.7475/kjan.2018.30.1.60