Journal of Korean Biological Nursing Science

Korean society of Biological Nursing Science (한국기초간호학회)
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Effect of a Randomized Controlled Trial Walking Program on Walking, Stress, Depressive Symptoms and Cardiovascular Biomarkers in Elderly Korean Immigrants

  • Sin, Mo-Kyung (College of Nursing, Seattle University) ;
  • Ibarra, Brandon (Harborview Medical Center) ;
  • Tae, Thomas (College of Nursing, Seattle University) ;
  • Murphy, Patrick J.M. (College of Nursing, Interdisciplinary Life Sciences Research Laboratory, Seattle University)
  • Received : 2015.04.22
  • Accepted : 2015.05.12
  • Published : 2015.05.31
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Abstract

Purpose: Despite well-known benefits of walking on cardiovascular health, no structured walking exercise program has been formally tested on elderly Korean immigrants (EKIs). This pilot randomized controlled trial study assessed the effect of a walking program on walking behavior (pedometer steps count), stress (cortisol), depressive symptoms (CESD-10), and cardiovascular disease biomarkers (hs-CRP and fibrinogen) via venipuncture in EKIs. Methods: Seventy EKIs recruited from a Korean community were randomly assigned to a 12-week walking group or control group in a 3:2 ratio. The working program included a pedometer, buddy, monthly coffee card, weekly call for goal setting, and physical activity consultation. Walking group EKIs maintained the Centers for Disease Control and Prevention recommended exercise guidelines and good mental health status over 12 weeks. Results: There was no significant difference in the outcomes between control and walking groups. Conclusion: Social networking with Koreans in the senior center and church from a well-established Korean community might have positive effects on mental health.

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References

  1. Liao Y, Bang D, Cosgrove S, Dulin R, Harris Z, Stewart A, et al. Surveillance of health status in minority communities - racial and ethnic approaches to community health across the U.S. (REACH U.S.) Risk factor survey, United States, 2009. Morbidity and Mortality Weekly Report. Surveillance Summaries. 2011;60(6):1-44.
  2. U.S. Census. Place of birth of the foreign-born population; 2009 [cited 2015 Mar 14]. Available from: http://www.census.gov/prod/2010pubs/acsbr09-15.pdf.
  3. Sin MK, Choe MA, Kim J, Chae YR, Jeon MY, Vezeau T. Comparison of body composition, handgrip strength, functional capacity, and physical activity in elderly Koreans and Korean immigrants. Research in Gerontological Nursing. 2009;2(1):20-29. https://doi.org/10.3928/19404921-20090101-11
  4. Sin MK, Choe MA, Kim J, Chae YR, Jeon MY. Depressive symptoms in community-dwelling elderly Korean immigrants and elderly Koreans: cross-cultural comparison. Research in Gerontological Nursing. 2010;3(4):262-269. https://doi.org/10.3928/19404921-20100108-01
  5. Sin MK, Chae YR, Murphy P, Kim J, Jeon MY. Perceived health, life satisfaction, and cardiovascular risk factors among elderly Korean immigrants and elderly Koreans. Journal of Gerontological Nursing. 2011;37(3):43-52. https://doi.org/10.3928/00989134-20100930-02
  6. Brummett BH, Boyle SH, Ortel TL, Becker RC, Siegler IC, Williams RB. Associations of depressive symptoms, trait hostility, and gender with C-reactive protein and interleukin-6 response after emotion recall. Psychosomatic Medicine. 2010;72(4):333-339. https://doi.org/10.1097/PSY.0b013e3181d2f104
  7. Ranjit N, Diez-Roux AV, Shea S, Cushman M, Seeman T, Jackson SA, et al. Psychosocial factors and inflammation in the multi-ethnic study of atherosclerosis. Archives of Internal Medicine. 2007;167(2):174-181. https://doi.org/10.1001/archinte.167.2.174
  8. Sin MK. A qualitative analysis of stress and coping in Korean immigrant women in middle-age and older-adulthood. Issues in Mental Health Nursing. 2015;36(1):52-59. https://doi.org/10.3109/01612840.2014.942447
  9. Ofori SN, Kotseva K. Comparison of treatment outcomes in patients with and without diabetes mellitus attending multidisciplinary cardiovascular prevention programme (a retrospective analysis of the EUROACTION trial). BMC Cardiovascular Disorders. 2015;15(1):11. https://doi.org/10.1186/s12872-015-0006-4
  10. Roussel M, Garnier S, Lemoine S, Gaubert I, Charbonnier L, Auneau G, et al. Influence of a walking program on the metabolic risk profile of obese postmenopausal women. Menopause. 2009;16(3):566-575. https://doi.org/10.1097/gme.0b013e31818d4137
  11. Sisson SB, Camhi SM, Church TS, Tudor-Locke C, Johnson WD, Katzmarzyk PT. Accelerometer-determined steps/day and metabolic syndrome. American Journal of Preventive Medicine. 2010;38(6):575-582. https://doi.org/10.1016/j.amepre.2010.02.015
  12. Hofstetter CR, Irvin V, Schmitz K, Hovell MF, Nichols J, Kim HR, et al. Demography of exercise among Californians of Korean descent: a cross-sectional telephone survey. Journal of Immigrant and Minority Health. 2008;10(1):53-65. https://doi.org/10.1007/s10903-007-9050-1
  13. Peterson MJ, Morey MC, Giuliani C, Pieper CF, Evenson KR, Mercer V, et al. Health ABC Study. Walking in old age and development of metabolic syndrome: the health, aging, and body composition study. Metabolic Syndrome and Related Disorders. 2010;8(4):317-322. https://doi.org/10.1089/met.2009.0090
  14. Underwood M, Eldridge S, Lamb S, Potter R, Sheehan B, Slowther AM, et al. The OPERA trial: protocol for a randomised trial of an exercise intervention for older people in residential and nursing accommodation. Trials. 2011;12:27. https://doi.org/10.1186/1745-6215-12-27
  15. Choi J, Wilbur J, Kim MJ. Patterns of leisure time and non-leisure time physical activity of Korean immigrant women. Health Care for Women International. 2011;32(2):140-153. https://doi.org/10.1080/07399332.2010.508131
  16. Ajen I, Fishbein M. Understanding Attitudes and Predicting Social Behavior. New Jersey: Prentice-Hall; 1980.
  17. Saito T, Kai I, Takizawa A. Effects of a program to prevent social isolation on loneliness, depression, and subjective well-being of older adults: a randomized trial among older migrants in Japan. Archives of Gerontology and Geriatrics. 2012;55(3):539-547. https://doi.org/10.1016/j.archger.2012.04.002
  18. Segrin C, Domschke T. Social support, loneliness, recuperative processes, and their direct and indirect effects on health. Health Communication. 2011;26(3):221-232. https://doi.org/10.1080/10410236.2010.546771
  19. Hall KS, McAuley E. Individual, social environmental and physical environmental barriers to achieving 10,000 steps per day among older women. Health Education Research. 2010;25(3):478-488. https://doi.org/10.1093/her/cyq019
  20. Baker G, Gray SR, Wright A, Fitzsimons C, Nimmo M, Lowry R, et al. The effect of a pedometer-based community walking intervention "Walking for Wellbeing in the West" on physical activity levels and health outcomes: a 12-week randomized controlled trial. International Journal of Behavioral Nutrition and Physical Activity. 2008;5:44-59. https://doi.org/10.1186/1479-5868-5-44
  21. Crouter SE, Schneider PL, Karabulut M, Bassett DR. Validity of 10 electronic pedometers for measuring steps, distance, and energy cost. Medicine and Science in Sports and Exercise. 2003;35(8):1455-1460. https://doi.org/10.1249/01.MSS.0000078932.61440.A2
  22. Pal S, Cheng C, Egger G, Binns C, Donovan R. Using pedometers to increase physical activity in overweight and obese women: a pilot study. BMC Public Health. 2009;9:309-318. https://doi.org/10.1186/1471-2458-9-309
  23. Leenders NY, Nelson TE, Sherman WM. Ability of different physical activity monitors to detect movement during treadmill walking. International Journal of Sports Medicine. 2003;24(1):43-50. https://doi.org/10.1055/s-2003-37196
  24. Kohout FJ, Berkman LF, Evans DA, Cornoni-Huntley J. Two shorter forms of the CES-D (Center for Epidemiological Studies Depression) depression symptoms index. Journal of Aging and Health. 1993;5(2):179-193. https://doi.org/10.1177/089826439300500202
  25. Andresen EM, Malmgren JA, Carter WB, Patrick DL. Screening for depression in well older adults: evaluation of a short form of the CES-D (Center for Epidemiologic Studies Depression Scale). American Journal of Preventive Medicine. 1994;10(2):77-84.
  26. Jang Y, Kim G, Chiriboga D. Acculturation and manifestation of depressive symptoms among Korean-American older adults. Aging and Mental Health. 2005;9(6):500-507. https://doi.org/10.1080/13607860500193021
  27. Radloff LS. The CES-D scale: a self-report depression scale for research in the general population. Applied psychological measurement. 1997;1(4):385-401.
  28. Tudor-Locke C, Brashear MM, Katzmarzyk PT, Johnson WD. Peak stepping cadence in free-living adults: 2005-2006 NHANES. Journal of Physical Activity & Health. 2012;9(8):1125-1129.
  29. Bassett DR, Wyatt HR, Thompson H, Peters JC, Hill JO. Pedometer-measured physical activity and health behaviors in U.S. adults. Medical Science & Sports Exercise. 2010;42(10):1819-1825. https://doi.org/10.1249/MSS.0b013e3181dc2e54
  30. CDC (Centers for Disease Control and Prevention). How much physical activity do older adults need?; 2014 June 17 [cited 2015 April 20]. Available from: http://www.cdc.gov/physicalactivity/everyone/guidelines/olderadults.html.
  31. Lim K, Taylor L. Factors associated with physical activity among older people--a population-based study. Preventive Medicine. 2005;40(1):33-40. https://doi.org/10.1016/j.ypmed.2004.04.046
  32. Jang Y, Chiriboga DA. Social activity and depressive symptoms in Korean American older adults: the conditioning role of acculturation. Journal of Aging and Health. 2011;23(5):767-781. https://doi.org/10.1177/0898264310396214
  33. Victor CR, Yang K. The prevalence of loneliness among adults: a case study of the United Kingdom. Journal of Psychology. 2012;146(1-2):85-104. https://doi.org/10.1080/00223980.2011.613875
  34. Evans P, Forte D, Jacobs C, Fredhoic C, Aitchison E, Hucklebridge F, et al. Cortisol secretory activity in older people in relation to positive and negative well-being. Psychoneuroendocrinology. 2007;32(8-10):922-930. https://doi.org/10.1016/j.psyneuen.2007.06.017
  35. Lai JC, Evans PD, Ng SH, Chong AM, Siu OT, Chan CL, et al. Optimism, positive affectivity, and salivary cortisol. British Journal of Health Psychology. 2005;10(Pt 4):467-484. https://doi.org/10.1348/135910705X26083
  36. Rowe JW, Kahn RL. Successful aging. Gerontologist. 1997;37(4):433-440. https://doi.org/10.1093/geront/37.4.433
  37. Shankar A, McMunn A, Banks J, Steptoe A. Loneliness, social isolation, and behavioral and biological health indicators in older adults. Health Psychology. 2011;30(4):377-385. https://doi.org/10.1037/a0022826
  38. Kamiya Y, Whelan B, Timonen V, Kenny RA. The differential impact of subjective and objective aspects of social engagement on cardiovascular risk factors. BMC Geriatrics. 2010;10:81-90. https://doi.org/10.1186/1471-2318-10-81
  39. Ramsay S, Ebrahim S, Whincup P, Kenny RA. Social engagement and the risk of cardiovascular disease mortality: results of a prospective population-based study of older men. Annals of Epidemiology. 2008;18(6):476-483. https://doi.org/10.1016/j.annepidem.2007.12.007
  40. Abramson JL, Vaccarino V. Relationship between physical activity and inflammation among apparently healthy middle-aged and older US adults. Archives of Internal Medicine. 2002;162(11):1286-1292. https://doi.org/10.1001/archinte.162.11.1286
  41. Hamer M, Molloy GJ, de Oliveira C, Demakakos P. Leisure time physical activity, risk of depressive symptoms, and inflammatory mediators: the English Longitudinal Study of Ageing. Psychoneuroendocrinology. 2009;34(7):1050-1055. https://doi.org/10.1016/j.psyneuen.2009.02.004

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