The Korean Journal of Health Service Management (보건의료산업학회지)

Korea Society of Health Service Management (보건의료산업학회)
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Factors Influencing Insufficient Physical Activity in Community-dwelling Elderly Individuals with Dementia: Using a 2014 Survey of Living Conditions of Elderly Individuals

지역사회 거주 치매 노인의 신체활동 부족 영향요인 : 2014 노인실태조사 활용

  • Received : 2018.02.01
  • Accepted : 2018.03.09
  • Published : 2018.03.31
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Abstract

Objectives : This study aimed to identify the factors influencing insufficient physical activity in community-dwelling elderly individuals with dementia. Methods : Data were analyzed using a 2014 Survey of Living Conditions of Elderly Individuals. Metabolic Equivalent Task (MET) hours were calculated using self-reported weekly frequency, duration, and types of physical activities to measure the degree of physical activity. Results : Mean MET hours were $4.03{\pm}8.59$. Factors influencing insufficient physical activity included limitations in activities of daily living (ADL), lower frequency of social group participation and unsatisfactory relationships with friends or community. When demographic factors were adjusted, patients with ADL limitation had 11.2 times higher risks of insufficient physical activities than those without. Conclusions : Community-dwelling elderly with dementia performed low levels of physical activity. Further research is needed to develop strategies to encourage physical activity participation in this population.

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References

  1. R. Butler, R. Radhakrishnan(2012), Dementia: Systematic Review, BMJ Clinical Evidence, Vol.9;1001-1027.
  2. D. Forbes, E.J. Thiessen, C.M. Blake, S.C. Forbes, S. Forbes(2015), Exercise Programs for People with Dementia, The Cochrane Database of Systematic Reviews, http://cochranelibrary-wiley.com/doi/10.1002/14651858.CD006489.pub4/abstract#pdf-section.
  3. National Institute of Dementia(2016), Korean Dementia Observatory 2016, pp.7-19.
  4. W.J. Chodzko-Zajko, D.N. Proctor, M.A. Fiatarone Sing, C.T. Minson, C.R. Nigg, G.J. Salem, J.S. Skinner(2009), Exercise and Physical Activity for Older Adults, Medicine & Science in Sports & Exercise, Vol.41;1510-1530. https://doi.org/10.1249/MSS.0b013e3181a0c95c
  5. N. Scarmeas, J.A. Luchsinger, A.M. Brickman, S. Cosentino, N. Schupf, M. Xin-Tang, Y. Gu, Y. Stern(2011), Physical Activity and Alzheimer Disease Course, The American Journal of Geriatric Psychiatry, Vol.19(5);471-481. https://doi.org/10.1097/JGP.0b013e3181eb00a9
  6. L.E. Middleton, A. Mitnitski, N. Fallah, S.A. Kirkland, K. Rockwood(2008), Changes in Cognition and Mortality in Relation to Exercise in Late Life: A Population Based Study, PLoS One, Vol.3(9);e3124-e3131. https://doi.org/10.1371/journal.pone.0003124
  7. Y.J. Hwang, W.M. Jeong, D.Y. Lee(2015), Effect of Home-Based Multi-Component Activity Program (Home-MAP) for Mild Alzheimer's Disease Patients and Caregivers, The Korean Journal of Health Service Management, Vol.9(3);255-266. https://doi.org/10.12811/kshsm.2015.9.3.255
  8. W. Zhu, V.J. Howard, V.G. Wadley, B. Hutto, S.N. Blair, J.E. Vena, N. Colabianchi, D. Rhodes, S.P. Hooker(2015), Association between Objectively Measured Physical Activity and Cognitive Function in Older Adults-The Reasons for Geographic and Racial Differences in Stroke Study, Journal of American Geriatrics Society, Vol.63(12);2447-2454. https://doi.org/10.1111/jgs.13829
  9. N.A. Sobol, K. Hoffmann, A. Vogel, A. Lolk, H. Gottrup, P. Hogh, S.G. Hasselbalch, N. Beyer(2016), Associations between Physical Function, Dual-Task Performance and Cognition in Patients with Mild Alzheimer's Disease, Aging & Mental Health, Vol. 20(11);1139-1146. https://doi.org/10.1080/13607863.2015.1063108
  10. K.H. Pitkälä, M.M. Pöysti, M.L. Laakkonen, R.S. Tilvis, N. Savikko, H. Kautiainen, T.E. Strandberg(2013), Effects of the Finnish Alzheimer Disease Exercise Trial (FINALEX): A Randomized Controlled Trial, JAMA Internal Medicine, Vol.173(10);894-901. https://doi.org/10.1001/jamainternmed.2013.359
  11. C.Y. Kim, S.H. Cho(2010), The Effect of 12-Week Combined Exercise Programs on Cognitive Function and Gait Ability in the Vascular Dementia Elders, Korean Journal of Exercise Rehabilitation, Vol.6(4);147-158.
  12. J.Y. Yoo, N.H., Lee, C.H. Lee, M.J. Kim(2010). Effect of Yoga Exercise on Blood Pressure, Physical Fitness, and Blood Variables in Elderly with Vascular Dementia, The Korean Journal of Growth and Development, Vol.18(3),217-226.
  13. D. Smit, J. de Lange, B. Willemse, A.M. Pot(2017), Predictors of Activity Involvement in Dementia Care Homes: A Cross-sectional Study, BMC Geriatrics, Vol.17(175);1-19. https://doi.org/10.1186/s12877-016-0400-5
  14. D. Vancampfort, B. Stubbs, E. Lara, M. Vandenbulcke, N., Swinnen, A. Koyanagi(2017), Mild Cognitive Impairment and Physical Activity in the General Population: Findings from Six Low-and Middle-Income Countries, Experimental Gerontology, Vol.100(2017);100-105. https://doi.org/10.1016/j.exger.2017.10.028
  15. A.L. Stewart, K.M. Mills, A.C. King, W.L. Haskell, D. Gillis, P.L. Ritter(2001), CHAMPS Physical Activity Questionnaire for Older Adults: Outcomes for Interventions, Medicine & Science in Sports & Exercise, Vol.33(7);1126-1141.
  16. M.F. Folstein, S.E. Folstein, P.R. McHugh(1975), Mini-Mental State: A Practical Method for Grading the Cognitive State of Patients for the Clinician, Journal of Psychiatric Research, Vol.12(3);189-198. https://doi.org/10.1016/0022-3956(75)90026-6
  17. T.H. Kim, J.H. Jhoo, J.H. Park, J.L. Kim, S.H. Ryu, S.W. Moon, I.H. Choo, D.W. Lee, J.C. Yoon, Y.J. Do(2010), Korean Version of Mini Mental Status Examination for Dementia Screening and Its' Short Form, Psychiatry Investigation, Vol.7(2);102-108. https://doi.org/10.4306/pi.2010.7.2.102
  18. J.I. Sheikh, J.A. Yesavage(1986), Geriatric Depression Scale (GDS): Recent Evidence and Development of a Shorter Version, Clinical Gerontologist, Vol.5(1-2);165-173. https://doi.org/10.1300/J018v05n01_09
  19. J.N. Bae, M.J. Cho(2004), Development of the Korean Version of the Geriatric Depression Scale and Its Short Form Among Elderly Psychiatric Patients, Journal of Psychosomatic Research, Vol.57(3);297-305. https://doi.org/10.1016/j.jpsychores.2004.01.004
  20. C.W. Won, Y.G. Rho, S.Y. Kim, B.R. Cho, Y.S. Lee(2002), The Validity and Reliability of Korean Activities of Daily Lving(K-ADL) Scale, Journal of the Korean Geriatrics Society, Vol.6;98-106.
  21. Y.M. Chen, Y.P. Li, M.L. Yen(2015), Gender Differences in the Predictors of Physical Activity among Assisted Living Residents, Journal of Nursing Scholarship, Vol.47(3);211-218. https://doi.org/10.1111/jnu.12132
  22. H. Kang(2017), Factors Influencing Insufficient Physical Activity in Older Cancer Patients:Using 2014 Survey of Living Condition of Elderly Study, The Journal of the Korea Contents Association, Vol.17(12);558-568. https://doi.org/10.5392/JKCA.2017.17.12.558
  23. M.E. Cadieux, L.J. Garcia, J. Patrick(2013), Needs of People With Dementia in Long Term Care: A Systematic Review, American Journal of Alzheimers Disease and Other Dementias, Vol.28(8);723-733. https://doi.org/10.1177/1533317513500840
  24. A. Innes, S.J. Page, C. Cutler(2016), Barriers to Leisure Participation for People with Dementia and Their Carers: An Exploratory Analysis of Carer and People with Dementia's Experiences, Dementia, Vol.15(6);1643-1665. https://doi.org/10.1177/1471301215570346
  25. S.R. Nyman, N. Adamczewska, N. Howlett(2018), Systematic Review of Behaviour Change Techniques to Promote Participation in Physical Activity among People with Dementia, British Journal of Health Psychology, Vol.23(1);148-170.

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