문화기술의 융합 (The Journal of the Convergence on Culture Technology)

  • 제4권2호
  • /
  • Pages.139-147
  • /
  • 2018
  • /
  • 2384-0358(pISSN)
  • /
  • 2384-0366(eISSN)
국제문화기술진흥원 (The International Promotion Agency of Culture Technology)
권호 표지
DOI QR코드

DOI QR Code

대사증후군 노인의 운동지속 영향요인

Factors affecting on maintenance of exercise among elderly with metabolic syndrome

  • 투고 : 2018.02.12
  • 심사 : 2018.04.12
  • 발행 : 2018.05.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

본 연구의 목적은 대사증후군 노인의 운동유지 여부에 따라 운동유지에 대한 영향요인을 확인하기 위해 시행된 횡단적 조사연구이다. 본 연구의 대상자는 총 136명이며, 자료의 수집은 대사증후군 노인의 운동유지 영향요인을 알아보기 위해 운동유지, 운동기대감, 운동 관련 환경, 운동 사회적지지, 운동자기효능감에 대한 도구로 수집되었다. 수집된 자료는 SPSS Win 20.0 program을 사용하여 requency, X2, t-test, Logistic regression으로 분석하였다. 연구 결과 연령, 운동기대감, 운동자기효능감이 이들의 운동유지 영향요인임이 밝혀졌다. 이러한 결과는 대사증후군 노인의 운동유지를 위해서는 내적 동기에 해당하는 자기효능감을 함양시키고 운동기대감을 증진시키는 것이 중요하다고 할 수 있다. 또한 대사증후군 노인을 위한 건강증진프로그램을 계획할 때 운동에 대한 결과를 알려주고 이에 대한 이점을 부각시켜 스스로 운동을 잘 해낼 수 있도록 계획해야 하는 데에 본 연구결과가 기초자료로 활용할 수 있음이 기대된다.

The purpose of this study was to identify factors affecting maintenance of exercise among elderly with metabolic syndrome. In order to achieve this purpose, the study design was used a cross-sectional survey. Study participants were a total of 136 elderly with metabolic syndrome and they completed the questionnaire consisted of outcome expectations, exercise self-efficacy, exercise social support, physical activity environment, and exercise maintenance. The data was analyzed using frequency, $X^2$, t-test, and Logistic regression by SPSS Win 20.0 program. The study results had shown that factors affecting maintenance of exercise among elderly with metabolic syndrome, were gender, outcome expectation, and exercise self-efficacy. This study results indicated that the personal motivation such as self-efficacy and outcome expectation among elderly with metabolic syndrome was the most important factor to maintain their exercise. Therefore, we should consider on developing health promotion program to enhance the personal motivation such self-efficacy and outcome expectation for elderly with metabolic syndrome. In addition, this results would used to develop adequate nursing strategies for taking care them in the community.

키워드

참고문헌

  1. Statistics Korea. 2015 Elderly Statistics [Internet]. Seoul: Statistics Korea, [cited 2018 April 30]
  2. J. Y. Sim, "Treatment and Prevention of Metabolic Syndrome", Korean Journal of Family Medicine, Vol. 5, No. 3, pp. 375-420, 2015.
  3. M. K. Kim, and J. H. Park "Metabolic Syndrome", The Journal of the Korean Medical Association. Vol. 55, No. 10, pp. 1005-1013, 2012. https://doi.org/10.5124/jkma.2012.55.10.1005
  4. C. J, Kim, and H. W. Kim, "Effects of an 8 Weeks Walking Exercise on Blood Lipid and HbA1c in Obese Old Women", The Korea Journal of Sport, Vol. 15, No. 2, pp. 609-616, 2017.
  5. M. S. Ha, and Y. H. Baek, "Floor Exercise Improves on Senior Fitness Test, Blood Lipids and Arterial Stiffness in Elderly Women with Metabolic Syndrome", Journal of the Korean Oil Chemists' Society, Vol. 34, No. 4, pp. 899-907, 2017.
  6. S. M. Ha, D. Y. Kim, J. S. Kim, S. J. Hyun, J. H. Kim, and J. W. Kim, "Effects of Combined Exercise on SFT, Metabolic Syndrome Risk Factors and Insulin Resistance in Obese Elderly Women", Korean Association of Physical Education and Sport for Girls and Women, Vol. 32, No. 1, pp. 113-129, 2018. https://doi.org/10.16915/jkapesgw.2018.03.32.1.113
  7. P. S. Lee, and S. O. Chang, "The Study on the Effect of Stage Based Exercise Motivational Intervention Program for the Elderly", Journal of Korean Academy of Nursing, Vol. 31, No. 5, pp. 818-834, 2001. https://doi.org/10.4040/jkan.2001.31.5.818
  8. K. O. Cho, and S. N. Nam, "Relationship between Physical Activity and Health-Related Life Quality according to Gender in Korean Elderly People", the Korean Gerontological Society, Vol. 33, No. 4, pp. 775-785, 2013.
  9. T. Ellis, J. T. Cavanaugh, G. M. Earhart, M. P. Ford, K. B. Foreman, L. Fredman, et al., "Factors Associated with Exercise Behavior in People with Parkinson Disease", Physical Therapy, Vol. 91, No. 12, pp. 1838-1848, 2011. https://doi.org/10.2522/ptj.20100390
  10. B. H. Marcus, L. H. Forsyth, E. J. Stone, P. M. Dubbert, T. L. McKenzie, A. L. Dunn, et al., "Physical Activity Behavior Change: Issues in Adoption and Maintenance", Health Psychology, Vol. 19, No. 1, pp. 32-41, 2000. doi.org/10.1037/0278-6133.19.1(Suppl.).32
  11. Y. S. Shin, B. H. Jang, and K. S. Shin. "The Effect of Resistance Training Intensity on Muscle Damaged Index and Aging-Related Hormones in Obese Middle-Aged Women", Journal of Fishies and Marine Science Education, Vol. 27, No. 4, pp. 924-937, 2015. https://doi.org/10.13000/JFMSE.2015.27.4.924
  12. D. M. Williams, B. A. Lewis, S. Dunsiger, J. A. Whiteley, G. D. Papandonatos, M. A. Napolitano, et al., "Comparing Psychosocial Predictors of Physical Activity Adoption and Maintenance", Annals of Behavioral Medicine, Vol. 36, No. 2, pp. 186-194, 2008. https://doi.org/10.1007/s12160-008-9054-7
  13. H. H. Sung, and C. E. Park, "The Correlation between Physical Activity and Metabolic Syndrome", Journal of the Korea Entertainment Industry Association, Vol. 7, No. 4, pp. 235-242, 2013. https://doi.org/10.21184/jkeia.2013.12.7.4.235
  14. Y. K. Jeon, and W. j. Cho, "The Comparative Analysis of Body Shape Perception, Nutritional Status and Metabolic Syndrome Factors of Middle-aged Women by Physical Activity Level", The Korean Journal of Physical Education, Vol. 55, No. 4, pp. 527-539, 2016.
  15. K. H. Chun, and E. A. Park, "Differences of Characteristics of Life and Psycho-social Factors in Elderly Women Participating in Leisure Activity", Journal of Fishies and Marine Science Education, Vol. 28, No. 2, pp. 428-438, 2016. https://doi.org/10.13000/JFMSE.2016.28.2.428
  16. Yu, H. L., Effects of Sports Participation Related to Physical Self-efficacy and Exercise Adherences of Metabolic Syndrome Women, Master's thesis, Kook-Min University, Seoul, 2016.
  17. L. S. Rovniak, E. S. Anderson, R. A. Winett, and R. S. Stephens, "Social Cognitive Determinants of Physical Activity in Young Adults: A Prospective Structural Equation Analysis", Annals of Behavioral Medicine, Vol. 24, No. 2, pp. 149-156, 2002. https://doi.org/10.1207/S15324796ABM2402_12
  18. B. H. Marcus, V. C. Selby, R. S. Niaura, and J. S. Rossi, "Self-Efficacy and the Stages of Exercise Behavior Change", Research Quarterly for Exercise and Sport, Vol. 63, No. 1, pp. 60-66, 1992. https://doi.org/10.1080/02701367.1992.10607557
  19. R. A. Washburn, K. W. Smith, A. M. Jette, and C. A. Janney "The Physical Activity Scale for the Elderly (PASE): Development and Evaluation". Journal of Clinical Epidemiology, Vol. 46, No. 2, pp. 153-162, 1993. https://doi.org/10.1016/0895-4356(93)90053-4
  20. M. A. Choe, J. Kim, M. Y. Jeon, and Y. R. Chae, "Evaluation of the Korean Version of Physical Activity Scale for the Elderly (K-PASE)", Korean Journal of Women Health Nursing, Vol. 16, No. 1, pp. 47-59, 2010. https://doi.org/10.4069/kjwhn.2010.16.1.47
  21. J. F. Sallis, R. M. Grossman, R. B. Pinski, T. L. Patterson, and P. R. Nader, "The Development of Scales to Measure Social Support for Diet and Exercise Behaviors". Preventive Medicine, Vol. 16, No. 6, pp. 825-836, 1987. https://doi.org/10.1016/0091-7435(87)90022-3
  22. J. A. Choi, "Construction of Leisure Physical Activity Model of Middle-aged Women in Urban Area, Korean Journal of Adult Nursing", Vol. 20, No. 4, pp. 626-640, 2008.
  23. B. Resnick, "Reliability and Validity of the Outcome Expectations for Exercise Scale-2", Journal of Aging Physical Activity, Vol. 13, No. 4, pp. 382-394, 2005. https://doi.org/10.1123/japa.13.4.382
  24. M. Choi, and D. Jung, "Korean Version of the Outcome Expectations for Exercise Scale-2: Validation Study", Korean Journal of Adult Nursing, Vol. 24, No. 6, pp. 580-587, 2012. https://doi.org/10.7475/kjan.2012.24.6.580
  25. Y. S. Lee, and K. A. Hyung, "The Correlation Between Level of Physical Activity and Metabolic Syndrome Risk Factor in Patient with Metabolic Syndrome", The Korean Journal of Sport, Vol. 11, No. 4, pp. 375-383, 2013.
  26. H. S. Lee, and Y. H. So, "Analysis of Stages of Change for Exercise Behavior, BMI, Physical Activity Level, and Outcome Expectations in the University Students", Korean Society For The Study Of Physical Education, Vol. 21, No. 1, pp. 135-147, 2016. https://doi.org/10.15831/JKSSPE.2016.21.1.135
  27. W. C. Kim, "Influence of Exercise Self Efficacy and Perceived Health Status according to the Stage of Change for Exercise Behaviors in Older Adults", Journal of Digital Convergence, Vol. 13, No. 11, pp. 549-559, 2015. https://doi.org/10.14400/JDC.2015.13.11.549
  28. J. M. Lee, "An Analysis and Suggestions on the Influence Factors of Physical Activity in the Elderly", Social Work Practice&Research, Vol. 13, No. 2, pp. 5-42, 2016.
  29. H. Y. Yu, H. S. Park, B. J. Kim, C. S. Lee, B. S. Cha, S. J. Lee, et al., "The Effect of Social Support for Metabolic Syndrome on Elderly in a City in Korea", Journal of Korean Geriatirc Psychiatry, Vol. 21, No. 2, pp. 75-80, 2017.
  30. J. G. Lim, "The Relationship among Social Support, Leisure Flow and Exercise Adherence in Sports for All the Participant of the Age", Journal of the Korean society for Wellness, Vol. 10, No. 4, pp. 39-50, 2015.
  31. E. H. Hwang, and Y. S. Chung, "Effects of The Exercise Self-Efficacy and Exercise Benefits/Barriers on Doing Regular Exercise of the Elderly", Journal of Korean Academy of Nursing, Vol. 38, No. 3, pp. 428-436, 2008. https://doi.org/10.4040/jkan.2008.38.3.428
  32. Y. H. Shin, and H. J. Jang, "Perceived Exercise Self-Efficacy and Exercise Benefits/Barriers of Korean Adults with Chronic Diseases", Journal of Korean Academy of Nursing, Vol. 30, No.4, pp. 869-879, 2000. https://doi.org/10.4040/jkan.2000.30.4.869
  33. B. G. Berger, D. Pargman, and R. S. Weinberg, Foundation of Exercise Psychology (2nd), Fitness Information Technology, 2002.
  34. J. Y. Choi, A. K. Chang, and E. J. Lee, "Predictors of Maintenance of Physical Activity among Hypertensive Older Adults in Korea", Journal of Muscle and Joint Health, Vol. 22, No. 3, pp. 228-235, 2015. https://doi.org/10.5953/JMJH.2015.22.3.228