Journal of Korean Academy of Fundamentals of Nursing (기본간호학회지)

Korean Academy of Fundamentals of Nursing (기본간호학회)
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Gender Comparison Factors Influencing Regular Exercise Adherence in Patients with Coronary Artery Disease: Data from the 6th Korea National Health and Nutrition Examination Survey (2013~2015)

관상동맥질환자의 규칙적 운동이행 영향요인의 성별 비교: 국민건강영양조사 자료(2013~2015년) 활용

  • Jin, Hyekyung (Department of Nursing, College of Medicine, Dong-A University Busan) ;
  • Kim, Minju (Department of Nursing, College of Medicine, Dong-A University Busan)
  • 진혜경 (동아대학교 의과대학 간호학과) ;
  • 김민주 (동아대학교 의과대학 간호학과)
  • Received : 2018.02.19
  • Accepted : 2018.04.27
  • Published : 2018.05.31
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Abstract

Purpose: The purpose of this study was to investigate gender related factors that influence regular exercise adherence in patients with coronary artery disease. Methods: This secondary analysis study used data from the 2013~2015 Korea National Health and Nutrition Examination Survey (KNHANES). Three hundred and eighty patients over 20 years of age and having coronary artery disease were selected for this study. Measures included questions about regular exercise, general characteristics, health behaviors, and health status. Data were analyzed using descriptive analysis, Rao-Scott $x^2$ statistic, and multiple logistic regression analysis with the SPSS 21.0 program. Results: The results were as follows. Men did more regular exercise than women (58.8% vs 40.1%). The multivariate-adjusted Odds Ratios (OR) for regular exercise adherence in men were 2.93 (95% CI: 1.39~6.17) for non smokers and 3.06 (95% CI: 1.53~6.13) for men with 0 to 1 comorbidities. Women had a high odds ratios of 0.38 (95% CI: 0.18~0.82) for not using alcohol and 2.10 (95% CI: 1.03~4.29) for no back pain. Conclusion: To improve regular exercise adherence in patients with coronary artery disease, it is necessary to develop different approaches considering gender.

Keywords

Acknowledgement

Supported by : 동아대학교

References

  1. World Health Organization. The top 10 causes of death [Internet]. Geneva: World Health Organization; 2017 [cited 2017 January 20]. Available from: http://www.who.int/mediacentre/factsheets/fs310/en/
  2. Statistics Korea. 2015 Annual report on the cause of death statistics [Internet]. Seoul: Statistics Korea; 2015 [cited 2017 April 27]. Available from: http://kostat.go.kr/portal/korea/kor_nw/2/6/2/index.-board?bmode=read&aSeq=356345
  3. National Health Insurance Service. National health insurance statistical yearbook [Internet]. Gangwon: National Health Insurance Service; 2015 [cited 2017 May 25]. Available from: http://www.nhis.or.kr/menu/boardRetriveMenuSet.xx?menuId=F3321
  4. Park AR, So HS, Song CE. Impact of risk factors, autonomy support and health behavior compliance on the relapse in patients with coronary artery disease. Korean Journal of Adult Nursing. 2017;29(1):32-40. https://doi.org/10.7475/kjan.2017.29.1.32
  5. Durstine JL, Moore GE, LaMonte MJ, Franklin BA. Pollock's textbook of cardiovascular disease and rehabilitation. 1st ed. Lee et al., translator. Seoul: Hanmi Medical Publishing Co.;2014.
  6. Eckel RH, Jakicic JM, Ard JD, Jesus JMD, Miller NH, Hubbard VS, et al. 2013 AHA/ACC guideline on lifestyle management to reduce cardiovascular risk: a report of the American college of cardiology/American heart association task force on practice guidelines. Journal of the American College of Cardiology. 2014;63(25 Part B):2960-2984. https://doi.org/10.1016/j.jacc.2013.11.003
  7. Wienbergen H, Hambrecht R. Physical exercise and its effects on coronary artery disease. Current opinion in pharmacology. 2013;13(2):218-225. https://doi.org/10.1016/j.coph.2012.12.003
  8. Montalescot G, Sechtem U, Achenbach S, Andreotti F, Arden C, Budaj A, et al. 2013 ESC guidelines on the management of stable coronary artery disease: The task force on the management of stable coronary artery disease of the European Society of Cardiology. European Heart Journal. 2013;34(38):2949-3003. https://doi.org/10.1093/eurheartj/eht296
  9. Fleury J, Lee SM, Matteson B, Belyea M. Barriers to physical activity maintenance after cardiac rehabilitation. Journal of Cardiopulmonary Rehabilitation and Prevention. 2004;24(5):296-305. https://doi.org/10.1097/00008483-200409000-00002
  10. Joussain C, Joubert J, Laroche D, D'antono B, Juneau M, Gremeaux V. Barriers to physical activity in coronary artery disease patients: development and validation of a new scale. Annals of Physical and Rehabilitation Medicine. 2017;60(5):289-298. https://doi.org/10.1016/j.rehab.2017.01.002.
  11. Shin N, Kang Y. The relationships among health locus of control and resilience, social support and health promoting behavior in patients with newly diagnosed coronary artery diseases. Korean Journal of Adult Nursing. 2015;27(3):294-303. https://doi.org/10.7475/kjan.2015.27.3.294
  12. Marti CN, Georgiopoulou VV, Giamouzis G, Cole RT, Deka A, Tang WW, et al. Patient reported selective adherence to heart failure self care recommendations: a prospective cohort study: The atlanta cardiomyopathy consortium. Congestive Heart Failure. 2013;19(1):16-24. https://doi.org/10.1111/j.1751-7133.2012.00308.x
  13. Kang KJ, Yu SJ. Health behavior and influencing factors in patients with coronary artery disease admitted to hospital. Journal of Korean Academy of Fundamentals of Nursing. 2010;17(1):16-25.
  14. Kang EJ. Clustering of lifestyle behaviors of korean adults using smoking, drinking, and physical activity. Health and Social Welfare Review. 2007;27(2):44-66. https://doi.org/10.15709/hswr.2007.27.2.44
  15. Kang K, Sung J, Kim C. High risk groups in health behavior defined by clustering of smoking, alcohol, and exercise habits: National Heath and Nutrition Examination Survey. Journal of Preventive Medicine and Public Health. 2010;43(1):73-83. https://doi.org/10.3961/jpmph.2010.43.1.73
  16. Denton M, Prus S, Walters V. Gender differences in health: a canadian study of the psychosocial, structural and behavioural determinants of health. Social Science & Medicine. 2004;58(12):2585-2600. https://doi.org/10.1016/j.socscimed.2003.09.008
  17. Moon H, Lee I. Gender-based comparison of physical activity levels of older Korean adults with chronic disease. Journal of Korean Gerontological Nursing. 2011;13(2):120-130.
  18. Choi YH, Lee CJ. The relationship of health-related variables with regular walking exercise in the elderly based on: the Korea National Health and Nutrition Examination Survey (KNHNES). Journal of Korean Public Health Nursing. 2013;27(1):5-15. https://doi.org/10.5932/JKPHN.2013.27.1.5
  19. Marzolini S, Brooks D, Oh PI. Sex differences in completion of a 12-month cardiac rehabilitation programme: an analysis of 5922 women and men. European Journal of Cardiovascular Prevention & Rehabilitation. 2008;15(6):698-703. https://doi.org/10.1097/HJR.0b013e32830c1ce3
  20. Oh JE, Park HS, Kim DH. The relationships among hostility, perceived social support and health behavior compliance of patients with coronary artery disease. Journal of Korean Academy of Fundamentals of Nursing. 2010;17(1):99-108.
  21. Son YJ. Hostility, life style and serum lipids according to recurrent cardiac events in patients with coronary artery disease. Journal of Korean Clinical Nursing Research. 2005;11(1):33-46.
  22. Korea Centers for Disease Control and Prevention. The Sixth Korea National Health and Nutrition Examination Survey (KNHANES VI-3) [Internet]. Cheongju: Korea Centers for Disease Control and Prevention; 2015 [cited 2017 January 10]. Available from: https://knhanes.cdc.go.kr/knhanes/main.do
  23. Ainsworth BE, Haskell WL, Whitt MC, Irwin ML, Swartz AM, Strath SJ, et al. Compendium of physical activities: an update of activity codes and MET intensities. Medicine and Science in Sport and Exercise. 2000;32(9):S498-S516. https://doi.org/10.1097/00005768-200009001-00009
  24. Lee H, Jin H, Park J, Chun KJ, Kim JH. Consistency in measuring physical activities and regular exercises and their relationship with exercise capacity and quality of life in patients with heart failure. Journal of Korean Biological Nursing Science 2014;16(4):284-291. https://doi.org/10.7586/jkbns.2014.16.4.284
  25. Conraads VM, Deaton C, Piotrowicz E, Santaularia N, Tierney S, Piepoli MF, et al. Adherence of heart failure patients to exercise: Barriers and possible solutions. European Journal of Heart Failure. 2012;14(5):451-458. https://doi.org/10.1093/eurjhf/hfs048
  26. Lee JH. The effect of moderate drinking in income and health. Journal of Industrial Economics and Business. 2013;26(4):1857-1887.
  27. Cha BK, Park CS. A comparison of pain, pain interference and fatigue according to the level of physical activity in the elderly with chronic pain. Journal of Korean Academy of Community Health Nursing. 2011;22(2):162-172. https://doi.org/10.12799/jkachn.2011.22.2.162
  28. Maas AHEM, Appelman YEA. Gender differences in coronary heart disease. Netherlands Heart Journal. 2010;18(12):598-603. https://doi.org/10.1007/s12471-010-0841-y
  29. Park JH, Kim JH. A study on physical activity and stress for improving health management of patients with rheumatoid arthritis. Journal of the Korea Entertainment Industry Association. 2015;9(4):177-186. https://doi.org/10.21184/jkeia.2015.12.9.4.177