보건교육건강증진학회지 (Korean Journal of Health Education and Promotion)

  • 제31권4호
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  • Pages.37-49
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  • 2014
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  • 1229-4128(pISSN)
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  • 2635-5302(eISSN)
한국보건교육건강증진학회 (Korean Society for Health Education and Promotion)
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생활습관개선 프로그램이 성인의 식이행동과 신체활동 및 심혈관위험요인에 미치는 효과: 중재 3개월 결과를 중심으로

Short-term Effects of a Lifestyle Intervention Program on Eating Behaviors, Physical Activity and Cardiovascular Risks in Korean Adults

  • 박지연 (한국건강관리협회 건강증진연구소) ;
  • 김혜경 (한국건강관리협회 건강증진연구소)
  • Park, Jiyeon (Health Promotion Research Institute, Korea Association of Health Promotion) ;
  • Kim, Hyekyeong (Health Promotion Research Institute, Korea Association of Health Promotion)
  • Received : 2014.08.05
  • Accepted : 2014.09.12
  • Published : 2014.10.01
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Abstract

Objectives: The aim of this study was to evaluate the effects of a lifestyle modification program for Korean adults with cardiovascular disease risk factors on their health behaviors and health status. Methods: A total of 448 adults with abdominal obesity and additional cardiovascular disease risk factors(high blood pressure, low HDL-cholesterol, high triglyceride or high blood glucose) were randomly assigned to either an intensive intervention group (IIG, n=216) or a minimal intervention group(MIG, n=232). Participants in the IIG received lifestyle modification program which consisted of health counseling with nutrition assessment, health booklet and health diary, while those in MIG received minimal information. Results: The participants in the IIG significantly improved dietary habits(p<.05), retrained eating(p<.001), external eating(p<.01) behaviors, leisure time physical activity(p<.05), dietary self-efficacy(p<.01), exercise self-efficacy(p<.01) and MetS score(p<.001) after 3 months. In addition, the participants in the IIG showed more improvement in dietary habits(p<.05) compared with those in the MIG. Conclusion: The lifestyle modification program was effective in improving some health behaviors, behavioral determinants and cardiovascular risk factors for a short term.

Keywords

References

  1. American Heart Association. (2012, November 20). Understand your risk of heart attack: Risk factors and coronary heart disease. Retrieved from http://www.heart.org/HEARTORG/Conditions/HeartAttack/UnderstandYourRis%20kofHeartAttack/Understand-Your-Risk-of- Heart-Attack_UCM_002040_Article.jsp
  2. Artinian, N. T., Fletcher, G. F., Mozaffarian, D., Kris-Etherton, P., Van Horn, L., Lichtenstein, A. H., . . . Burke, L. E. (2010). Interventions to promote physical activity and dietary lifestyle changes for cardiovascular risk factor reduction in adults. Circulation, 122, 406-441. http://dx.doi.org/10.1161/CIR.0b013e3181e8edf1
  3. Beverly, B. G., Timothy, M., Michael, H., Madsen, L., Madlen, C., & Diana, B. (2002). Effectiveness of telephone support in Increasing physical activity levels in primary care patient. American Journal of Preventive Medicine, 22(3), 177-183. https://doi.org/10.1016/S0749-3797(01)00428-7
  4. Chan, C. B., Ryan, D. A., & Tudor-Locke, C. (2004). Health benefits of a pedometer-based physical activity intervention in sedentary workers. Preventive Medicine, 39, 1215-1222. https://doi.org/10.1016/j.ypmed.2004.04.053
  5. Choo, H. I., & Kim, G. S. (2011). Effects of a self-regulation program on blood pressure control and self-care in patient with essential hypertension. Journal of Korean Academy of Rural Health Nursing, 6(1), 33-43.
  6. Clark, M. M., Abrams, D. B., Niaura, R. S., Etton, C. A., & Rossi, J. S. (1991). Self-efficacy in weight management. Journal of Consulting and Clinical Psychology, 59, 739-744. https://doi.org/10.1037/0022-006X.59.5.739
  7. Crosby, R. A., DiClemente, R. J., & Salazar, L. F. (2006) Research Methods in Health Promotion. San Francisco, CA: Jossey-Bass.
  8. Donnelly, J. E., Blair, S. N., Jakicic, J. M., Manore, M. M., Rankin, J. W., & Smith, B. K. (2009). Appropriate physical activity intervention strategies for weight loss and pre-vention of weight regain for adults. Medicine & Science in Sports & Exercise, 41, 459-471.
  9. Evans, K. E., Prochaska, J. O., Johnson, J. L., Mauriello, L. M., Padula, J. A., Prochaska, J. M. (2006). A randomized clinical trial of a population- and Transtheoretical Model based stress management intervention. Health Psychology, 15(4), 521-529.
  10. Hurling, R., Catt, M., DeBoni, M., Fairley, W., Hurst, T., Murray, P., . . . & Sodhi, J. S. (2007). Using Internet and mobile phone technology to deliver an automated physical activity program: Randomized controlled trial. Journal of Medicine Internet Research, 9(2), 1-13. https://doi.org/10.2196/jmir.9.1.e1
  11. Jeon, H. O. & Kim, O. S. (2011). The effects of an internet based coaching program for obesity management in hypertension patients. Korean Journal of Adult Nursing, 23(2), 146-159.
  12. Johnson, S. S., Paiva, A. L., Cummins, C. O., Johnson, J. L., Dyment, S. J., Wright, J. A., . . . & Sherman, K. (2008). Transtheoretical Model-based multiple behavior intervention for weight management: Effectiveness on a population basis. Preventive Medicine, 46, 238-246. https://doi.org/10.1016/j.ypmed.2007.09.010
  13. Johnson, J. L., Slentz, C. A., Houmard, J. A., Samsa, G. P., Duscha, B. D., Aiken, L. B., . . . & Kraus, W. E. (2007). Exercise Training Amount and Intensity Effects on Metabolic Syndrome (From Studies of a Targeted Risk Reduction Intervention through Defined Exercise). American Journal of Cardiology, 100(12), 1759-1766. https://doi.org/10.1016/j.amjcard.2007.07.027
  14. Ju, K. O., & So, H. Y. (2008). Effects of the nutrition education program on elf-efficacy, diet behavior pattern and cardiovascular risk factors for the patients with cardiovascular. Journal of Korean Academy of Nursing, 38(1), 64-73. https://doi.org/10.4040/jkan.2008.38.1.64
  15. Jung, Y. H., Ko, S. J., & Kim E. J. (2013). A study on the effective chronic disease management. Korea Institute for Health and Social Affairs.
  16. Kim, H. (2013a). Effects of health education using short messaging of cellular phone. Korean Journal of Adult Nursing 25(3), 241-249. https://doi.org/10.7475/kjan.2013.25.3.241
  17. Kim, H. S. (2013b). Role of diabetes educators and effectiveness of diabetes education. The Journal of Korean Diabetes, 14, 194-198. http://dx.doi.org/10.4093/jkd.2013.14.4.194
  18. Kim, M. S. & Song, M. S. (2013). The effects of 6 months lifestyle coaching program for adults with hypertension. Perspectives in Nursing Science, 10(2), 111-119.
  19. Kim, S. H., Yu, O. K., Byun, M. S., Cha Y. S., & Park T. S. (2014). Effects of weight management program for middle aged women with metabolic syndrome risk factors. Korean Journal of Obesity, 23(2), 106-115. https://doi.org/10.7570/kjo.2014.23.2.106
  20. Kim, H. Y., Cho, M. S., & Lee, H. S. (2003). Development and validation of mini dietary assessment index for Koreans. The Korean Journal of Nutrition, 36(1), 83-92.
  21. Lee, M. R. (1997). Determinants of health promoting lifestyle of college students. Journal of Korean Academy of Nursing, 17(1), 156-168.
  22. Lee, I. S., Kim, J. H., & Kim, H. J. (1996). A study of the reliability and validity of the Korean version of the Eating Behavior Questionnaire. Korean Journal of Clinical Psychology, 15, 141-150.
  23. Lee, H. J., Lee, J. J., Hwang, T. Y., & Kam, S. (2012). Development and evaluation of a community staged education program for the cardiocerebrovascular disease high-risk patients. Journal of Agricultural Medicine and Community Health, 37(3), 167-180. https://doi.org/10.5393/JAMCH.2012.37.3.167
  24. Lee, S. K., Lee, K. Y., Lee, S. Y., Park, T. J., & Kim, J. S. (2010). Factors related to eating behavior assessed using the dutch eating behavior questionnaire and change of eating behavior after receiving weight reduction treatment. Korean Journal of Family Medicine, 31, 361-368 https://doi.org/10.4082/kjfm.2010.31.5.361
  25. Nam, T. Y., & Kim, J. H. (2014). An evaluation of the effectiveness of nutrition counseling for adults with risk factors for dyslipidemia. Korean Journal of Community Nutrition, 19(1), 27-40. https://doi.org/10.5720/kjcn.2014.19.1.27
  26. National Institutes of Health. (2002). 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) Final Report. NHI Publication No. 02-5215. U.S. Department of Health and Human Services.
  27. Oh, S. W. (2011). Obesity and Metabolic Syndrome in Korea. Diabetes and Metabolism Journal, 35, 561-566. https://doi.org/10.4093/dmj.2011.35.6.561
  28. Park, J., Kim, H., Cho, S., & Cho H. (2012). The effect of Healthy Life Plan prlgram on the management of obesity for Korean adults: A pilot study. Korean Journal of Health Education and Promotion, 29(5), 89-101.
  29. Park, M. K., & Kim, J. H. (2013). Effects of a comprehensive lifestyle improvement program for middle-aged women with cardio-cerebrovascular disease-related risk factors. Journal of Korean Academy of Community Health Nursing, 24(2), 111-122. https://doi.org/10.12799/jkachn.2013.24.2.111
  30. Prochaska, J. O., Velicer, W. F., Redding, C., Rossi, J. S., Goldstein, M., DePue, J., . . . Plummer, B. A. (2005). Stage-based expert systems to guide a population of primary care patients to quit smoking, eat healthier, prevent skin cancer, and receive regular mammograms. Preventive Medicine, 41, 406-416. https://doi.org/10.1016/j.ypmed.2004.09.050
  31. Sarah, M. C., Marcia, L. S., Peter, T. K., & Deborah, R. Y. (2009). Metabolic syndrome and changes in body fat from a low-fat diet and/or exercise randomized controlled trial. Obesity. doi:10.1038/oby.2009.304
  32. Statistics Korea. (2013). Cause of death statistics. Retrieved from http://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx_cd=1012
  33. U. S. Preventive Services Task Force. (2012). Screening for and management of obesity in adults: U.S. Preventive Services Task Force Recommendation Statement. Annals of Internal Medicine, 157(5), 1-5. https://doi.org/10.7326/0003-4819-157-1-201207030-00003
  34. Van Strien, T., Frijters, J. E., Bergers, G. P., & Defares, P. B. (1986). The Dutch Eating Behavior Questionnaire(DEBQ) for assessment of restrained, emotional, and external eating behavior. International Journal of Eating Disorders, 5, 295-315. https://doi.org/10.1002/1098-108X(198602)5:2<295::AID-EAT2260050209>3.0.CO;2-T
  35. Wendel-Vos, G. C., Schuit, A. J., Saris, W. H., & Kromhout,, D. (2003). Reproducibility and relative validity of the short questionnaire to assess health-enhancing physical activity. Journal of Clinical Epidemiology, 56, 1163-1169. https://doi.org/10.1016/S0895-4356(03)00220-8
  36. World Health Organization. (2014). The top 10 causes of death. Retrieved from http://www.who.int/mediacentre/factsheets/fs310/en/
  37. Yoo, S., Kim, H., & Cho, H. (2012). Improvements in the metabolic syndrome and stages of change for lifestyle behaviors in Korean adults. Osong Public Health and Research Perspectives, 3(2), 85-93. https://doi.org/10.1016/j.phrp.2012.04.007

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