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Factors Related to Physical Activities of Elderly with Hypertension between Urban and Rural Areas

고혈압 노인의 도농 간 신체활동참여 관련요인

  • Paek, Hyun-Hee (Department of Occupational Therapy, Gwangju University) ;
  • Lee, Sok-Goo (Department of Preventive Medicine, College of Medicine, Chungnam National University)
  • 백현희 (광주대학교 작업치료학과) ;
  • 이석구 (충남대학교 의과대학 예방의학교실)
  • Received : 2015.03.17
  • Accepted : 2015.06.02
  • Published : 2015.06.30

Abstract

Objectives: This study was performed to find the differences in physical activity according to general characteristics and factors related to physical activity between the elderly over 65 with hypertension living rural and urban areas. Methods: This study included 681 participants (221 rural, 460 urban) with hypertension from The Fifth Korea National Health and Nutrition Examination Survey (KNHANES V). The collected data were analyzed through an $x^2$-test to examine the differences in physical activity and multiple logistic regression to assess factors related to physical activity between the elderly over 65 with hypertension living rural and urban areas. Results: The significant statistical factors related with physical activities for the urban hypertension group were education level, activities of daily living, and quality of life. However, the related factors for rural residents were activities of daily living and limitation of activity. Conclusions: The study results indicated that the factors that affected the level of physical activity revealed difference in case hypertension between the urban and rural groups. An awareness of the importance of physical activity will have a positive influence on improving the physical function and quality of life for elderly people with hypertension.

본 연구는 도시와 농촌 지역에 있어서 만성질환 노인의 일반적 특성에 따른 신체활동 실천율의 차이와 신체활동 관련요인을 알아보았다. 연구결과, 일반적 특성에 따라서는 도시의 경우 연령이 낮을수록 근력 운동을, 여자보다 남자에서 걷기, 유연성 운동, 근력 운동을, 배우자가 있는 경우 유연성 운동과 근력 운동을 각각 많이 하였다. 또한, 아파트 거주자가 걷기, 유연성 운동, 근력 운동을, 소득수준이 높을수록 유연성 운동을, 교육수준이 높을수록 걷기, 유연성 운동, 근력 운동을 각각 많이 하였다. 농촌의 경우도 아파트 거주자가 유연성 운동을, 교육수준이 높을수록 걷기, 유연성 운동, 근력 운동을 각각 많이 하였다. 신체활동 관련 요인은 도시의 경우 교육수준, 일상생활활동, 삶의 질이었고, 농촌의 경우는 활동제한, 일상생활활동이었다. 연구 결과를 종합하면 전반적으로 도시와 농촌 고혈압 노인 모두 낮은 신체활동 실천율을 보였으며, 일반적 특성에 따라서도 실천율에 차이를 보였고, 신체활동 관련 요인도 차이를 보였다. 따라서 도시와 농촌 모두 기초체력을 증진하고 유지시킬 수 있는 관련 특성을 고려한 체계적인 신체활동 프로그램 개발이 시급히 이루어져야한다.

Keywords

References

  1. Statistics Korea. 2010 death cause statistics. [cited 2011 September 8]. Available from : URL:http://www.kostat.go.kr/portal/korea/kor_ko/5/2/index.board?bmode=read&aSeq=250326 (Korea)
  2. Fagard RH. The role of exercise in blood pressure control: supportive evidence. J Hypertens 1995;13(11):1223-1227 https://doi.org/10.1097/00004872-199511000-00001
  3. Choi HY, Chang MJ, Kim HD. Assessment and Index Development of Activity-Based Fitness Women. The Korean Journal of Measurement and Evaluation in Physical Education and Sport Science 2011;13(3):33-42 (Korean)
  4. Kim EY, Lee TY, Lee, MS. The Change of Health Status through the Intervention of Community Health Center based Physical Activity and Exercise Program. Korean J of Rural Med 2004;29(1):77-89 (Korean)
  5. Bouchard C, Tremblay A, Leblanc C, Lortie G, Savard R, Theriault G.A. method to assess energy expenditure in children and adult Clinlts. Am Nutr 1983;37(3):461-467
  6. Struck BD, Ross KM. Health promotion in older adults: Prescribing exercise for the frail and home bound. Geriatrics 2006;61(5):22-27
  7. Iwamoto J, Takeda T, Ichimura S. Relationships between physical activity and metacarpal cortical bone mass and bone resorption in hemiplegic patients. J Orthop Sci 2001;6:227-233 https://doi.org/10.1007/s007760100039
  8. Baltes PB, Mayer KV. The Berlin Aging Study. Cambridge U.K, Cambridge University Press, 1997, pp.237-255
  9. Mihallko, McAulley. Strength Training effect on subjective well-being and physical function in the elderly. J Aging Phys Act 1996;4(1):56-68 https://doi.org/10.1123/japa.4.1.56
  10. Nam SK, Shim OS. A Study on the Influence Factors on Quality of Life of Elderly with Chronic Disease. Journal of welfare for the aged 2011;53:239-259 (Korean)
  11. Choi JH, Lee GM, Kim HJ, Seo JW. The contributions of gender and physical activity levels on physical function, psychological function, and health-related quality life in the elderly. Korean J Med Educ 2004;43(6):975-983 (Korean)
  12. Min KJ, Kim KJ, Cha CG. A Study on the Factors Affecting Subjective Health Index of the Aged in Daejon Area. Journal of Korean Society for Health Education and Promotion 2001;18(2):1-26 (Korean)
  13. Bae JH. The Effects of Physical Activity Participation on Health Fitness Variable and Physical Self Description for Elderly Peoples. Korean J Med Educ 2004;14(2):13-23 (Korean)
  14. Browning C, Sims J, Kendig H, Teshuva K. Predictors of physical activity behavior in older community-dwelling adults. J Allied Health 2009;38(1):8-17
  15. Sohn HH. An Ecological Approach to Study the Health Promotion Behavior of the Elderly in Kangseo-Ku, Kangnam-Ku, Seoul. 2004;42(12):77-92 (Korean)
  16. Petrella RJ. Exercise for older patients with chronic disease. Phys Sportsmed 1999;27(11):79-102 https://doi.org/10.3810/psm.1999.10.1081
  17. Wilcox S, Bopp M, Oberrecht L Kammermann SK, McElmurray CT. Psychosocaial and perceived environmental correlates of physical activity in rural and older african american and white women. J Gerontol B Psychol Sci Soc Sci 2003;58:329-337 https://doi.org/10.1093/geronb/58.6.P329
  18. Kim YR. Development strategies research for the sports promotion foundation of the old man. Seoul, Korea: Korea Institute of Sport Science, 2006. pp.42-44
  19. Carruth AK, Logan CA. Depressive symptoms in farm women: Effects of health status and farming lifestyle characteristics, behaviors, and beliefs. J Community Health 2002;27:213-228 https://doi.org/10.1023/A:1015206224421
  20. Park SM, Park YH. Predictors of Physical Activity in Korean Older Adults: Distinction between Urban and Rural Areas Purpose. J Korean Acad Nurs 2010;40(2):191-201 (Korean) https://doi.org/10.4040/jkan.2010.40.2.191
  21. Kim SI. Relationship Among Social Support, Psychological Well-Being and Depression of Elderly Participate in Physical Activity. Korean J Med Educ 2012;51(1):333-344 (Korean)
  22. Cho JH, Kang BM. Determinants of Physical Activity in Environmental and Social Factor: A Review. The Korean Journal of Measurement and Evaluation in Physical Education and Sport Science 2009;11(3):87-104 (Korean)
  23. Dipieto L. Physical activity in aging: Changes in patterns and their relationship to health and function. J Geronto A Biol Sci Med Sci 2001;56(A):13-22 https://doi.org/10.1093/gerona/56.suppl_2.13
  24. King W. The relationship between the neighborhood environment and physical levels of older women [dissertation]. Pennsylvania, University of Pittsburgh, 2004 (US)
  25. Pikora TJ, Giles-Cort IB, Knuiman MW, Bull FC, Jamrozik K, Donovan, RJ. Neighborhood environmental factors correlated with walking near home: Using SPACES. Med Sci Sports Exerc 2006;38(4):708-714 https://doi.org/10.1249/01.mss.0000210189.64458.f3
  26. Fleury J, Lee S. The Social Ecological Model and Physical activity in African American women. Am J Community Psychol 2006;37(1):129-140 https://doi.org/10.1007/s10464-005-9002-7

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  1. Development and Application of Motivation-enhancing Self-management Program for Rural Aged with Hypertension vol.41, pp.3, 2016, https://doi.org/10.5393/JAMCH.2016.41.3.152