DOI QR코드

DOI QR Code

Effects of Physical Activity Practice Rates and Knowledge Related to Cardiocerebrovascular Disease Prevention on Health Behavior Case Study Focusing on Middle Aged Women with Risk of Central Obesity

중심비만 위험인자를 가진 중년여성의 신체활동 실천율, 심뇌혈관질환 예방관련 지식이 건강행위에 미치는 영향

  • Lee, Byeong-Ju (College of Nursing, Andong Science College, Graduate School of Hanyang University) ;
  • Hwang, Seon-Young (College of Nursing, Hanyang University)
  • 이병주 (안동과학대학교 간호학과/한양대학교 대학원) ;
  • 황선영 (한양대학교 간호학부)
  • Received : 2018.03.02
  • Accepted : 2018.04.06
  • Published : 2018.04.30

Abstract

This study was conducted to evaluate the effects of physical activity practice rates and knowledge related to cardiocerebrovascular disease prevention on the health behavior of middle aged women. Data were collected from Oct to Nov 2017 from 142 middle-aged women living in 24 Eup, Myeon, and Dong areas in North Gyeongsangbuk-do Province using a structured questionnaire. The obtained data were analyzed using descriptive statistics, t-tests, ANOVA, Pearson's correlation, and stepwise multiple regression analysis. The major factors influencing health behavior were found to be alcohol consumption (${\beta}=0.15$, p=0.009), diet (${\beta}=0.16$, p=0.003), vigorous intensity (${\beta}=0.14$, p=0.011), marriage (${\beta}=0.19$, p<0.001), interest in one's own health (${\beta}=0.23$, p<0.001), and health recognition (ill: ${\beta}=0.31$, p<0.001). Alcohol consumption and diet were factors of cardiocerebrovascular knowledge, vigorous intensity was a factor of physical activity practice rate, marriage and interest in one's own health were factors of general characteristics, and health recognition was a factor in health-related characteristics. Health-promotion activity was positively correlated with knowledge regarding cardiocerebrovascular disease prevention (r=0.41, p<0.001) and physical activity practice rate (r=0.44, p<0.001). It will be necessary to develop and apply practical intervention programs based on disease prevention knowledge and physical activity to enhance the health behavior of middle aged women.

이 연구는 중년여성의 심뇌혈관질환 예방관련 지식, 신체활동 실천율이 건강행위에 미치는 영향요인을 확인하기 위한 연구이다. 자료수집은 경북 북부지역 24개 읍면동지역에 거주하는 중년여성 142명을 대상으로 구조화된 설문지를 이용하여 시행되었다. 연구기간은 2017년 10월부터 11월까지 2개월간 시행되었다. 수집한 자료는 기술통계와 t-test, ANOVA, Pearson 상관분석, 위계적 다중회귀분석으로 분석하였다. 연구결과 건강행위에 영향을 미치는 요인은 심뇌혈관질환 예방관련지식의 음주(${\beta}=0.15$, p=.009), 식이(${\beta}=0.16$, p=.003), 고강도의 신체활동 실천율(${\beta}=0.14$, p=.011), 일반적 특성의 결혼상태(${\beta}=0.19$, p<.001), 본인건강관심도(${\beta}=0.23$, p<.001), 자신의 건강을 나쁘게 인식하는 경우 (${\beta}=0.31$, p<.001)이었다. 이러한 변수들은 건강행위와 유의한 변수를 보정변수로 추가하여 분석한 것으로 회귀식의 적합도는 통계적으로 유의한 것으로 나타났다(F=16.46, p<.001). 주요 변수 간의 관계에서 건강증진행위는 심뇌혈관질환 예방관련 지식(r=.41, p<.001)과 신체활동 실천율(r=.44, p<.001)과 유의한 양적 상관관계를 나타내었다. 따라서 연구결과를 바탕으로 추후 중년 여성의 건강행위 증진을 위하여 질환 예방 지식과 신체활동 실천율 지지를 반영한 실천적인 중재프로그램의 개발과 적용이 필요하겠다.

Keywords

References

  1. K. Y. Kwon, "Clinical Significance of Visceral Adipose Tissue," Korean Journal of Family Medicine, vol. 28, no. 10, pp. 739-747, 2007.
  2. Korea Centers for Disease Control and Prevention, "National Health Statistics," [Internet]189-192, 2015[cited 2016 December 21]. Available from: https://knhanes.cdc.go.kr/knhanes/sub04/sub04_03.do?classType=7.
  3. Sternfeld, B., Bhat, A. K., Wang, H., Sharp, T., Quesenberry, C.P.,"Menopause, Physical Activity, and Body Composition/Fat Distribution in Midlife Women," Medicine and Science in Sports and Exercise, Vol. 37, No. 7, pp. 1195-1202, 2005. https://doi.org/10.1249/01.mss.0000170083.41186.b1
  4. M. S. Han, "Metabolic Syndrome Emerging from Menopause," Department of Obstetrics and Gynecology, vol. 17, no. 3, pp. 127-135, 2011.
  5. H. M. Shin, "The influence on cardiovascular mortality of the metabolic syndrome in Korean postmenopausal women," Graduate School, Catholic University. Doctor of Medicine in Obstetrics and Gynecology, Seoul, 2012.
  6. M. K. Park, J. H. Kim, "Effects of a Comprehensive Lifestyle Improvement Program for Middle-aged Women with Cardio-cerebrovascular Disease-related Risk Factors," Journal of Korean Acad Community Health Nursing, vol. 24, no. 2, pp. 111-122, 2013. DOI: http://doi.org/10.12799/jkachn.2013.24.2.111
  7. Statistics Korea, The lives of women looking to 2014 statistics[Internet]. Daejeon:Statistics Korea; 2014[cited 2014 June 26]. Available from: http://kostat.go.kr/portal/korea/kor_nw/2/1/index.board?bmode=read&aSeq=346959
  8. K. A. Kim, S. Y. Hwang, "Knowledge on Cardio-cerebrovascular Disease and Health Behaviors among Middle-aged Postmenopausal Women at Risk," Korean Journal of Adult Nursing, vol. 28, no. 4, pp. 424-435, 2016. DOI: http://doi.org/10.7475/kjan.2016.28.4.424
  9. K. S. Yun, S. H. Cho, "Association of Waist Circumference with Risk Factors for Coronary Artery Diseasesin Women Patients with Chest Pain," Journal of Korean Academy of Fundamentals of Nursing, vol. 20, no. 3, pp. 248-258, 2013. https://doi.org/10.7739/jkafn.2013.20.3.248
  10. Eguchi, E., Iso, H., Tanabe, N., Wada, Y., Yatsuya, H., Kikuchi, S., Inaba Y., Tamakoshi A., "Healthy lifestyle behaviours and cardiovascular mortality among Japanese men and women: the Japan collaborative cohrot study," European heart journal, vol. 33, no. 4, pp. 467-477, 2012. https://doi.org/10.1093/eurheartj/ehr429
  11. Kling JM, Miller VM, Mankad R, Wilansky S, Wu Q, Zais TG, Zarling KK, Allison TG, Mulvagh SL, "Go Red For Women cardiovascular health-screening evaluation: The dichotomy between awareness and perception of cardiovascular risk in the community," Journal of Women's Health, vol. 22, no. 3, pp. 210-218, 2013. DOI: http://doi.org/10.1089/jwh.2012.3744
  12. H. S. Lee, "The Effects of Aerobic Exercise for Body Composition, Serum Lipids, Self-Efficacy and Life Satisfaction in Middle-aged Women," Korean Journal of Health Promotion and Disease Prevention, vol. 7, no. 3, pp. 196-204, 2007.
  13. Haidinger T, Zwimuller M, Stutz L, Demir D, Kaider A, Strametz-Juranek J., "Effect of gender on awareness of cardiovascular risk factors, preventive action taken, and barriers to cardiovascular health in a group of Austrian subjects," Gender Medicine, vol. 9, no. 2, pp. 94-102, 2012. https://doi.org/10.1016/j.genm.2012.02.001
  14. Statistics Korea. 2015. Women's life in statistics. [Internet], Daejeon:Author; 2015 [cited 2015 July 2], Available from: http://kostat.go.kr/wnsearch/search/jsp
  15. I. H. Kim, "The Effects of Exercise Therapy and Exercise-Behavior Modification Therapy on Obesity, Blood Lipids, and Self-esteem of the Obese Middle-aged Women," Journal of Korean Academy of Nursing, vol. 32, no. 6, pp. 844-854, 2002. DOI: http://doi.org/10.4040/jkan.2002.32.6.844
  16. K. J. Lee, "Effects of a Exercise Program on Body Composition, Physical Fitness and Lipid Metabolism for Middle-Aged Obese Women," Journal of Korean Academy of Nursing, vol. 35, no. 7, pp. 1248-1257, 2005. DOI: http://doi.org/10.4040/jkan.2005.35.7.1248
  17. M. S. Song, Y. K. Yoo, N. C. Kim, "Effects of Walking and Resistance Exercise on Body Composition and Lipid Profile of Obese Women in their 30-30s," Korean Journal of Adult Nursing, vol. 23, no. 4, pp. 412-419, 2011.
  18. J. H. Nam, "Effect of Weight Control Program on Obesity Degree and Blood Lipid Levels among Middle-aged Obese Women," Korean Journal of Food Nutrition, vol. 19, no. 1, pp. 70-78, 2006.
  19. K. W. Kim, "Obesity Prevalence and Weight Control Programs for Middle-Aged Women," Journal of Women's Studies, vol. 25, pp. 153-166, 2010.
  20. M. S. Kim, M. S. Choi, K. N. Kim, "Effect of Nutritional Education and Exercise Intervention on Reducing and Maintaining Weight in Obese Women," Korean Journal of Community Nutrition, vol. 12, no. 1, pp. 80-89, 2007.
  21. J. S. Kang, H. S. Kim, "A Study on the Evaluation of a Nutritional Education Program for the Middle Aged Obese Women," Korean Journal of Food and Nutrition, vol. 17, no. 4, pp. 356-367, 2004.
  22. K. S. Lee, J. H. Lee, "Effect of the Dietary Approaches to Stop Hypertension diet with aerobic exercise on body composition and blood lipid profiles in obese individuals," The Korean Journal of Exercise Nutrition, vol. 14, no. 1, pp. 17-21, 2010.
  23. J. Y. Oh, Y. J. Yang, B. S. Kim, J. H. Kang, "Validity and Reliability of Korean Version of International Physical Activity Questionnaire (IPAQ) Short Form," Journal of Korean Academy of Family Medicine, vol. 28, no. 7, pp. 532-541, 2007.
  24. Craig CL, Marshall AL, Sjostrom M, Bauman AE, Booth ML, Ainsworth BE, Pratt M, Ekelund U, Yngve A, Sallis JF, Oja P, "International physical activity questionnaire: 12-country reliability and validity," vol. 35, no. 8, pp. 1381-1395, 2003. https://doi.org/10.1249/01.MSS.0000078924.61453.FB
  25. H. S. Park, "The effects of lifestyle modification education program on the workers' knowledge, attitude and behavior to prevent cerebrocardiovascular diseases in middle and small-sized industries," Unpublished master's thesis, Dongguk University, Seoul, 2008.
  26. E. Y. Kim, S. Y. Hwang, "Incidence Risk of Cardiocerebrovascular Disease, Preventive Knowledge, Stage of Change and Health Behavior among Male Bus Drivers," Journal of Korean Academy of Adult Nursing, vol. 22, no. 5, pp. 537-551, 2011.
  27. Walker, S. N., Sechrist, K. R., & Pender, N. J., "The health-promoting lifestyle profile: development and psychometric characteristics," Nursing Research, vol. 36, no. 2, pp. 76-81, 1987.
  28. R. Y. Song, H. J. Lee, "Effects of the Inpatient Cardiac Rehabilitation Program on Behavioral Modification and Quality of Life in Patients with Coronary Artery Disease," Journal of Korean Academy of Nursing, vol. 30, no. 2, pp. 463-475, 2000. DOI: http://doi.org/10.4040/jkan.2000.30.2.463
  29. Y. O. Kang, Y. C. Cho, "Factors Related to Knowledge, Health Belief and Sick Role Behavior to the Coronary Artery Disease among Patients with Coronary Artery Disease," Journal of Korea Academia-Industrial Cooperation Society, vol. 12, no. 11, pp. 4985-4994, 2011. DOI: https://doi.org/10.5762/KAIS.2011.12.11.4985
  30. S. H. Kim, S. H. Lee, "Influences of Knowledge, Self-efficacy, and Social Support on Sick Role Behavior in Patients with Coronary Artery Disease," Journal of Korean Public Health Nursing, vol. 28, no. 2, pp. 228-240, 2014. DOI: http://doi.org/10.5932/JKPHN.2014.28.2.228
  31. K. A. Kim, S. Y. Hwang, "Effects of a Daily Life-Based Physical Activity Enhancement Program among Middle-aged Women at Risk for Cardiovascular Disease," [dissertation]. Hanyang University, Seoul, 2018.
  32. J. K. Ko, "Analysis of Factors Affecting the Health Behavior of Taxi-drivers," Journal of East-West Nursing Research, vol. 15, no. 2, pp 71-81, 2009.
  33. J. H. Kim, M.. G. Kwon, S. K. Jung, "The Influence of Health Locus of Control, Social Support, and Self-Efficacy on Health Promoting Behavior in Middle-Aged Adults," Journal of Korea Academia-Industrial Cooperation Society, vol. 18, no. 4, pp. 494-503, 2017. DOI: http://doi.org/10.5762/KAIS.2017.18.4.494
  34. D. T. Lee, Y. S. Seo, Y. S. Son, E. M. Moon, Y. J. Jin. "Estimation of Physical Activity Levels Using International Physical Activity Questionnaires(IPAQ) and its Reliability for Overweight Middle Aged Women," The Korean Society of Living Environmental System, vol. 24, no. 1, pp. 123-153, 2017.
  35. S. K. Lee, M. K. Moon, "Factors influencing metabolic syndrome perception and exercising behaviors in Korean adults: Data mining approach," Journal of Korea Academia-Industrial Cooperation Society, vol. 18, no. 12, pp. 581-588, 2017. DOI: http://doi.org/10.5762/KAIS.2017.18.12.581
  36. M. Y. Ham, S. H. Lim, "Effects of Obesity Stress and Health Belief on Weight Control Behavior among Nursing Students," Journal of Korea Academia-Industrial Cooperation Society, vol. 18, no. 11, pp. 459-468, 2017. DOI: http://doi.org/10.5762/KAIS.2017.18.11.459
  37. S. O. Lee, S. E. Oh, M. H. Jeong, H. K. Kim, H. J. Jeon, Y. J. Choi, S. S. Kim, J. S. Ko, M. G. Lee, D. S. Sim, K. H. Park, N. S. Yun, "Clinical impact of symptom-to-door time on 1-year mortality in patients with non-ST segment elevation acute myocardial infarction," Korean Journal of Medicine, vol. 78, no. 6, pp. 717-724, 2010.
  38. A. R. Kim, I. S. Yang, "Effects of Exercise on Endothelial Progenitor Cells in Cardiovascular Disease Patients: A Systematic Review," Journal of Korea Academia-Industrial Cooperation Society, vol. 18, no. 4, pp. 366-379, 2017. DOI: http://doi.org/10.5762/KAIS.2017.18.4.366