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Relationships among Physical Activity Level, Health-promoting Behavior, and Physiological Variables in Korean University Students

  • Bang, Kyung-Sook (College of Nursing.The Research Institute of Nursing Science, Seoul National University) ;
  • Song, Min Kyung (College of Nursing, Seoul National University) ;
  • Park, Se-Eun (College of Nursing, Seoul National University) ;
  • Kim, Hyungkyung (College of Nursing, University of Illinois at Chicago)
  • 투고 : 2018.03.05
  • 심사 : 2018.04.03
  • 발행 : 2018.04.30

초록

Purpose: Many Korean college students suffer from physical inactivity and mental health problems. However, it has not been sufficiently reported how this lack of exercise and health-related behavior affect their health. The present study was performed to identify the relationships among physical activity level, health-promoting behavior, and physiological variables in Korean undergraduate and graduate students. Methods: Participants were 115 undergraduate and graduate students from one university in Seoul. The Pearson's correlation analysis was performed using SPSS for Windows. Results: Physical activity level had significant positive correlations with health-promoting behavior (r=.32, p=.001) and exercise self-efficacy (r=.25, p=.008), and health-promoting behavior had a significant correlation with depression (r=-.33, p<.001) and exercise self-efficacy (r=.44, p<.001). Additionally, physical activity level had significant correlations with triglyceride (r=-.20, p=.034) and vitamin D (r=.20, p=.029) levels. The high density cholesterol level had significant negative correlations with systolic blood pressure (r=-.33, p<.001), diastolic blood pressure (r=-.29, p=.002), and vitamin D (r=-.20, p=.035) levels. Conclusion: Physical activity level or health-promoting behavior had significant relationships with the health status of college students. Strategies need to be developed to improve health-promoting behaviors among college students.

키워드

참고문헌

  1. Trost SG, Blair SN, Khan KM. Physical inactivity remains the greatest public health problem of the 21st century: evidence, improved methods and solutions using the '7 investments that work'as a framework. Br J Sports Med. 2014 Feb 1;48(3):169-70. https://doi.org/10.1136/bjsports-2013-093372
  2. World Health Organization. Global strategy on diet, physical activity and health [Internet]. Geneva [Internet]. [Geneva]: World Health Organization; 2017 May 23 [cited 2018 Mar 15]. Available from: http://www.who.int/dietphysicalactivity/pa/en/
  3. Lee IM, Shiroma EJ, Lobelo F, Puska P, Blair SN, Katzmarzyk PT, et al. Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet. 2012 Jul 21;380(9838):219-29. https://doi.org/10.1016/S0140-6736(12)61031-9
  4. Chastin SF, Mandrichenko O, Helbostadt J, Skelton DA. Associations between objectively-measured sedentary behaviour and physical activity with bone mineral density in adults and older adults, the NHANES study. Bone. 2014 Jul;64:254-62. https://doi.org/10.1016/j.bone.2014.04.009
  5. Biswas A, Oh PI, Faulkner GE, Bajaj RR, Silver MA, Mitchell MS, et al. Sedentary time and its association with risk for disease incidence, mortality, and hospitalization in adults: a systematic review and meta-analysis. Ann Intern Med. 2015 Jan 20;162(2):123-32. https://doi.org/10.7326/M14-1651
  6. Kyu HH, Bachman VF, Alexander LT, Mumford JE, Afshin A, Estep K, et al. Physical activity and risk of breast cancer, colon cancer, diabetes, ischemic heart disease, and ischemic stroke events: systematic review and dose-response meta-analysis for the Global Burden of Disease Study 2013. BMJ. 2016 Aug 6;354:i3857. https://doi.org/10.1136/bmj.i3857
  7. Wei CN, Harada K, Ueda K, Fukumoto K, Minamoto K, Ueda A. Assessment of health-promoting lifestyle profile in Japanese university students. Environ Health Prev Med. 2012 May;17(3):222-7. https://doi.org/10.1007/s12199-011-0244-8
  8. Mohammadi M, Ramezankhani A, Mohammadi S, Zahed S, Khabiri F, Khodakarim S, et al. The predictors of metabolic syndrome based on Walker health-promoting lifestyle in Iran 2016. Diabetes Metab Syndr. 2017 Dec;11 Suppl 2:S745-9. https://doi.org/10.1016/j.dsx.2017.05.009
  9. Hershner SD, Chervin RD. Causes and consequences of sleepiness among college students. Nat Sci Sleep. 2014 Jun 24;6:73-84. https://doi.org/10.2147/NSS.S62907
  10. Dinger MK, Brittain DR, Hutchinson SR. Associations between physical activity and health-related factors in a national sample of college students. J Am Coll Health. 2014;62(1):67-74. https://doi.org/10.1080/07448481.2013.849710
  11. Kim GS, Lee CY, Kim IS, Lee TH, Cho E, Lee H, et al. Dyadic effects of individual and friend on physical activity in college students. Public Health Nurs. 2015 Sep-Oct;32(5):430-9. https://doi.org/10.1111/phn.12176
  12. Liao Y, Shibata A, Ishii K, Oka K. Independent and combined associations of physical activity and sedentary behavior with depressive symptoms among Japanese adults. Int J Behav Med. 2016 Aug;23(4):402-9. https://doi.org/10.1007/s12529-015-9484-0
  13. Mammen G, Faulkner G. Physical activity and the prevention of depression: a systematic review of prospective studies. Am J Prev Med. 2013 Nov;45(5):649-57. https://doi.org/10.1016/j.amepre.2013.08.001
  14. Muros JJ, Zabala M, Oliveras-Lopez MJ, Ocana-Lara FA, Lopez-Garcia de la Serrana H. Results of a 7-week school-based physical activity and nutrition pilot program on health-related parameters in primary school children in southern Spain. Pediatr Exerc Sci. 2013 May;25(2):248-61. https://doi.org/10.1123/pes.25.2.248
  15. Scott D, Ebeling PR, Sanders KM, Aitken D, Winzenberg T, Jones G. Vitamin D and physical activity status: associations with five-year changes in body composition and muscle function in community-dwelling older adults. J Clin Endocrinol Metab. 2015 Feb;100(2):670-8. https://doi.org/10.1210/jc.2014-3519
  16. Bang KS, Lee I, Kim S, Lim CS, Joh HK, Park BJ, et al. The effects of a campus forest-walking program on undergraduate and graduate students' physical and psychological health. Int J Environ Res Public Health. 2017 Jul 5;14(7):728. https://doi.org/10.3390/ijerph14070728
  17. Seo HM, Hah YS. A study of factors influencing on health promoting lifestyle in the elderly: application of Pender's health promotion model. J Korean Acad Nurs. 2004 Dec;34(7):1288-97. https://doi.org/10.4040/jkan.2004.34.7.1288
  18. Marcus BH, Selby VC, Niaura RS, Rossi JS. Self-efficacy and the stages of exercise behavior change. Res Q Exerc Sport. 1992 Mar;63(1):60-6. https://doi.org/10.1080/02701367.1992.10607557
  19. Han E. Analysis of stages of change in exercise behavior in office workers using transtheoretical model [master's thesis]. [Seoul]: Yonsei University; 2004. 68 p.
  20. Craig CL, Marshall AL, Sjostrom M, Bauman AE, Booth ML, Ainsworth BE, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003 Aug;35(8):1381-95. https://doi.org/10.1249/01.MSS.0000078924.61453.FB
  21. Rhee MK, Lee YH, Park SH, Sohn CH, Chung YC, Hong SK, et al. A standardization study of Beck Depression Inventory I-Korean version (K-BDI): reliability and factor analysis. The Korean J Psychopathol. 1995 Dec;4(1):77-95.
  22. Lee MS, Kim KS, Cho MK, Ahn JW, Kim S. Study of stress, health promotion behavior, and quality of life of nursing students in clinical practice and factors associated with their quality of life. J Muscle Jt Health. 2014 Aug;21(2):125-34. https://doi.org/10.5953/JMJH.2014.21.2.125
  23. Joseph RP, Royse KE, Benitez TJ, Pekmezi DW. Physical activity and quality of life among university students: exploring self-efficacy, self-esteem, and affect as potential mediators. Qual Life Res. 2014 Mar;23(2):659-67. https://doi.org/10.1007/s11136-013-0492-8
  24. Lo SWS, Chair SY, Lee FK. Factors associated with health-promoting behavior of people with or at high risk of metabolic syndrome: based on the health belief model. Appl Nurs Res. 2015 May;28(2):197-201. https://doi.org/10.1016/j.apnr.2014.11.001
  25. Gudmundsson P, Lindwall M, Gustafson DR, Ostling S, Hallstrom T, Waern M, et al. Longitudinal associations between physical activity and depression scores in Swedish women followed 32 years. Acta Psychiatr Scand. 2015 Dec;132(6):451-8. https://doi.org/10.1111/acps.12419
  26. Chang CF, Lin MH, Wang J, Fan JY, Chou LN, Chen MY. The relationship between geriatric depression and health-promoting behaviors among community-dwelling seniors. J Nurs Res. 2013 Jun;21(2):75-82. https://doi.org/10.1097/jnr.0b013e3182921fc9
  27. Hamasaki H, Noda M, Moriyama S, Yoshikawa R, Katsuyama H, Sako A, et al. Daily physical activity assessed by a triaxial accelerometer is beneficially associated with waist circumference, serum triglycerides, and insulin resistance in Japanese patients with prediabetes or untreated early type 2 diabetes. J Diabetes Res. 2015;2015:526201. https://doi.org/10.1155/2015/526201
  28. Herrmann D, Pohlabeln H, Gianfagna F, Konstabel K, Lissner L, Marild S, et al. Association between bone stiffness and nutritional biomarkers combined with weight-bearing exercise, physical activity, and sedentary time in preadolescent children: a case-control study. Bone. 2015 Sep;78:142-9. https://doi.org/10.1016/j.bone.2015.04.043
  29. Ju SY, Jeong HS, Kim DH. Blood vitamin D status and metabolic syndrome in the general adult population: a dose-response meta-analysis. J Clin Endocrinol Metab. 2014 Mar;99(3):1053-63. https://doi.org/10.1210/jc.2013-3577
  30. Theodoratou E, Tzoulaki I, Zgaga L, Ioannidis JP. Vitamin D and multiple health outcomes: umbrella review of systematic reviews and meta-analyses of observational studies and randomised trials. BMJ. 2014 Apr;348:g2035. https://doi.org/10.1136/bmj.g2035