Journal of muscle and joint health (근관절건강학회지)

Korean Society of Muscle and Joint Health (대한근관절건강학회)
권호 표지
DOI QR코드

DOI QR Code

Factors Associated with Physical Activity in Older Adults Living Alone: Using Data from the 2019 Community Health Survey

지역사회 거주 1인가구 노인의 신체활동 관련요인: 2019년 지역사회건강조사 자료 이용

  • Lee, Eun Sook (College of Nursing, Institute of Health Science, Gyeongsang National University) ;
  • Kim, Hye Young (College of Nursing, Research Institute of Nursing Science, Jeonbuk National University) ;
  • Ko, Eun (Department of Nursing, College of Life Science and Natural Resources, Sunchon National University)
  • 이은숙 (경상국립대학교 간호대학.건강과학연구원) ;
  • 김혜영 (전북대학교 간호대학.간호과학연구소) ;
  • 고은 (국립순천대학교 생명산업과학대학 간호학과)
  • Received : 2023.11.15
  • Accepted : 2023.12.08
  • Published : 2023.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to identify factors associated with physical activity in older adults living alone. Methods: This is cross-sectional, correlational study used secondary data from the 2019 Community Health Survey. The participants were 19,134 older adults aged 65 years or older and living alone. Data were analyzed using descriptive statistics, the 𝜒2 test, and linear regression with the SPSS/WIN 27.0 program. Results: The participants' average amount of physical activity was 1,359.32 MET-min/week; 50.7% were inactive, 38.6% were minimally active, and 10.7% were health-promoting active. Demographic factors that predicted physical activity were gender, age, education level and monthly income, whereas health behavior factors included subjective health status and high risk drinking (R2=.055, p<.001). Psychological factors were sleeping time, stress, depression and fear of falling, and social factors included social contact with neighbors or friends, and participation in social or leisure activites(R2=.070, p<.001). Conclusion: It is important to determine the level of physical activity in older adults living alone. Demographic characteristics, health behaviors, psychological factors, and social factors should be considered in the development of specific and integrated nursing interventions to increase physical activity in older adults.

Keywords

References

  1. Centers for Disease Control and Prevention. (2023, February 24). Physical activity. Retrieved November 10, 2023, from: https://www.cdc.gov/physicalactivity/about-physical-activity/index.html.
  2. Choi, H. Y., & Lee, G. (2020). Factors influencing health-related quality of life in the Korean seniors with lower education level: Focusing on physical activity types. Korean Journal of Adult Nursing, 32(3), 292-305. https://doi.org/10.7475/kjan.2020.32.3.292
  3. Cunningham, C., Sullivan, R.O', Caserotti, P., & Tully, M. A. (2020). Consequences of physical inactivity in older adults: A systematic review of reviews and meta-analyses. Scandinavian Journal of Medicine & Science in Sports, 30, 816-827. https://doi.org/10.1111/sms.13616
  4. de Oliveira, L. S. S. C. B., Souza, E. C., Rodrigues, R. A. S., Fett, C. A., & Piva, A. B. (2019). The effects of physical activity on anxiety, depression, and quality of life in elderly people living in the community. Trends in Psychiatry and Psychotherapy, 41(1), 36-42. https://doi.org/10.1590/2237-6089-2017-0129
  5. Han, C., Jo, S. A., Kwak, J., Pae, C., Steffens, D., Jo, I., et al. (2008). Validation of the patient health questionnaire-9 Korean version in the elderly population: The Ansan geriatric study. Comprehensive Psychiatry, 49(2), 218-223. https://doi.org/10.1016/j.comppsych.2007.08.006
  6. Kim, H. (2021). The impact of depression on health-related quality of life in elderly: The moderating effect of physical activity. Journal of Korea Society for Wellness, 16(2), 173-179. https://doi.org/10.21097/ksw.2021.05.16.2.173
  7. Kim, J., & Jung, H. J. (2021). The multilevel factors on physical activity: A comparative study between young and elderly single-person households. Journal of Korea Planning Association, 56(2), 49-65. https://doi.org/10.17208/jkpa.2021.04.56.2.49
  8. Kim, K., Hamm, J., Kim, B. T., Kim, E. M., Park, H. H., Rhee, S. Y. et al. (2023). Evaluation and treatment of obesity and its comorbidities: 2022 Update of clinical practice guidelines for obesity by the Korean society for the study of obesity. Journal of Obesity & Metabolic Syndrome, 32(1), 1-24. https://doi.org/10.7570/jomes23016
  9. Kim. Y.M., & Suh, S. R. (2017). Factors affecting the physical activity of older adults in the community. Journal of Korean Gerontological Nursing, 19(2), 154-163. https://doi.org/10.17079/jkgn.2017.19.2.154
  10. Korea Centers for Disease Control and Prevention. The 2019 community health survey. Retrieved September 25, 2022, from: https://chs.kdca.go.kr/chs/index.do.
  11. Lee, H., Kim, A., & Choi, S. (2022). A systematic review of the effects of physical activity on depression in community-dwelling older adults: Using the Neuman system model. Health and Social Welfare Review, 42(1), 356-373. https://doi.org/10.15709/hswr.2022.42.1.356
  12. Lee, J. M. (2016). An analysis and suggestions on the influence factors of physical activity in the elderly. Social Work Practice & Research, 13(2), 5-42.
  13. Marquez, D. X., Aguinaga, S., Vasquez, P. M., Conroy, D. E., Erickson, K. I., Hillman, C., et al. (2020). A systematic review of physical activity and quality of life and well-being. Translational Behavioral Medicine, 10(5), 1098-1109. https://doi.org/10.1093/tbm/ibz198
  14. Ministry of Gender Equality and Family. (2020, September 1). 2020 Statistics of a woman's life. Retrieved November 8, 2023, from https://www.mogef.go.kr/nw/rpd/nw_rpd_s001.do?mid=news405
  15. Moon, H., & Lee, I. (2011). Gender-based comparison of physical activity levels of older Korean adults with chronic disease. Journal of Korean Gerontological Nursing, 13(2), 120-130.
  16. Oh, J. Y., Yang, Y. J., Kim, B. S., & Kang, J. H. (2007). Validity and reliability of Korean version of international physical activity questionnaire(IPAQ) short form. Korean Journal of Family Medicine, 28(7), 532-541.
  17. Park, E. J., Cho, M. S., & Park, S. H. (2022). Study on the depression, cognitive dysfunction according to degree of physical activity or exercise. The Journal of Occupational Therapy for the Aged and Dementia, 16(1), 105-115. https://doi.org/10.34263/jsotad.2022.16.1.105
  18. Seo, K. H., & Eun, Y. (2015). Factors influencing physical activity in elderly women at senior citizen centers. The Journal of Muscle and Joint Health, 22(3), 236-244. https://doi.org/10.5953/JMJH.2015.22.3.236
  19. Seo, Y. M., Kang, M. S., & Jeon, M. Y. (2016). Predictive factors on level of physical activity in the community dwelling elderly. Journal of the Korea Convergence Society, 7(6), 151-160. https://doi.org/10.15207/JKCS.2016.7.6.151
  20. Shin, M. A. (2019). Comparative study on health behavior and mental health between one person and multi-person households: Analysis of data from the national health and nutrition examination surveys (2013, 2015, 2017). Journal of the Korean Society for Wellness, 14(4), 11-23. https://doi.org/10.21097/ksw.2019.11.14.4.11
  21. Statistics Korea. (2021, January 8). Healthy life expectancy. Retrieved November 11, 2023, from: https://www.index.go.kr/unity/potal/indicator/IndexInfo.do?popup=Y&clasCd=2&idxCd=5067.
  22. Statistics Korea. (2023a, November 6). Aged population statics. Retrieved November 11, 2023, from: https://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1YL20631&vw_cd=MT_GTITLE01&list_id=101&seqNo=&lang_mode=ko&language=kor&obj_var_id=&itm_id=&conn_path=MT_GTITLE01.
  23. Statistics Korea. (2023b, July 27). Population and housing census. Retrieved November 8, 2023, from: https://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1JC1517&checkFlag=N.
  24. Statistics Korea. (2023c, March 16). Physical activity. Retrieved November 112, 2023, from: https://kosis.kr/statHtml/statHtml.do?orgId=177&tblId=DT_11702_N054&vw_cd=MT_ZTITLE&list_id=&scrId=&seqNo=&lang_mode=ko&obj_var_id=&itm_id=&conn_path=E1&docId=0213932246&markType=S&itmNm=%EC%A0%84%EA%B5%AD.
  25. Vagetti, G. C., Filho, V. C. B., Moreira, N. B., Oliveira, V., Mazzardo, O., & Campos, W. (2014). Association between physical activity and quality of life in the elderly: a systematic review, 2000-2012. Brazilian Journal of Psychiatry, 36(1), 76-88. https://doi.org/10.1590/1516-4446-2012-0895
  26. World health Organization. (2022, October 5). Guidelines on physical activity. Retrieved November 8, 2023, from https://www.who.int/news-room/fact-sheets/detail/physical-activity
  27. Yi, Y., & Park, Y. H. (2022). Factors related to subjective health status in community-dwelling older adults living alone on low income. The Journal of Muscle and Joint Health, 29(3), 205-217. https://doi.org/10.5953/JMJH.2022.29.3.205
  28. Yoo, J. S., Kim, J. H., Kim, J., Kim, H., Oh, S., & Jeong, D. (2018). Factors influencing on the happiness in community-dwelling older adults in Korea. The Korean Journal of Rehabilitation Nursing, 21(2), 12-21. https://doi.org/10.7587/kjrehn.2018.12