• 한국보건간호학회지
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• 제28권1호
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• pp.138-148
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• 2014

Purpose: This study was conducted in order to determine the effects of a health promotion program on perception of health behavior, physical fitness, and body composition in child care helpers. Methods: The study had a one group pretest-posttest quasi-experimental design. Data were collected from 38 child care helpers from July 6 to November 9, 2013. The health promotion program consisted of health education, self-exercise, encouragement, and identification. The following data were collected perception(perceived benefit, barrier, and self-efficacy), physical fitness(balance, grasp power, and flexibility), and body composition(body mass index, body fat ratio, waist circumference, and basal metabolic rate) and analysis was performed using on SPSS WIN 18.0. Results: Self-efficacy showed a significant increased. Body mass index, body fat ratio, and waist circumference showed a significant decreased. No significant difference in perceived benefit, barrier, physical fitness, and basal metabolic rate was observed between pre-test and post-test. Conclusion: This health promotion program had an effect on self-efficacy and body composition in child care helpers. Therefore, this health promotion program for child care helpers can be recommended as an effective nursing intervention.

• 대한간호학회지
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• 제36권3호
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• pp.449-456
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• 2006

Purpose: The purpose of this study was to investigate the influences of health perception, body image and sexual function on depression according to the menopausal stage in Korean middle aged women. Methods: Subjects were 182 perimenopausal and postmenopausal women who had not received hormonal replacement therapy. A five-item General HealthShort Form (SF-36) Health Survey Questionnaire (Ware & Sherbourne, 1992) was used to measure health perception. Body image was measured Semantic Differential scale, CES-D was used to measure the level of depression, and sexual function was measured by FSFI. Results: The subjects rated their health as 'moderate', their body image as 'moderate, and level of depression as 'high'. However, there were no significant differences in health perception, body image, and depression between perimenopasual and postmenopausal women. Postmenopausal women experienced lower levels of sexual function than perimenopausal women in sexual arousal, lubrication, orgasm, satisfaction, and pain. In stepwise regression analysis, 21.7% of variance in depression was shown to be perceived health and body image in postmenopausal women. However, in perimenopausal women, perceived health and sexual function explained 34.5% of variance in depression. Conclusion: These findings indicate that nurses must consider the menopasusal stage when counseling their patients.

• Child Health Nursing Research
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• 제23권2호
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• pp.249-257
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• 2017

Purpose: The aim of this study was to assess the body weight perception of adolescents and to investigate the difference between mental health and weight control behavior according to body weight perception. Methods: Study data on 12-18 years old adolescents with normal BMI was obtained from the 6th Korea National Health and Nutrition Examination Survey (2013-2015). Rao-Scott Chi-square test and ANOVA were used for the analysis. Results: The percentage of adolescents with a misperception of body weight was 43.3%, and their subjective health status (p=.013), stress perception (p=.001), and depression (p=.001) were worse than for adolescents who had the correct perception of their body weight. The percentage of adolescents who were trying to lose weight while perceiving their body weight as normal was 36.9%. Body weight control behavior had significant differences according to dietary intake (frequency of eating dinner (p=.015)), energy intake (p=.004), and carbohydrate intake (p<.001), but there was no significant difference according to exercise. Conclusion: Parents, school teachers, and nurses should make efforts to ensure that Korean adolescents perceive their body weight correctly, and prevent unhealthy weight control behaviors.

• 한국학교ㆍ지역보건교육학회지
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• 제22권4호
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• pp.11-24
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• 2021

Purpose: This study aims to explore the mediating effect of the health self-efficacy and activity confidence in the relationship between body image and health promoting behavior in middle school girls. Methods: A descriptive correlational design was used. Participants were 142 in middle school girls. The questionnaire consisted of measuring tools for body image, health promoting behavior, health self-efficacy and activity confidence. The collected data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson's correlation coefficient and the PROCESS Macro for SPSS 23.0 to verify the multiple mediated effect with a parallel structure. Results: Body image showed a significant positive correlation with health self-efficacy (r=.28, p=.001), activity confidence (r=.45, p<.001) and health promoting behavior (r=.37, p<.001). Health self-efficacy was also significantly correlated with activity confidence (r=.51, p<.001) and health promoting behavior (r=.63, p<.001). Activity confidence was significantly health promoting behavior (r=.67, p<.001). Furthermore, health self-efficacy (B=.35, p<.001) and activity confidence (B=.38, p<.001) showed a mediation effect on the relationship between body image and health promoting behavior. Conclusion: The impact of body image on health promoting behavior in middle school girls was mediated by health self-efficacy and activity confidence. Result suggest that strategies for improving health self-efficacy and activity confidence in middle school girls should be considered when developing an educational program for enhancing their health promoting behavior.

• Journal of Korean Biological Nursing Science
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• 제14권3호
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• pp.203-211
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• 2012

Purpose: The purpose of this study was to investigate effects of obesity on self-rated health in Korean males and females. Methods: The 2010 Korean National Health and Nutrition Examination Survey (KNHANES V-1) data were used. Participants included 1,231 males and 1,289 females aged 20 years or older and had no disease. Chi-square test, t-test, and multiple logistic regression with dummy variables using SAS 9.2 were performed. Results: From univariate analysis, total body fat was significantly greater in males with a self-perception of poor health (p=.006), and the percentage of total body fat was significantly greater in males and females with a self-perception of poor health (p for all=.001). After controlling for demographic and health behavior variables, similar results were found. Females with higher education had a healthy perception of their health. Smoking for males and drinking for females were significantly related to unhealthy perception of their health. Conclusion: The current study provides evidence that obese Korean males and females had worse self-rated health, even though they had no disease. In particular, it is important to note that the relatively direct obesity measures from Dual Energy X-Ray Absorptiometry, such as total body fat and percentage of body fat, were significantly related to self-rated health.

• 재활간호학회지
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• 제20권1호
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• pp.61-68
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• 2017

Purpose: The purpose of this study was to examine the relationship between body esteem, stress, and health promoting behaviors among Korean adults in a community and to identify factors that influence health promoting behaviors. Methods: This study was conducted using a questionnaire which included item for body esteem, stress and health promotion behaviors. Data were collected from 257 adults living in Jeollabuk-do in Korea from November to December, 2015. The collected data were analyzed through descriptive statistics, Pearson's correlation coefficient, and stepwise multiple regression using the SPSS/WIN 21.0 program. Results: The mean score of body esteem was $2.73{\pm}0.43$, stress was $1.89{\pm}0.68$, and health promoting behaviors was $2.22{\pm}0.45$. There was a significant positive correlation between body esteem and health promotion behaviors (r=.47, p<.001), whereas there was a significant negative correlation between stress and health promotion behaviors (r=-.47, p<.001). In stepwise multiple regression analysis, body esteem, religion, education explained approximately 30.1% of health promoting behaviors (F=37.73, p<.001). Conclusion: The results in this study indicate that body esteem is the most important factor in health promoting behaviors among Korean adults. Thus, body esteem contents should be included in developing programs for adults to enhance their health promoting behaviors.

• 한국학교ㆍ지역보건교육학회지
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• 제11권2호
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• pp.29-42
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• 2010

Objectives: This study was conducted to examine the relations of 'self-body evaluation', self-esteem, and health behavior among junior high school girls, analysing influencing factors for their health behavior, and building a base for its improvement. Methods: Data collection was conducted by self-report survey. Survey participants were 330 junior high school girl students in the area of Seoul, 221 from women's junior high schools and 109, coed schools. Survey included general characteristics, self-body evaluation, self-esteem, and health behavior. Results: 1. In their self-body evaluation, the students gave themselves $3.27{\pm}.53$ scores of the total 5, and of general characteristics, BMI, ideal BMI, personality, living standard were statistically significant different. 2. The scores for the girl students' health behavior were $2.77{\pm}0.37$ of total 4, and of general characteristics, school forms, grades, living standard were statistically significant different. characteristics, school forms, personality, school grades, living standard were statistically significant different. 3. The girls' self-body evaluation and self-esteem showed a low level of negative significant difference and their self-body evaluation and health behavior were significantly different, but a low level of negative significant difference. And the relationship between self-esteem and health behavior showed a high level of positive significant difference. 4. Influencing factors for the girls' health behavior showed a significant difference in self-esteem and school forms of general characteristics, self-body evaluation, and self-esteem.

• 한국학교ㆍ지역보건교육학회지
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• 제22권3호
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• pp.29-39
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• 2021

Purpose: This study aims to investigate the mediating effect of grit in the relationship between body image and health promotion lifestyle for nursing students. It was implemented to present basic data for the development of educational programs to establish the health promotion lifestyle of nursing students. Methods: The participants of this study were 169 nursing students in three universities in G City, J Province. Data were descriptive statistics, t-test, ANOVA, Pearson correlation analysis. Also mediation analysis was performed according to the Baron and Kenny method and Sobel test. Results: Health promotion lifestyle is positively correlated with body image(r=.53, p<.001), grit (r=.37, p<.001), and body image is positively correlated with grit(r=.33, p<.001). The grit showed a partial mediating effect between the body image and the health promotion lifestyle(Z=3.21, p<.001), the positive the body image(β=.46, p<.001), the higher the grit(β=.22, p<.001), the healthier the health. The level of health promotion lifestyle increased, and the explanatory power to explain the health promotion lifestyle was 33%. Conclusion: Therefore, in order to improve the health promoting lifestyle level of nursing students, it is important to change their perception so that they can view their body image positively. In addition, it suggests that nursing students need to cultivate grit so that they can continuously pay attention to and strive for their health promotion lifestyle.

• Nutrition Research and Practice
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• 제17권6호
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• pp.1143-1154
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• 2023

BACKGROUND/OBJECTIVES: Body shape misperception (BSM) is the disagreement between the subjectively perceived body size and body mass index. This study investigated the association between BSM and unhealthy eating behaviors (UEB) among Korean adolescents. SUBJECTS/METHODS: This cross-sectional study used data from the 2019 Korea Youth Risk Behavior Web-based Survey with 55,748 participants. UEB were measured according to the weekly consumption frequency of caffeinated energy drinks, fast food, carbonated beverages, and sugar-sweetened beverages. The covariates included demographic and socioeconomic characteristics and health-related factors. Multiple logistic regression analysis determined the association between BSM and UEB. RESULTS: Among the participants, 37,607 (67.5%) reported UEB. The gap between UEB among those with BSM was the largest between the underestimated and accurately estimated groups. Participants who underestimated their body shape were likelier to engage in UEB (adjusted odds ratio [AOR], 1.18; 95% confidence interval [CI], 1.11-1.25). Both sexes with underestimation of body size showed an association with UEB compared to those with accurate estimations (girls: AOR, 1.19; 95% CI, 1.09-1.30; boys: AOR, 1.16; 95% CI, 1.08-1.26). CONCLUSIONS: Underestimating body shape can provoke UEB among Korean adolescents. The need for appropriate school health interventional programs to prevent underestimating body shape is emphasized to avoid UEB.

• 대한의생명과학회지
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• 제25권3호
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• pp.218-226
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• 2019

In old age, measures to cope with the natural phenomenon of aging and various diseases of the elderly due to the deterioration of physical function are also a challenge for this society. While interest in systematic health is increasing, it is true that awareness and interest in oral-related diseases is relatively lacking. This study aims to present basic data necessary to improve the quality of life for senior citizens aged 65 or older by improving the oral dryness caused by systemic health. By research method, improve oral dryness caused by whole-body health with the elderly over 65 and promote their oral health, inducing the increase of the salivary flow rate through oral health care education, oral exercise, and salivary gland massage. First, on the DMSQ according to the general characteristics of the elderly, the recognition of the whole body and oral health status, independent sample t-test and One-way ANOVA were conducted. Second, on changes in the salivary flow rate and saliva pH according to the general characteristics of the elderly, recognition of oral and whole-body health status, and whole-body health, paired samples t-test was conducted. Studies have shown that salivary gland flow increased significantly after oral exercise and salivary gland massage, the salivary flow rate significantly increased. In all variables of the recognition of the oral health status, the salivary flow rate increased after oral exercise and salivary gland massage, and in the whole-body health, regardless of hypertension, diabetes, cardiovascular disorders, and osteoporosis, the salivary flow rate increased after oral exercise and salivary gland massage, and the salivary flow rate increased after oral exercise and salivary gland massage if the subjects responded that they did not have thyroid abnormality, anemia, abnormalities of breathing, hypotension, gastrointestinal disturbance, or kidney diseases. As a comprehensive analysis of this study, many felt oral dryness when they had a problem with the whole-body health, and many felt oral dryness when they had a problem with oral health cognition. After applying oral exercise and salivary gland massage as intervention methods in the oral health care for the elderly, the salivary flow rate significantly increased, and it is judged that the methods were very effective for controlling oral dryness. Furthermore, it is judged that the factors affecting oral health, whole-body health, and oral dryness would be identified, which would be helpful for the promotion of whole-body health and oral health. It is judged that continuous research would be needed so that measures for the application of the oral care program and system for the elderly would be prepared in the future.