Purpose: The purpose of this study was to investigate the actual conditions of obesity, and the factors related to children's obesity. Method: The subjects were 568 students (5th, 6th grades) of ten elementary schools in a small city of about 350,000. Subjects self-reported after being instructed by researchers to identify health habits and attitudes toward obesity. The Rohrer index was calculated by using annual physical examinations preformed by the schools. Result: 17.5% of the subjects were under weight, 22.2% were overweight, and 60.3% were normal. In girls, the under weight group was much larger, in boys the overweight group was larger. 46.2% of overweight children had a familial tendency to obesity. 60.6% of boys and 60% of girls were on a diet in order to improve their looks or to prevent ridicule from mends. On average, one-third of the subjects misunderstood their own weight level. Subjects spent 3-4hours on weekdays, and over 6hours on the weekend watching TV or using personal computers. The overweight group enjoyed eating meat, fish, beans and vegetables, while the normal group tended to prefer fruit. Conclusion: Health education programs which guide elementary school students to form better health habits, more accurate perceptions of their own body weight, and better attitudes toward obesity and which make students aware of the importance of exercise, a healthy diet, and reducing time spent in front of TVs and computers may help them to keep at their appropriate weight.
Purpose: This study was conducted to examine the effects of uncertainty, social support, and sick role behavior on health-related quality of life in patients with peripheral arterial disease. Methods: This study is a descriptive research using self-reporting questionnaire. Data were collected from 167 patients with peripheral arterial disease. Measurement tools were Multidimensional Scale of Perceived Social Support(MSPSS), Mishel's Uncertainty in Illness Scale (MUIS), Sick role behavior measurement tools and SF-36 Version I. The data were analyzed using descriptive statistics, correlation, and regression analysis by using SPSS/WIN 24.0. Results: Factors that significantly influenced physical health-related quality of life were age (β=-.19, p=.010), monthly income (β=.17, p=.027), uncertainty (β=-.29, p<.001), and exercise and rest (β=.28, p<.001) that all together accounted for 32.6% of the variance. Factors that significantly influenced mental health-related quality of life were monthly income (β=.20, p=.015), drinking (β=.17, p=.040), uncertainty (β=-.24, p=.001), and exercise and rest in sick role behavior (β=.26, p=.003) that all together accounted for 18.2% of the variance. Social support was an insignificant factor on physical and mental health-related quality of life. Conclusion: To improve the health-related quality of life of people with peripheral arterial disease, it is necessary to develop a systematic nursing intervention program including a strong support system, education, strategies for alcohol abstinence, and exercise and rest therapy.
The purpose of this study was to investigate the effects of regular walking exercise on health-related parameters in the elderly with chronic diseases - apoplexy, overweight, impaired fasting glucose, and overweight + impaired fasting glucose. A total of 85 subjects, 27, 17, 21 and 20 in apoplexy (A), overweight (O), impaired fasting glucose (IFG), overweight + impaired fasting glucose group (O_IFG), respectively, completed a 12-week walking exercise. The health-related parameters were measured before and at the completion of the exercise program including anthropometric measurements, functional physical fitness levels, blood pressure, fasting glucose, blood lipid profiles and chronic inflammatory markers (CRPs). Significant improvements in body weight, BMI, %body fat, blood pressure, all blood lipid measurements and all measured physical fitness items were shown in A; those in %body fat, TC, HDL-C and LDL-C in O; those in body weight, BMI, %body fat, fasting glucose, TC, TG and HDL-C in IFG; and those in body weight, HDL-C and LDL-C in O_IFG (p<0.05). The results of the present study demonstrated that a 12-week walking exercise brought positive effects on body weight, bloody lipid profiles, fasting glucose and functional physical fitness levels in the elderly with chronic diseases. In conclusion, this study suggested that walking regularly is very effective in lowering the risks of developing chronic diseases.
At the central level, civil servants concerned with school health were interviewed in order to research the national administrative system of school health. At the level of county, the ledgers concerned at the education office and the schools was reviewed, and the person concerned at them was interviewed, in order to research the present state of local school health management. The policy proposition to improve the administrative system of school health in Korea is as follows. 1) The formal school health activities in districts should be actualized with the funds and the manpower made through realizing local autonomy system. 2) The funds of health center should be able to be used for school health. 3) The important activities of school health that can be actualized without a lot of funds should be chosen and be actualized above all. 4) The formal or informal system among school, health center, and hospital should properly be made. 5) The health engineer of education office or the board of education should be related to health center at school health activities. 6) For the long run, the teacher of health education should teach the subject of health at school. The proposition to improve the management of school health at the level of education office or the board of education is as follows. 1) The formal and informal relation among health center, hospital, and the board of education should be strenthened at the technical and administrative sides. 2) Health center should train the nurse-teachers of school and the health engineers of education office or the board of education. 3) The autonomous health budget of each school should properly be made. 4) The compulsory health budget should properly be made in school education budget. 5) The formal or informal training Course for the nurse-teachers should be practical. The proposition to improve the management of school health at the level of school is as follows. 1) The equipment of nursing room should be used properly, so that the function of nursing room should be revitalized. 2) Nursing room should not be used with other function except nursing function. 3) Oral cavity should be tested when pupils and students undergo physical checkup. 4) The interval of physical checkup at each school should be more than 2 days. And then the pupils and students with abnormal health should be referred to hospital etc.. 5) The misappropriation of the allowance of school doctor should be protected.
Purpose: The purpose of this study was to develop a Health Mileage Program (EHMP) to promote exercise amongst the elderly and assess the feasibility of the program. Methods: A literature review to identify the effects of exercise in the elderly was conducted. Relevant cases were investigated and in-depth interviews with exercise instructors were conducted, after which the EHMP was developed based on the assessment and tested in three regions. The outcome was evaluated using indicators such as attendance rate, number of participants, proportion of participants who received health education, and proportion of participants who measured their physical and mental status. Results: Based on assessment, we developed an EHMP composed of four steps. Following application of the EHMP in three regions, ${\geq}80%$ of the participants received incentives. Additionally, ${\geq}85%$ of participants underwent measurement of their physical and mental status. The proportion of participants who received health education differed among regions. Conclusion: The EHMP program increased participation and interest in exercise programs for the elderly. However, there is concern regarding availability due to regional differences in resources related to elderly exercise; therefore, it will be necessary to invest in infrastructure, including facilities, and knowledgeable instructors.
Journal of the Korea Academia-Industrial cooperation Society
/
v.18
no.4
/
pp.550-559
/
2017
The purpose of this study was to analyze the effect of a 12 week aerobic resistance training circuit program on the health-related fitness, blood lipids, and cortisol in obese postmenopausal women. The subjects for the study were twenty obese postmenopausal women composed of the exercise group (n=10) and "no exercise" control group (n=10). The aerobic resistance training circuit program was conducted for 70 minutes 3 times a week for 12 weeks, in which the aerobic exercise consisted of 5 items each composed of 5 sets of aerobic exercise at 50-70% HRmax intensity for 1 minute for a total of 25 minutes and the resistance exercise consisted of 8 items conducted for a total of 25 minutes at 40-60% intensity of 1RM). In the exercise group, the body weight and BMI significantly decreased and the 20m shuttle run, sit-ups and sitting trunk flexion significantly increased. In the exercise group, the TC, LDL-C, and TG significantly decreased. Also, it was noted that the HDL-C was slightly higher in the exercise group than in the control group, but the difference was not statistically significant. The cortisol levels of the exercise group and control group at baseline were similar. However, after the aerobic resistance training circuit program, the exercise group had a significantly higher cortisol level than the control group. Therefore, regular and continuous aerobic resistance training was effective in improving the body composition, blood lipids and health-related fitness.
This study was to analyze the Life-Cycle Physical Activity Therapy Programs (PATPs) in Hoseo Region and to suggest the Activation of the program. The subjects were the 81 PATPs performed in 36 of the Community Health Centers in the region. The basic data was collected by Official Documents, the Homepage of the Centers, Telephone Interview, and e-mail with the person in charge of the programs. All the data were classified to the administrative districts (Rural, Urban-Rural Intergration and Urban Region), the Life Cycles (Children, Youth, Adult and Old Adult) and the Health-related Fitness Variables (Strength/Muscle endurance, Flexibility and Aerobics). The ACSM's (American College Sports Medicine) Guidelines for Exercise Testing and Prescription were used to evaluate the PATPs. In the results, the number of the PATPs was too low compared to the population. Also, the PATPs were not considered to the Life-Cycle proportion of the population. The management of the PATPs was principally inadequate. The frequency and duration of the PATPs were deficient in order to improve the Health-related Fitness. In conclusion, the number of the PATPs should be increased proportionally compared to the population, operated and developed on the Specificity of the Life-Cycle Population in the administrative districts. Further, the PATPs should be managed on the scientific knowledge of physical activity therapy.
Objectives: The purpose of the study was to investigate the relationship between internet addiction and health in dental hygiene students. Methods: A self-reported questionnaire was completed by 216 dental hygiene students in Daegu from June 9 to 13, 2014. Data were analyzed by descriptive statistics, t-test, and ANOVA using SAS 9.2 program. The instruments included Korean internet addiction scale(K scale) and Korean version of the general health questionnaire. General characteristics consisted of grade, religion, residential types, economic condition, place of internet use, duration, purpose, and time of use. Physical characteristics consisted of subjective physical condition, smoking, alcohol drinking, exercise above twice per week, musculoskeletal disease, and location of physical symptoms. Psychiatric scale and 6 questions of physical characteristics were consulted by the statistician of preventive medicine department. Results: Internet users over 4 hours manifested the poor mental health, while those who uses internet under 2 hours showed good mental health(F = 1.41, p < 0.01). The students having good physical condition showed better mental health than those with poor physical condition(t = -2.81, p < 0.01). The students exercising at least twice a week showed better mental health than those who do not exercise(t = -3.10, p < 0.01). Those who having musculoskeletal symptoms showed higher index of internet addiction score than those who do not(t = 4.21, p < 0.01). Those who have no musculoskeletal symptoms tended to have better mental health than those who have musculoskeletal symptoms(t = 2.28, p < 0.05). The variables correlated to mental health were internet addiction, subjective physical condition, and exercise at least twice a week. The severity level of internet addiction leads to poor mental health(r = 0.26, p < 0.001). Conclusions: Internet addiction is closely related to mental health. So the students must know the danger of internet addiction. Proper health education is necessary for the prevention of addiction symptoms.
Purpose: The study was to explore the level of low back pain and characteristic factors influencing low back pain (LBP) and mental health during pregnancy. Methods: The subjects were a total of 383 healthy pregnant women in S City and K-Do. Data were analyzed using descriptive statistics, t-test, ANOVA, and Pearson's correlation. Results: 82.5% of the pregnant women answered the existence of LBP and 19.7% of them had high LBP. The preferred method of controlling LBP was 'Just endure'(42.3%). There were significant differences in pregnancy level (p<.05) and discomfort condition related to pregnancy (p<.01) according to low back pain. There were significant differences in pain intensity according to mental health. The correlation between pain level and pregnancy weeks (p<.001) and BMI in previous pregnancy (p<.001) was significant. The correlation between mental health and age was significant (p<.001). Conclusion: The majority of the pregnant women experienced LBP during pregnancy. However, they were not offered the best method of controlling the pain. Thus, for preventing LBP during pregnancy, we recommend regular exercises and BMI control.
This study compared levels of health and dietary behavior practices and health beliefs according to the stage of weight loss behavior change of Korean male workers. A self-administered survey questionnaire was collected from 411 male adult workers residing in Seoul, Kyeonggi, Chungcheong region. Practices of health related behavior, including smoking, drinking, exercise, work related physical activity, and dietary behavior according to dietary guidelines were evaluated. In addition, the levels of perceived benefit, perceived barrier, perceived susceptibility, perceived seriousness, and perceived cue to action from the health belief model were measured according to the stages of weight loss behavior change. Significant differences in BMI, level of daily exercise, and practices of dietary behavior according to dietary guidelines were observed among stages of weight loss behavior change. Subjects who were in action/maintenance stage showed a more desirable level of health behavior and health belief model variables, except perceived barrier. Based on the findings of this study, it is suggested that subjects with different stages of behavior change need an appropriate specific nutrition education method and material for improvement of nutrition education efficacy.
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