• Korean Journal of Health Education and Promotion
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• v.26 no.1
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• pp.63-80
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• 2009

Objectives: This study identified how personal characteristics, healthy behavior and social capital might influence on physical activity of adults. Methods: This study used data from the health survey of a city of Korea. We surveyed 1,000 adults sampled by stratified sampling methods from 67,889 households. Outcome variable was the stage of physical activity which was broken into 5 categories. Sociodemographic factors, healthy behavior, self-rated health status and social capital were used as control variables. Sociodemographic factors included age, sex, educational status, economic status measured by deprivation score, residential period within survey city. Social capital was measured by Integrated Questionnaire for the Measurement of Social Capital (SC-IQ). This study used chi-square test and ordered logistic regression models to examine the associations between independent variables and physical activity. Variables were added to the regression model in three groups using a hierarchical approach. Results: Physical activity was significantly more likely to become active if they have higher educational status, healthier behavior. Among the six dimensions of SC-IQ, only "groups and networks" that is structural dimensions of social capital and "trust and solidarity" that is cognitive dimensions of social capital were significantly related to physical activity of adults. We found that a person having higher density of membership and having larger size of networks showed the high possibility of active physical activity. A person having high solidarity was significantly associated with physical activity, but general trust was inversely related to physical activity. Output dimensions of social capital did not show significant relationship to physical activity. Conclusion: We found that social capital is useful concept to explain health behaviors like physical activity. However we must consider social, cultural and political context of the study to evaluate the effect of social capital to health status and health determinants and to capture the exact meaning of relationship between them. We suggest further researches to refine the concept of social capital and to explain the relationship of social capital to diverse health determinants.

• Korean Journal of Health Education and Promotion
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• v.35 no.5
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• pp.17-24
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• 2018

Objectives: After many national physical activity guidelines have established, recent changes are deep and rapid. So the major features and implication to reverse worsening Korean physical activity indicator is desprate but related knowledge and informations are few. So review of recent features and implications of new physical activity guidelines have made. Methods: National physical activity guidelines of advanced countries were searched through snowballing methods. Major features were described according to the nation. Implication were drew through discussion for Korean realitiy. Results: New Australian physical activity and sedentary behaviour guideline explicitly included sedentary behaviour. The age in the guideline expanded to early years. Canada also presented 24-hour movement guidelines to early years. The second generation of the physical activity guidelines reflects the extensive amount of new knowledge. New aspects include discussions of additional health benefits related to brain health, additional cancer sites, and fall-related injuries; immediate and longer term benefits for how people feel, function, and sleep; further benefits among older adults and people with additional chronic conditions; risks of sedentary behavior and their relationship with physical activity; elimination of the requirement for physical activity benefits to occur in bouts of at least 10 minutes; and tested strategies that can be used to get the population more active. Conclusions: The most important message from the new guidelines is that the greatest health benefits accrue by moving from no, to even small amounts of, physical activity. Multiple studies demonstrate that the steepest reduction in disease risk occurs at the lowest levels of physical activity. People need to understand that even small amounts of physical activity are beneficial and that reductions in the risk of disease and disability occur by simply getting moving. So various evidence based proven strstegies are needed in Korea including workforce training.

• Journal of the Korean Society of School Health
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• v.18 no.2
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• pp.15-26
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• 2005

Purposes： This review is designed to assess the current status of health education in Korea, to identify problems within the curriculum, and to suggest ways to improve health education in Korea. Results： Korean schools currently lack a regular standardized health education curriculum. Subjects related to health education are presently taught in other disciplines, such as physical education, home management, biology, and other related subjects. The Korean health education curriculum suffers from many significant problems, including a lack of educational goals for health education, absence of designated time for health education, a lack of continuity between contents, knowledge-oriented health education, and an overall disconnect with the needs of the students. Other problems include an exclusion of health education experts in the development of the curriculum, no designated times for health education within the regular curriculum, and a lack of health teachers in schools. Conclusion： To improve health education in schools, standard health education curriculum should be developed. Health education curriculum needs to be sequential, comprehensive, and skill-based. Health education needsto be a essential subject, health teachers need to be trained, and provided with technical support.

• Research in Community and Public Health Nursing
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• v.10 no.1
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• pp.183-203
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• 1999

High school is regarded as the period when many important physical, mental and social developments occur, and when many health-related behaviors are formed. School health education is one of the major learning resources influencing health potential in the home and community as well as for the individual student. High school health education in Korea has a fundamental systemic flaw however, in that health -related subjects are divided and taught under various subjects at school. In order to achieve quality health education, it is essential to assess the learners' and teachers' educational needs. So far, most of the research projects that had been carried out for improving high school health education were limited to only the learners' educational need. They failed to in elude an educational assessment of the teachers. Therefore, in this study the high school health education teachers' needs relating to health education were investigated through a focus on the teachers' health education activity level, health education activity self-efficacy level, and perceived level of importance in health education content. In this study, research instruments these factors were constructed by Yoo(1997) on the basis of the PRECEDE model. The data for this study were collected from a sample consisting of twenty general and vocational high schools in Seoul and Chongju for a two month period beginning in July, 1996. In analyzing the data, an ANOVA test and stepwise multiple regression were accomplished using an SPSS - PC+ program. The results were as follows: The average level of health education activity and self-efficacy among high school health edu cation teachers were found to be low. But, teachers' perceived importance of health education contents was high. Teachers' activity and perceived importance concerning sex education were lower than in other health education areas. Health education activity of Military drill teachers was higher than that of physical education teachers as well as school nurses. But it was not significant. Health education activity self-efficacy of school nurses was higher than that of other teachers(p<.05). Perceived level of importance of health education contents was the most influential variable in teachers' health education activity. Health education activity self-efficacy level was not an influential variable in teachers' health education activity. The significance of this study is that it has diagnosed the needs of high school health education through the teachers' assessment of a variety of health factors related. These findings suggest that the management of an integrated health education, program requiring large changes in the curriculum of health education is necessary.

• Journal of Preventive Medicine and Public Health
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• v.31 no.2 s.61
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• pp.293-309
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• 1998

The purpose of this study is to compare the level of health-related quality of life and relating factor between institutional elderly and community living elderly. The subjects were 390 from Sanatorium or Nursing home and 467 from the community in Kwangju. The results are followed : 1) A comparison of ADL between two groups, institutional elderly and community living elderly, resulted in that community elderly were more significantly independent in the areas of bathing and transfer than institutional elderly. 2) A comparison of IADL between two groups resulted in that : Community elderly were more independent in the areas of using telephone and transportation, food preparation, house keeping, and doing laundry. Institutional elderly were more independent in the area of handling finances. 3) In the case of poor health-related quality of life, institutional elderly showed 2.4 times in the dimension of physical fitness, 1.8 times in daily activity, 2 times in social activity, 2 times in pain, 26.7 times in social support, and 0.4 times in subjective quality of life higher than community elderly There was no significant differences in the rest of dimensions. 4) In institutional elderly, the analysis of variables related to the health-related quality of life resulted in that; The relating factors were sex, education, and chronic illness in the dimension of physical function. Direct contact with family or significant others in the dimension of social activity. Chronic illness in the dimension of pain and perceived health status. Direct or indirect contact with family or significant others over the phone or through letters in the dimension of social support. 5) The analysis of variables related to the health-related quality of life showed that community elderly has more relating variables in each area than institutional elderly. The relating factors were age, sex, and chronic illness in the dimension of physical function. Education and chronic illness in the dimension of emotional status. Age and chronic illness in the dimension of daily activity and social activity Education and chronic illness in the dimension of pain and perceived health status. Sex, education, family size in the dimension of social support. Education and chronic illness in the dimension of subjective quality-of-life. Throughout general daily activity, community elderly showed more satisfactory results than institutional elderly, but in the subjective area of health-related quality of life, such as subjective quality of life, institutional elderly group showed more positive results. And community elderly had more relating factors than institutional elderly. For the health care of the elderly that focused on quality of life, new approaches considering the characteristics of both group, institutional and community living elderly, are needed.

• Journal of Digital Convergence
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• v.16 no.2
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• pp.375-383
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• 2018

The purpose of this study was to investigate the effect of exercise training on health-related physical fitness and osteoporosis after 12 weeks of combined training for adults with intellectual disabilities diagnosed with obesity and osteoporosis. The subjects conducted a combined training program consisting of aerobic exercise and strength training twice a week for 12 weeks. Body composition and bone mineral density were measured before exercise, 6, 12 weeks, and health-related physical fitness was measured before and after exercise. Body weight and body fat decreased after exercise and bone density increased after exercise compared to before exercise. Muscle strength, muscle endurance and flexibility were improved after exercise compared to before exercise. It was confirmed that the 12 week compound training increased the leg strength and improved the functions such as walking and running, and increased the health-related fitness and increased bone mineral density.

• Korean Journal of Health Education and Promotion
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• v.21 no.4
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• pp.35-49
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• 2004

The purpose of this study was to analyze variables associated with smoking and selected health behaviors. This study targeted adult men and women over 20 of age. The sample population was drawn from the national sample, and the samples were chosen from the telephone book. A total of 1,500 cases were collected through a telephone based interview survey. As a tool for this study, a structured questionnaire was developed. the variables included self-perceived health status, and selected 7 health behaviors; smoking behavior, physical activities, eating habit, weight control, alcohol consumption, stress management, and cancer exam. The healthy life practice actions of Trans-theoretical model have been classified into five stages. Smokers were more likely than non-smokers to positive attitudes toward smoking and the impact of smoking in this study. This means that smokers's awareness toward the impact of smoking is very week. Smoking behavior was significantly related to other health related behaviors based on the correlation analysis. However, gender, engaging in regular physical activities, moderate consumption of alcoholic beverages, and receiving a cancer examination were the variables that can explain and predict a person's stages of adopting a non-smoking behavior. Self perceived health status was closely related to other health behaviors. Gender, age, and monthly household income were important demographic variables that have significant relationship with the self-perceived health status. Among the health behaviors, regular physical activities and weight control were significant predictable variables. Similar results have been found in the National health and Nutrition examination survey in Korea. As a result of this study, it was found that among the selected health behaviors, engaging in physical activity was an important variable to increase positive sense of health and non-smoking behaviors. Educational and policy level input is needed to increase awareness and provide chances to participate in fitness activities. To those who maintain exercise, the environmental support and diffusion of knowledge information and education data should be strengthened. To change attitudes toward smoking, more in-dept awareness campaign and education should be provided according to people's different behavioral status. In addition, not only diffusing health education data and delivering knowledge information through related programs, but also environmental support system that helps an individual maintain his/her action is required. Such a support system means settlement of the health enhancement base of school, workplace and community should be carried out, and the policy level support and regular programs should be provided and spread to the unit of community.

• Korean Journal of Health Education and Promotion
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• v.33 no.3
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• pp.95-107
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• 2016

Objectives: Physical activity is well known as one of the most effective health behaviors for maintaining and promoting health. The purpose of this study was to investigate the regional variation, compositional and contextual factors on physical activities in Korea. Methods: This study analyzed data of 6,353 adults in 4th-1, 2 Korea National Health and Nutrition Examination Survey (KNHANES). Independent variables were compositional factors that included general characteristics, health behaviors, health status, and contextual factors that included physical environment, political environment, and social safety net. Dependent variables were vigorous physical activity, moderate physical activity, and walking activity. Multilevel analysis were used to determine a variation of physical activity between levels of compositional factors and contextual factors. Results: Physical activities of the Korean people were affected by the regional variables. Financial independence and population density were related with moderate physical activity significantly. Population density, school sport or rally spaces, cultural facilities, and social safety concerns were related with walking activity significantly. These variables impacted on physical activities along with variables at the individual level. Variance Partition Coefficient were 9.94% at moderate physical activity and 2.91% at walking activities, respectively. Conclusions: The results suggest that the regional variables should be considered when planning public intervention to promoting physical activities in Korean adults.

• Korean Journal of Community Nutrition
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• v.6 no.3
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• pp.340-353
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• 2001

The aim of this study was to investigate health-related and eating-related behaviors as part of self-recognized health status. The survey was conducted among 304 elderly people in Chunchon city in 1999. Fifty two percent(52%) of the respondents recognized they were healthy, 32% felt so-so and 16% thought themselves unhealthy. When they felt healthy, they engaged in more social work and regular exercise, had better appetites, lower conflict scores with their children, lower depression, higher satisfaction in life, better physical condition(eye, ear, tooth, mentality and walking), and higher ability of ADL(activities of daily living) and IAD(instrumental activities of daily living). Also, the self-recognized group consumed each food groups (meats, green, yellow and white vegetables, fruits, milks, seaweeds, beans) more often and showed a higher preference of food. The results of this study indicate that self-recognized health status affects every pattern of life among the elderly. As a result, comprehensive education(such as nutrition, health, physical and psychological education) should be offered to the elderly.

• Journal of the Korean Applied Science and Technology
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• v.35 no.3
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• pp.956-962
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• 2018

Childhood obesity causes a higher risk of obesity, premature death and disability in adulthood. In addition, obese children experience an increased risk of respiratory problems, hypertension, cardiovascular disease, insulin resistance and psychological effects. This study aimed to investigate how an exercise intervention affects health-related physical fitness and inflammatory-related blood factors in obese children after. We hypothesized that there would be positive effects on serum levels of insulin-like growth factor-1 (IGF-1), connecting peptide(C-peptide) and resistin, as well as in muscle and cardiovascular-related physical capacities, after an exercise intervention in obese children. Thirty-seven obese children haveperformed health-related fitness tests and provided blood samples for the analysis of changes in circulating biomarkers, both before and after an 8-week exercise intervention, which includes stretching, aerobic exercise, resistance exercise and sports games. The results indicate that exercise training beneficially affects body compositions, especially percentage body fat and muscle mass, without influencing to body weight and height. The results of the physical fitness tests show that muscle and cardiovascular capacity were increased in obese children in response to exercise training. Simultaneously, the exercise training decreased circulating levels of C-peptide, which equated to a "large" effect size. Although there were no significant effects on the levels of IGF-1 and resistin, they show a "small" effect size. Therefore, our findings suggest that the exercise intervention have beneficial effects on body composition and physical fitness levels in obese children, whichmight be associated with the decline in circulating C-peptide.