• 성인간호학회지
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• 제23권3호
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• pp.298-307
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• 2011

Purpose: The purpose of this study was to examine the effects of physical activity on glycemic control among Koreans with type 2 diabetes. Methods: A total of 215 patients with type 2 diabetes (82 male and 133 female) were recruited (mean age = $59.0{\pm}9.7$ years). The amounts of physical activity was assessed using the physical activity scale for elderly (PASE). Fasting blood glucose (FBG), Hemoglobin A1c ($HbA_1c$), and 2 hours post-prandial glucose (2hrPG) were measured. Results: The highest PASE score was housework-related physical activity. However, the amounts of walking was significantly higher in good FBG level (Z = 1.39, p=.041) and the amounts of leisure-time physical activity was higher in good HbA1 and 2hrPG level than in the poor glycemic control group (Z = 2.29, p<.001; Z = 1.99, p=.001). A logistic regression analysis showed that patients with leisure-time physical activity in the top quartile more likely presented with good glycemic control in $HbA_1c$, OR=3.84 (95% Confidence Interval (CI) = 1.65~8.95) and in 2hrPG, OR=4.06 (95%CI = 1.77~9.27), compared to patients in the lowest quartile. Conclusion: Leisure-time physical activity is effective for controlling the glucose levels, especially $HbA_1c$ and 2hrPG among type 2 diabetic patients. It is suggested that health providers need to more focus on providing aggressive recommendations on physical activity considering physical activity patterns by individuals.

• Asian Pacific Journal of Cancer Prevention
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• 제14권2호
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• pp.1009-1016
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• 2013

Background: The benefits of physical activity are well established and recognized to prevent adults from many chronic diseases and particularly some forms of cancers. Objectives: The present study was conducted to investigate the present status of physical activity among Saudi adults in Al-Ahsa, and to examine the association between the stages of change for physical activity and perceived barriers, and self efficacy. Methods: A cross-sectional study of 242 subjects (118 males and 124 females) attending health centers aged between 20-56 years, were personally interviewed for demographic data, anthropometric measurement, physical activity level, stages of change for physical activity, self efficacy and perceived barriers. Results: Forty eight percent of the females were overweight and 16.9% of the males were obese with no significant difference between the genders for BMI categories. More than half of the females were inactive and 39% of the males were physically active with a significant difference (P=0.007). Twenty percent of the males were in maintenance stage, while similar percentage of the females were in contemplation stage. However the majority of the subjects were in pre-contemplation stage with a significant difference across the stages. Males had a higher mean score of self efficacy and less external barriers of physical activity. The major barrier among the females was lack of time ($7.2{\pm}1.4$) and in the males, lack of motivation ($7.7{\pm}1.4$). The females had less internal ($21.2{\pm}3.8$) barriers comparable to the males ($23.08{\pm}4.7$). Both genders had a significant relationship between stages of changes of physical activity and perceived barriers (internal and external), but in the females no significant difference across the stages was observed for self efficacy unlike the males who had a significant difference for self efficacy and self efficacy categories. Conclusion: The present study provided useful data on stages of change for physical activity and some psychosocial factors (self efficacy and perceived barriers) that can help to tailor strategies aiming at increasing physical activity level according to self efficacy and to the barriers detected, to prevent many chronic diseases including certain types of cancer in Saudi Arabia.

• 한국보건간호학회지
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• 제34권1호
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• pp.35-47
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• 2020

Objectives: This study investigated the effect of physical activity of adult Korean males on the prevalence of diabetes mellitus. Methods: This cross-sectional study used the raw data from the 2017 Community Health Survey. The subjects of this study were 74,494 men aged 19-64 years old. The data was analyzed applying the complex sampling design and using SPSS 23.0 Program. Descriptive statistics, Rao-Scott Chi-square tests and multiple logistic regression analysis were all performed. Results: The prevalence of diabetes mellitus was 6.4%. The walking activity was 58.5% and the over moderate intensity physical activity was 27.5%. After adjusting for age, marital status, educational level, household monthly income, drinking and smoking status, and BMI, those subjects without moderate intensity physical activity had a 1.14 times higher prevalence of diabetes mellitus (95% CI = 1.05-1.24) than those men with moderate intensity physical activity. Conclusion: In order to decrease the prevalence of diabetes mellitus among adult men, regular physical activities over a moderate intensity level should be emphasized and encouraged in daily life.

• 디지털융복합연구
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• 제16권7호
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• pp.345-355
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• 2018

본 연구는 혈액투석환자의 신체활동량 수준이 우울, 건강관련 삶의 질 및 수면장애에 미치는 융합적 요인을 조사하고자 실시하였다. 대상자는 2개 도시에 소재한 5개 혈액투석실에서 혈액투석을 시행받는 193명의 혈액투석환자들이었다. 자료 분석은 기술적 통계, 상관관계와 위계적 회귀분석을 사용하였다. 상관관계의 결과는 우울과 신체활동량은 유의한 음의 상관관계를 보였고(r = -.259, p <.01), 신체적 및 정신적 건강관련 삶의 질과 신체활동량은 유의한 양의 상관관계를 보였다(r = .273, p <.01, r = .186, p <.01). 위계적 회귀분석 결과는 신체적 건강관련 삶의 질이 높을수록 혈액투석환자의 신체활동량 수준은 더 높은 것으로 조사되었다(${\beta}=.22$, p <.01). 따라서 혈액투석환자의 신체활동량을 증진시켜서 건강관련 삶의 질을 향상시키는 중재프로그램의 개발이 필요하리라 사료된다.

• 대한물리의학회지
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• 제9권2호
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• pp.171-179
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• 2014

PURPOSE: The objectives of this study were to investigate the effects of physical therapy provided at home on the motor function, activity of daily living (ADL), and level of pain in veterans men with disabilities, and to provide the information. METHODS: The participants were 108 patients men with disabilities living in the cities Seoul, Pusan, Daegu, Gwangju and Daejeon; they performed physical therapy at home-provided by physical therapy services- that included therapeutic exercise for 50 minute, 1~2 times a week for 24 weeks. The motor function was measured by using motor assessment scale (MAS) and ADL, the level of pain were recorded both before and after physical therapy. The data form both before and after physical therapy were analyzed by using the paired t-test. All statistical tests in this study were performed with the level of significance set at .05. RESULTS: After 24 weeks of physical therapy, we observed significant improvement in the MAS and ADL scale, as well as significant decrease in the level fo pain in the participants (p<.01). Significant improvement was also observed in the MAS and ADL scale, as well as a decrease in the level of pain among participants with stroke and spinal disease (p<.05). CONCLUSION: The findings of this study show that physical therapy provided at home can lead to an improvement in the motor function as well as improved ADL and pain control; physical therapy also has positive effects in relieving symptoms of veterans with disabilities.

• 대한간호학회지
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• 제45권1호
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• pp.14-24
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• 2015

Purpose: The purpose of this study was to measure the level of expectations regarding aging (ERA) and identify relationship between ERA and physical activity of middle aged adults. Methods: Participants were middle aged adults who resided in the community in three cities in Korea. Data were collected using questionnaires that contained items on individual characteristic, International Physical Activity Questionnaires (IPAQ), and behavior-specific cognitive factors including ERA-12. Hierarchical multiple regression was conducted to examine whether ERA would predict physical activity by controlling other factors. Results: The mean age of the participants was $51.1{\pm}6.9$ years. The mean score for ERA (possible range=0 to 100) was $40.04{\pm}14.31$. More than half of the participants (62.6%) were not engaged in health promoting physical activity. Gender, employment status and exercise confidence were associated with level of physical activity (F=7.14, p<.001, $R^2=.36$). After controlling for individual factors and behavior-specific cognitive factors, ERA was independently related to physical activity (F=7.19, p<.001, $R^2=.38$). Conclusion: The results demonstrate that individuals' belief about aging has effects on physical activity in Korean middle aged adults. Thus, nursing interventions which focused on ERA could help enhance physical activity in middle aged adults.

• 대한물리의학회지
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• 제3권3호
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• pp.177-183
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• 2008

Purpose : The purpose of this study was to investigate characteristics of the muscle activities during level walking and stairs ascending in young adults. Methods : Fifteen young adult were recruited this study. Muscle activity (BIOPAC System Inc., Santa Barbara, U.SA). Statistical analysis was difference between level and stair walking. Results : In stance phase, muscle activity of low extremity generally more increased during ramp ascent both young adults. In swing phase, muscle activity of low extremity generally more increased during stairs ascent in young adults. Conclusion : These results indicate that stair and ramp ascent is more difficult task than level walking in young adults. Muscle activity was more changed at ramp ascent. In the future, we suggest that studies of stair and ramp gait pattern regarding ambulatory patient with disabilities be further studied and an appropriate stairs and ramp inclination will be indicated.

• Asian Pacific Journal of Cancer Prevention
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• 제13권7호
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• pp.3143-3147
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• 2012

Background: Previous studies investigating the association of physical activity with risk of lung cancer reported conflicting results. In order to update and improve available evidence on any link, a meta-analysis was performed. Method: We searched the PubMed database for prospective cohort studies investigating the relation of physical activity with risk of lung cancer. The pooled relative risk (RR) with its 95% confidence intervals (95%CI) was used to assess the association. Results: We included 14 prospective studies with a total of 1,644,305 participants, with 14,074 incident lung cancer cases documented during follow-up. Meta-analysis of all 14 studies suggested both high and medium levels of physical activity to be associated with decreased risk of lung cancer compared to the reference group with low level of physical activity (for high level, RR = 0.77, 95%CI 0.73-0.81, P < 0.001; for medium level, RR = 0.87, 95%CI 0.83-0.90, P < 0.001). Subgroup analyses by gender found obvious associations in both men and women. No publication bias was observed. Conclusion: Our findings suggest that high and medium levels of physical activity have a beneficial effect on lung cancer by reducing the overall risk of tumour development among both men and women.

• Journal of Preventive Medicine and Public Health
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• 제43권4호
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• pp.362-365
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• 2010

2010 is the year when the Korean baby boomer generation faces retirement. With the need for affective strategies to keep this population healthy, the government has placed much effort to increase the regular physical activity (PA) level of older adults. Yet the prevalence of active seniors is still relatively low. This paper reviews the recent government strategies and efforts to enhance the physical activity levels of older adults and the PA programs provided in the community settings by major organizations and institutions. In addition, the problems of the current approaches are shown, and based on a review, the author provides five suggestions for promoting the PA level of older adults as follows. First, specific physical activity goals and objectives for older adults should be included in the National Health Plan 2020. Second, the recommendations for PA for seniors, which include a proper intensity, duration and frequency of exercise, should be provided. Third, the role of organizations and institutions should be rearranged for the proper dissemination of government provided community-based exercise programs. Fourth, a standard quality-control system should be provided, and finally, an evidence-based exercise program, which should be specifically created for the older Korean population, should be developed. Physical activity offers opportunities for people to extend the years of their active independent life and reduce functional limitations. To maximize the effects of government efforts to promote PA for seniors, we feel the comments provided in this paper should be closely examined.

• 보건교육건강증진학회지
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• 제30권1호
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• pp.27-39
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• 2013

Objectives: The purpose of the study was to test a model of physical activity of elderly living in Korea, determine significant factors contributing the physical activity, and examine significant paths in the model. Methods: A cross-sectional study was conducted using a convenience sample of 207 elderly men and women, aged 60 and older, residing in Busan Metropolitan City. Data were collected from July to August 2009 and analyzed using Predictive Analytics Software (PASW) and Analysis of a Moment Structures (AMOS). Results: The fitness of the modified model was confirmed to be appropriate (${\chi}^2$ = 55.61, ${\chi}^2$/df = 1.32, p = .078, RMSEA = .04, GFI = .96, AGFI = .91, NFI = .90, NNFI = .94, CFI = .97, PNFI = .48). The elder's age, previous exercise behavior, and self-efficacy were significant in explaining the variance in their physical activity. We found that (a) perceived health status, perceived benefits, perceived barriers, and social support directly affected self-efficacy; (b) previous exercise behavior and perceived health status directly affected perceived benefits; (c) previous exercise behavior directly affected perceived barriers; and (d) and education level, extent of pocket money, and economic level directly affected social support. Conclusions: The younger the age, the more previous exercise experience, and the higher the self-efficacy, the more S. Korean elders demonstrated improved physical activity.