• 보건교육건강증진학회지
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• 제18권3호
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• pp.89-102
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• 2001

Background: Many chronic diseases are associated with the lifestyle such as smoking, alcohol drinking and exercise. Attention is increasingly paid on the effect of exercise for the management of chronic disease these days. Objective: The purpose of this study was to evaluate the status of the smoking habit, alcohol drinking and physical exercise of the patients with chronic diseases. Methods: Total 793 persons(normal:422, chronic disease patients:371) in a hospital were questioned regarding the habits of smoking and alcohol drinking, and a practice of physical exercise in 1999. The patients with chronic illness were divided into three groups(Group I included the patients of hypertension and diabetes mellitus. Group II includes respiratory disease and cancer. Group III included liver disease). The rate of exercise, the rate of smoking cessation and the rate of abstinence were assessed. In logistic regression analysis with each independent variables in each disease groups (I, II and III, odds ratio for the presence of disease was controlled for age and education. Results: The rate of exercise, the rate of smoking cessation and the rate of abstinence was 31.5%, 27.3% and 9.5% in the patients with chronic disease, respectively. In control group, those were 31.5%, 21% and 2.1%, respectively. In logistic regression analysis with exercise as independent variable, odds ratios(95% CI for age and education were significantly high, with smoking cessation, odds ratio for age was high and with abstinence, odds ratio for disease with high in all disease groups. Conclusion: It was suggested that an effort for proper changes of lifestyle related to disease such as smoking, alcohol drinking and exercise should be intervened in the patients with chronic diseases.

• 대한물리치료과학회지
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• 제13권3호
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• pp.55-64
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• 2006

Despite well-known benefits of physical activity for older adults, most older adults remain significantly underactive. The purpose of this study was to examine the effects of an inclusive, choice-based physical activity promotion program to increase lifetime physical activity levels of seniors on physical activity & health-related quality of life outcomes in older adults. The physical activity promotion program guided participants to choose activities that took into account their health, preferences, and abilities. It offered information on ways for them to exercise safely, motivate themselves, overcome barriers, and develop a balanced exercise regimen. A six-month comparison-group trial was conducted with older adults in community senior center. Changes in self-reported physical activity & health-related quality of life(SF-36) by group & within group were evaluated using t-test. Of 30 subjects, 22(73%) completed the trial. Subjects were aged 63 to 75 years(mean=$68.36{\pm}4.02$); 86% were female. The intervention group increased estimated caloric expenditure by 1975 calories/week in moderate intensity activities(MET${\geq}3.0$; p=.008), and by 2312 calories/week in physical activities of any intensity(p=.005). Between-group analyses showed that the changes were significantly different in both measures(p=0.17; p=032). The intervention group also significantly better scores on general health perception(p=.031) & vitality(p=.002). Individually tailored programs to encourage lifestyle changes in seniors may be effective and applicable to health care and community settings.

• 보건교육건강증진학회지
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• 제28권1호
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• pp.93-101
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• 2011

Objectives: The aim of this study was to investigate the prevalence of metabolically obese, normal-weight (MONW) phenotype and the association between lifestyle factors and the risk of MONW in Korean adolescents. Methods: Normal-weight (BMI, 5th to 85th percentile) subjects with ${\geq}1$ metabolic abnormalities were categorized as MONW phenotype. Data from adolescents aged 12 to 18 years who have participated in the Korean National Health and Nutrition Examination Survey in 1998 (n=751) and 2008 (n=455) were analyzed. Physical activity and dietary intakes were assessed. Results: The prevalence of hypertension and hyperglycemia in 2008 decreased compared with that in 1998 (P<0.001) but the prevalence of abdominal obesity, hypertriglyceridemia and low HDL did not changed. The overall prevalence of MONW in Korean adolescents declined over 10 years (P<0.001). Adolescent boys and girls engaging regular exercise significantly increased over 10 years (P<0.01). Physically active adolescents had a lower risk of being MONW in 1998. Dietary intake patterns were not associated with a risk of MONW. Conclusions: The prevalence of MONW among Korean adolescents declined over 10 years which may be due to the decreased prevalence of hypertension and hyperglycemia. The risk of MONW would be lower in individuals who are physically active.

• 보건교육건강증진학회지
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• 제33권1호
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• pp.33-40
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• 2016

Objectives: The study aimed to determine the prevalence of and the relationship between stress and musculoskeletal symptoms among undergraduate students. Methods: The convenience sampling method was used for this cross-sectional survey that was conducted from June 16, 2014 to June 21, 2014. A total of 223 subjects (88 men, 135 women) participated in the study and completed a comprehensive self-administered questionnaire requesting information on demographics, medical history, lifestyle, and musculoskeletal symptoms. The Depression Anxiety Stress Scale (DASS) was also administered to the subjects. A total of 223 subjects from 12 universities completed the questionnaires; the data obtained was used for the final statistical analysis. Results: Women had a higher prevalence of stress and musculoskeletal symptoms. Adjusting for sex and age, subjects who were stressed had a 2.85-fold higher risk of musculoskeletal symptoms than subjects who were not stressed. Stratified analyses by sex also showed that women had a higher risk of musculoskeletal symptoms (Modified OR 2.98, 95% CI 1.38-6.45). Conclusions: We found a positive association between stress and musculoskeletal symptoms in undergraduate students; sex differences were present. Further dose-response relationship between stress and musculoskeletal symptoms will be identified by a longitudinal study with a larger sample size.

• 지역사회간호학회지
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• 제32권3호
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• pp.404-414
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• 2021

Purpose: Health behaviors for metabolic syndrome (MetS) prevention should be emphasized from early adulthood. There is little information on psychosocial factors associated with health behaviors for MetS prevention. The aim of this study was to determine whether there would be a mediating effect of perceived stress on the association between social support and health behaviors for MetS prevention among university students. Methods: This cross-sectional and correlation study was conducted with 502 university students in South Korea. Social support, perceived stress, and lifestyle evaluation for metabolic syndrome scales were used. Online questionnaire survey was conducted between November and December 2019. The mediating effect of social support on health behaviors for MetS prevention was analyzed using PROCESS macro program with bootstrapping method to test our hypotheses. Results: Social support directly influenced perceived stress (β=-.35, p<.001) and health behaviors for MetS prevention (β=.14, p=.002). Health behaviors for MetS prevention was indirectly influenced by perceived stress (β=-.25, p<.001). The size of indirect effect of social support on health behaviors for MetS prevention was 0.06. Conclusions: The association of social support and health behaviors for MetS prevention was partially mediated by perceived stress among university students. Therefore, a university-based nursing intervention should comprise social support strategies with stress management to promote health behaviors for MetS prevention.

• 대한예방한의학회지
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• 제24권1호
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• pp.15-25
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• 2020

Objective : The purpose of this study was to analyze the frequency and contents of each 'Yangseng(養生)' category appeared in 『The Annals of Joseon Dynasty』, based on the Yangseng-related terms used in the records. Method : We selected 11 terms with the same meaning as 'Yangseng(養生)' and searched each of them on the website of the Annals of Joseon Dynasty online search service. Among the total of 679 records, 343 were classified into five categories: 'Mind Yangseng(精神養生)', 'Food Yangseng(飮食養生)', 'Doin-angyo(導引按蹻)', 'Lifestyle Yangseng(生活養生)', and 'Herb Yangseng(藥草養生)'. The contents and characteristics of each Yangseng category appeared in the 『The Annals of Joseon Dynasty』 were studied. Results : The term 'Jo-seop(調攝)' was most frequently used in the same meaning as Yangseng(養生), followed by 'Jo-ri(調理)', 'Jo-ho(調護)', 'Jo-yang(調養)', and 'Seop-yang(攝養)'. The frequency of records categorized into specific Yangseng methods(養生法) was in the order of 'Lifestyle Yangseng', 'Mind Yangseng', 'Food Yangseng', 'Herb Yangseng' and 'Doin-angyo(導引按蹻)'. The contents of 'Mind Yangseng' included 'control of emotions and thoughts', 'control of self-interest', 'emphasis on the cultivation of mind', and 'avoidance of stress'. The contents of 'Food Yangseng' were related to the amount of food intake and types of food. The contents of 'Lifestyle Yangseng' were related to 'work-rest balance(勞逸)', 'seasons(季節)', 'residence(居處)', 'bath(沐浴)', 'sexual life', 'sleep', and 'clothing'. The frequency of 'work-rest balance(勞逸)' was among the highest. Conclusion : Emphasis on mental health and work-rest balance appeared in 『The Annals of the Joseon Dynasty』 can have significant implications on people of today.

• 지역사회간호학회지
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• 제18권4호
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• pp.562-571
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• 2007

Purpose: The purpose of this study was to develop a health education program on the health promoting behavior and self-efficacy in university students and evaluate its effects. Method: A nonequivalent control group pretest-posttest design was used. The subjects were 148 students [experimental(N=80) and control(N=68) groups] from a university in J City. The experimental group members participated in thirteen sessions of a health education program for fifteen weeks and the degree of their health promoting behavior and self efficacy was evaluated. The instruments for this study were the health promoting lifestyle profile developed by Walker et al.(1987) and self-efficacy scale developed by Sherer & Maddux(1982). Data were analyzed by descriptive statistics, Chi-square tests, t-tests, and paired t-test using SPSS 10.0. Result: The experimental group had a significantly higher health promoting behavior score(F=10.389, p=.002) than the control group, while no significant difference was found in the self-efficacy score(F=.481. p=.489). Conclusion: The results suggest that the health education program can be utilized as an effective program to promote health promoting behavior in university students.

• 한국학교보건학회지
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• 제28권3호
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• pp.220-228
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• 2015

Purpose: The purpose of this study is to investigate changes in health promoting life style and weight control behavior among nursing students during their two years of college, and to identify the relationship between the changes and their perceived health status. Methods: The subjects were 264 female students in a three-year nursing college in Seoul, Korea. Data was analyzed by paired t-test, Wilcoxon signed-rank test, and multiple logistic regression using SPSS ver.21. Results: Of the six sub-categories regarding health promoting life style, five except spiritual growth showed improvement after two years, but their perceived health status did not change significantly. The number of students who engaged in weight control behavior increased, but there was no change in the number of students who engaged both in weight control and in diet. The group which recorded high scores in perceived mental health status showed 1.2 times greater positive changes in health promoting lifestyle (OR=1.202, p=.023). Conclusion: The results showed although health promoting behavior changed positively throughout the nursing curriculum, physical activities were still low and few students used constructive methods to control their weight. Therefore, it is recommended that nursing colleges build specific programs into their curriculum to correct students' undesirable health promoting behavior.

• 지역사회간호학회지
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• 제30권4호
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• pp.414-425
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• 2019

Purpose: The purpose of this study was to examine the effects of psychosocial wellbeing status and self efficacy on health-promoting behavior of nursing students, and to explore the experiences related to health-promoting behavior. Methods: For this study, an explanatory sequential mixed method design approach was used with survey data collected from 148 nursing students. In addition, qualitative data for exploration of health-promoting behavior experience were collected from three focus-group interviews of 17 participants. Quantitative data were analyzed with SPSS/WIN 25.0 and qualitative data were analyzed by making contents analysis with Nvivo 12.0. Results: The results showed that psychosocial wellbeing status, self efficacy, grade, and regularity meal explained 43.0% of the variance in health-promoting behavior. And seven themes from the collected significant statements about experience of health-promoting behavior included the daily life going on without delay; changes in body which is felt; recognizing the necessity of health care; making efforts to increase physical activities; revising eating habit; looking for the way to relieve stress; and attempting to divert my thoughts. Conclusion: Based on the results of this study, it is necessary to develop and verify health program in order to improve nursing students' health-promoting behavior. And university authorities and government should make an effort to improve nursing students' health-promoting behavior.

• 대한간호학회지
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• 제49권5호
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• pp.515-525
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• 2019

Purpose: This study aimed to evaluate the effectiveness of a customized health promotion program (CHPP) on depression, cognitive functioning, and physical health of elderly women living alone in the community. Methods: A randomized comparison of pre-and post-test design was used with 62 participants assigned to either an intervention (n=32 in seven clusters) or a control group (n=30 in seven clusters) in 14 areas of a town. The final sample included 30 intervention participants who completed the CHPP for 10 weeks, and 26 control participants. The intervention group participated in the CHPP weekly; they were provided with instructions about coping with their chronic illnesses, lifestyle modification, risk management, providing emotional support to each other, and floor-seated exercise, which they were encouraged to do three times a week in their homes. Results: Significant group differences were found in depression (U=48.50, p<.001), cognitive functioning (U=2.50, p<.001), left arm flexibility (U=251.50, p=.023), right arm flexibility (U=225.00, p=.007), static balance (U=237.00, p=.012), and gait ability (U=190.50, p=.004). However, there were no significant differences in bothgrip strength and muscle mass between the two groups. Conclusion: The findings indicate that CHPP was overall effective at improving depression, cognitive functioning, and physical functioning of elderly women living alone, and could therefore be considered a positive program for community-dwelling elderly women living alone.