• Research in Community and Public Health Nursing
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• v.21 no.2
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• pp.178-187
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• 2010

Purpose: The purpose of this study was to analyze the effects of a walking leader program on changes in walking knowledge and self-efficacy. Methods: The subjects were 276 participants who participated in the nationwide walking leader program 9 times from May to September in 2008. Data were collected before and after the program by an organized questionnaire. Results: 1) Knowledge related to walking exercise increased significantly to 4.14 point from 2.90 point after the program (t=-20.70, p<.001). 2) Self-efficacy related to walking exercise increased significantly to 4.08 point from 3.40 point after the program (t=13.93, p<.001). 3) Significant factors that affected knowledge and self efficacy before the program were regular exercise and subjective health status. The history of chronic disease and smoking were significantly affecting factors to knowledge and self-efficacy after the program. Conclusion: The walking leader program promoted the participants' walking knowledge and selfefficacy. It is necessary to develop more specific programs tailored to socio-demographic characteristics of participants and to make efforts to increase participants with active public information.

• Korean Journal of Health Education and Promotion
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• v.27 no.4
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• pp.73-81
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• 2010

Objectives: The purpose of this study was to evaluate the effects of 12 weeks walking exercise program participation on changes in aging-related hormones concentration in elderly men. Methods: 16 elderly men(above 65 years old) were participated in 12 weeks walking exercise program by group types(exercise group ; n=8 & control group ; n=8), and their aging-related hormones(GH, testosterone and melatonin) levels were assessed before program(0 week) and after program(12 weeks). Regularly walking exercise program(field walking exercise) performed for 12 weeks(3days/week, 60~70min/day, HRR 55~65%). All data were expressed as mean and standard deviation by using SPSS/$PC^+$(ver. 13.0) program, and to evaluate the differences before and after treatment by groups, data were analyzed by paired t-test(a${\leq}$.05) and 2-way ANOVA was performed to examine the differences between groups and within groups by variables. Results and Conclusion: The conclusions obtained from this study were as follows ; In growth hormone. testosterone and melatonin response after 12 weeks exercise was increased significantly in walking exercise group(p<.01; p<.001; p<.001). And in result of 2-way ANOVA analysis for group, exercise, group${\times}$exercise, as compared with the exercise, there is significant difference in all items. Interaction effect of between group and exercise is difference significantly on GH(F=5.915, p<.05), testosterone(F=15.117, p<.01) and melatonin(F=8.131. p<.01) in all groups. We observed a direct relationship(positive improvement) between the regular physical activity and aging-related hormones(growth hormone, testosterone and melatonin concentrations) in elderly men.

• Research in Community and Public Health Nursing
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• v.18 no.1
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• pp.56-68
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• 2007

Purpose: The present study analyzed the contents of exercise programs for the elderly in Korean and foreign articles. Method: This study analyzed 27 Korean and 20 foreign exercise-related articles selected from Web DBs using keywords 'exercise', 'exercise program' and 'exercise effect'. The collected data were analyzed using SPSS 11.5 through descriptive statistics, $x^2$ test and Fisher's exact test. Results: In the description of population, random sampling and informed consents, foreign articles were higher than Korean articles. In research design, foreign articles randomized controlled trials (RCTs) higher than Korean articles. The contents of exercise programs in the Korean and foreign articles were aerobic, walking and stretching. On the effects of exercise programs in the Korean articles, walking showed the highest frequency in the physical strength as well as muscle strength, balance and flexibility. In the foreign articles, walking and stretching showed high frequency in physical strength. Conclusion: Contents significant in exercise programs for the elderly were walking and stretching. In addition, regular exercise had a positive effect on muscle strength, flexibility and balance in the elderly.

• The Journal of Korean Society for School & Community Health Education
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• v.19 no.3
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• pp.109-121
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• 2018

Background & objectives: Life style modification reduces the health risks of young people and improves their health status. Physical activity is known the effective factor to reduce health risks and health problems. This study performed to analyze health promotion behaviors related to physical activity among first-year students of university. Methods: To examine the association with physical activity and health promotion practices, health survey was conducted with 3,806 students who were first-year students in a university by self-reported questionnaire from February 26 to March 10, 2015. Multiple logistic regression analysis was performed to identify the difference of health promotion behaviors by physical activities. Results: 51.4% of the first-year student was regular exercisers who had practiced on regular walking exercise or regular strength exercise or regular aerobic exercise for a week. 87.8% of students exercised one or more times within the last one week. On the other hand, 12.2% of them did not exercise. In multiple logistic regression models, it remained significantly the difference of regular exercise by gender, subjective health status, sleeping time per one day, BMI, drinking behavior, and eating habit (p<0.05, p<0.01, p<0.001). Also it remained significantly the difference by physical activity type, such as walking, strengthen, and aerobic exercise (p<0.05, p<0.01, p<0.001). Conclusion: To help the achievement of academic goal, it should build physical activity policies and comprehensive health promotion programs to reduce health risk factors of university students. Comprehensive university health services and customized program for university students could help to make the best of their health. In future, to enhance physical activity practice, it needs to develop various tailed messages and smart healthcare service using health information technology (IT) on campus.

• Journal of Preventive Medicine and Public Health
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• v.39 no.6
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• pp.462-468
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• 2006

Objectives : The purpose of this study was to gain an understanding of the effects of three exercise types on anthropometric and serum lipids and physiological index factors, which are known to be the three risk factors of cardiovascular disease in male workers. Methods : The experimental study period was 12 weeks. In this study, 30-40's males (N=31) were assigned to 3 experimental groups: regular aerobic(treadmill walking) exercise group, regular anaerobic(muscular endurance) exercise group, irregular aerobic & anaerobic exercise group and a control group using a stratified random assignment method. Results : In relation to anthropometric factors, the regular aerobic & anaerobic exercise groups showed significant decreases in Weight, Broca's index, WC, BMI, WHtR, WHpR and HRrest. With regard to the serum lipid factors, the TC was decreased, but the HDL-c increased among the regular aerobic & anaerobic exercise groups. However, no significant difference was found between the other groups in respect to the LDL-c and TG. Considering the physiological factors, the TC/HD-c, TC-HDL/HDL-c, LDL-C/HDL-c and NON-HDL-c ratios were decreased, but the HDL-c/TC ratio increased among the regular aerobic & anaerobic exercise groups. The TG/HDL-c and HDL-c/LDL-c ratios showed no significant differences between the groups. These results indicated that the positive change for each factor is much larger in the regular exercise groups, especially in the anaerobic exercise group. Conclusions : The results indicate that not only regular aerobic exercise, but also regular anaerobic(muscular endurance) exercise could be utilized in lessening the deleterious effects of the risk index factors for cardiovascular disease.

• Research in Community and Public Health Nursing
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• v.31 no.1
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• pp.65-75
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• 2020

Purpose: The purpose of this study was to identify the effect of regular Nordic walking exercise on the physical indicators and subjective happiness of middle-aged rural residents. Methods: A pretest and posttest design with a non-equivalent control group was conducted. The participants of experimental and control group were each 21 subjects from 40 to 64 years old. The Nordic walking exercise program consisted of 24 sessions which were focused on group exercise, and was conducted three times a week for eight weeks. Results: The experimental group showed significant decreases in body mass index (p=.042), body fat (p<.001), and abdominal fat (p=.026). The experimental group showed significant increases in muscle mass of right lower limb (p=.009) and left lower limb (p=.016) but was not statistically significant in right, left upper limbs and body. On the other hand, the control group showed significant decreases in muscle mass of right upper limb (p=.034), left upper limb (p=.038), and body (p=.034). There were no significant differences in systolic blood pressure, diastolic blood pressure, and subjective happiness between the experimental and the control group. Conclusion: The Nordic walking exercise should be actively encouraged to improve health of the middle-aged in rural area.

• Journal of Digital Convergence
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• v.13 no.12
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• pp.453-460
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• 2015

This study aims to investigate the effect of walking exercise on the improvement of housewives' Self-esteem, Stress, or Depression. Among 35-45 year-old housewives 24 subjects were divided into experimental and control groups of 12. Total of 45 experiments on walking exercise program were conducted three times a week, for 15 weeks, lasted over 30 min to 10,000 steps. The result is as follows. About the improvement of Self-esteem, Stress, Depression, there was significant difference of not only the main effect between the groups but also the main effect between prior and post. And there was significant difference of the interaction effects between groups and periods. From the results, we can know walking exercise have a positive effect on the improvement of Self-esteem, Stress, or Depression for housewives of no sustained exercise. As regular physical activity, regarding convergence, is good for emotional development, we suggest housewives may have to join in physical activities consistently.

• The Journal of Korean Physical Therapy
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• v.29 no.2
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• pp.50-54
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• 2017

Purpose: This investigation aimed to determine the effects of treadmill training (TT) and high frequency chest wall oscillation (HFCWO) on pulmonary function and walking ability in stroke patients as well as propose an exercise program to improve cardiovascular function. Methods: Twenty hemiplegic stroke patients were randomized to either the control group (CG) (n=10) or the experimental group (EG), which received TT and HFCWO (n=10). Pulmonary function was quantitated using patient forced vital capacity (FVC) and forced expiratory volume at one second (FEV1) while walking speed was assessed by the 10m walking test (10MWT). Further, walking endurance was determined utilizing the 6-minute walk test (6MWT). Subjects of the EG performed the study protocol for 60 minutes, five times a week for six weeks; CG patients did not participate in regular exercise. To determine significance for the differences observed before and after exercise, within-group and between-group comparisons were conducted utilizing paired and independent t-tests, respectively, with the level of significance set at ${\alpha}=0.05$. Results: Within-groups, significant differences were observed in both FVC and FEV1 (p<0.01) following completion of the study protocol. Further, between-group comparisons demonstrated significant differences in both FVC (p<0.05) and FEV1 (p<0.01). Post-exercise, significant changes in the 10MWT and 6MWT score were observed between the EG and CG (p<0.01). Further, statistically significant differences were observed in 6MWT scores between-groups (p<0.05). Conclusion: The TT and HFCWO effectively improved pulmonary function and walking ability in subjects with stroke. The proposed program can be applied to stroke patients as a useful therapy.

• Journal of Korean Biological Nursing Science
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• v.20 no.3
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• pp.141-149
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• 2018

Purpose: This study was conducted to examine the effects walking program with dance on gait, cognition, and risk of falls of elderly with dementia in a long-term care hospital. Methods: Subjects consisted of 42 elderly with dementia in a long-term care hospital (21 elderly with dementia in an experimental group and 21 elders with dementia in a control group). Data were collected from March 14 to April 30, 2016. Subjects in the experimental group performed walking program with dance (three times a week, 30-50 minutes session, 18 sessions). Data were analyzed using descriptive statistics, Chi-square test, Fisher's exact test, independent t-test, paired t-test, repeated measures ANOVA with the SPSS/WIN 21.0. Results: The participants in the experimental group showed significantly increased scores of cadence (F= 8.36, p= .007) and improved scores of cognition (F= 9.95, p= .003) compared the control group. Conclusion: The findings indicate walking program with dance is recommend a regular exercise program to enhance the cadence associated with walking speed and cognitive function elderly.

• Korean Journal of Applied Biomechanics
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• v.17 no.2
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• pp.1-9
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• 2007

Walking is not only an essential component of the human mobility, but also is a good exercise. Inability to walk freely can reduce an individual's quality of life and independence substantially. Being a relatively low impact activity, walking is particularly good for the elderly and research has shown that regular walking in the elderly reduces the chance of fall-related injuries and mental diseases as well. In spite of the documented benefits of regular walking, it is still difficult to walk without the aid of assistive devices for the frail elderly who have lower extremity problems. Assistive walking devices(AWD), such as crutches, canes, hiking-poles, T-Poles and walkers, are often prescribed to the elderly to make their walking be safe and efficient. Many researchers have demonstrated the effects of AWDs such as reducing lower extremity loading, improved dynamic/gait stability, yet, no study has been done for gait pattern when the elderly gait with AWDs. Therefore, the purpose of this study was to examine whether T-Poles, one of the AWDs, change the elderly gait pattern. Eight community-dwelling female elderly participated in this study. Laboratory kinematics during walking with T-Poles(PW) and with out T-Poles(NPW) was assessed. PW showed significant increase in step width, stride length, gait velocity and decrease in swing time. No significances were found in lower body joint angles but meaningful trend and pattern were found. Maybe the reason was due to the participants. Our participants were healthy enough so that the effect of T-Poles was minimum. PW also showed typical gait phases which are no single support phase during a gait cycle. It indicates that walking with T-Poles may guarantee safe and confident walking to the frail elderly.