Research in Community and Public Health Nursing

Original Articles

[English] A Feasibility Study of an Exercise Intervention Based on Self-efficacy Theory among Overweight and Obese College Students in Korea: Eun Seok Cha, Yun A Shin, Hee Young Kim; J Korean Acad Community Health Nurs. 2008;19(4):704-714. Published online December 31, 2008

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Abstract PDF: PURPOSE
This study explored the feasibility of a 12 week self-efficacy based exercise intervention for overweight and obese college students.
METHOD
A repeated measure, 4-group randomized controlled design was used. Students were recruited from two universities, in Seoul, Korea using: (1) flyers either on the campus bulletin boards or in campus restrooms; (2) advertisement on campus e-board; and (3) self-referral. Inclusion criteria were: (1) Korean college students aged 18 to 29; (2) BMI >23; (3) viscerally obese; and (4) accessible to a phone and a computer. Participants completed three self-reported questionnaires: socio-demographic questionnaire (at the baseline), Exercise Self-Efficacy Scale (at the baseline and 12th week), and Physical Fitness sub-subscale (at the baseline and 12th week). Additionally, physiological data (height, weight, blood pressure) were collected at the baseline and 12th week. Descriptive statistics and a two-way mixed ANOVA were performed using SPSS12.0.
RESULTS
No significant group difference was observed. However, students with increased exercise self-efficacy during the program showed better physical fitness in the 12th week. When students' physical fitness was enhanced, the physiological factors were improved.
CONCLUSIONS
Self-efficacy based exercise intervention may be applicable and acceptable to the college students. It is necessary to conduct a replicated study with a larger sample and an elongated intervention period.

[English] Obesity-Related Quality of Life in Overweight and Obese Female College Students: Seung Kyo Chaung, Chun Gill Kim; J Korean Acad Community Health Nurs. 2007;18(4):543-551. Published online December 31, 2007

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Abstract PDF: PURPOSE
The purpose of this study was to compare obesity-related quality of life according to obesity classification by BMI (body mass index) and self-assessment.
METHODS
The participants were 286 female college students in J City. Data were obtained by measuring height, weight and BMI, and using a questionnaire for self-assessment of obesity, weight control, and quality of life. The quality of life was measured using 14 items of the Korean version of obesity-related quality of life (KOQOL).
RESULTS
Thirty five percent of the students assessed themselves as overweight and obese despite their BMI <23m2/kg(false overweight). True overweight students with BMI > or =23m2/kg who perceived themselves as overweight and obese were 23%. The total KOQOL score between true and false overweight students showed no significant difference. True overweight students had a lower total KOQOL score including psychosocial, physical, daily living, sex related, and food-related domains than true normal weight students.
CONCLUSIONS
The quality of life was not different between true and false overweight students. These results indicate that self-assessment about obesity affects the quality of life like as actual BMI in female college students. Therefore, it is necessary to care students who distort themselves as obese.

[English] The Effects of an Overweight Control Exercise Program in Elementary School Students: Young Aie Go, Hee Chong Baek, In Young Hwang; J Korean Acad Community Health Nurs. 2007;18(4):535-542. Published online December 31, 2007

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Abstract PDF: PURPOSE
The purpose of this study was to identify the effects of an overweight control exercise program on body composition and blood lipids.
METHOD
This comparative study was conducted at an elementary school in Seoul, Korea. Pre and post body weight, BMI, PBF, and obesity degree as body composition and TC, HDL-C, LDL-C, and TG as blood lipids were tested. The aerobic exercise lasted 12 weeks from April to July, 2006. A total of 168 overweight 3rd grade to 5th grade school children attended and were divided into a walking exercise group (n=68) and a rope jumping exercise group (n=38). Data were analysed using SAS 8.12.
RESULT
At the end of the program, the participation rate was higher in the rope jumping exercise group than in the walking exercise group. Body weight, BMI, PBF, obesity degree, TC, and LDL-C were lower than those before the program, and HDL-C was higher than before the program.
CONCLUSION
The school-based overweight control exercise program was effective. Because of the participation rate was higher in the rope jumping exercise group than in the walking exercise group, rope jumping exercise is recommended for low grade children.

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