Research in Community and Public Health Nursing

Original Articles

Factors Associated with Physical Activity in Older Adults by Region: Based on the 2017 Community Health Survey: Hyun Ju Lee, Yeong Suk Lee, Jung Mi Yun; J Korean Acad Community Health Nurs. 2020;31(Suppl):563-576. Published online December 31, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.S.563

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Purpose
The purpose of this study is to identify personal factors, social factors, and environmental factors related to physical activity in older adults in urban and non-urban areas. Methods: We used source data from the 2017 Community Health Survey. The subjects of this study included some older adults aged 65 and over, and analyzed the data of 23,043 older adults living in the urban and 34,063 older adults living in the non-urban area. Results: The common factors influencing physical activity in older adults by region include current smoking and drinking, BMI, sleep duration, and subjective health status, help with neighbors, frequency of meeting with neighbors and friends, participation in social and leisure activities, and falls experience (p<.001). However, the living environment, public transport satisfaction, and medical service use significantly associated with physical activity for only older adults living in the urban area (p<.001). Conclusion: In order to improve physical activity in older adults in the community, it is necessary to consider not only the improvement of individual factors that practice health behaviors but also health promotion strategies that take into account social and environmental factors because there are environmental differences among regions.

Citations

Citations to this article as recorded by

Bridging the Built and Social Environments: A Systematic Review of Studies Investigating Influences on Physical Activity
Tyler Prochnow, Laurel S. Curran, Christina Amo, Meg S. Patterson
Journal of Physical Activity and Health.2023; : 1. CrossRef
Symptom profiles and their influencing factors among people with subjective cognitive decline: a secondary analysis of cross-sectional data from the 2019 Korea Community Health Survey using latent class analysis
Hohyun Seong, Jongmin Park
BMJ Open.2023; 13(8): e072236. CrossRef
Determinants of Physical Activity in Older Adults in South-Eastern Poland
Agnieszka Wiśniowska-Szurlej, Agnieszka Ćwirlej-Sozańska, Anna Wilmowska-Pietruszyńska, Bernard Sozański
International Journal of Environmental Research and Public Health.2022; 19(24): 16922. CrossRef
Body mass index, subjective body shape, and suicidal ideation among community-dwelling Korean adults
Chae Eun Yong, Young Bum Kim, Jiyoung Lyu
Archives of Public Health.2021;[Epub] CrossRef

The Effect of Nordic Walking Exercise on Physical Indicators and Subjective Happiness of the Middle-aged in Rural Area: Chan Mi Lee, Young Suk Park; J Korean Acad Community Health Nurs. 2020;31(1):65-75. Published online March 31, 2020; DOI: https://doi.org/10.12799/jkachn.2020.31.1.65

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Abstract PDF: 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 nonequivalent 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.

Health Promotion Behaviors of Rural Elderly Women Living Alone and Their Life Satisfaction: Ha Jeong Kim; J Korean Acad Community Health Nurs. 2016;27(3):254-261. Published online September 30, 2016; DOI: https://doi.org/10.12799/jkachn.2016.27.3.254

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Abstract PDF

PURPOSE
This study was conducted to investigate the correlation between degrees of health promotion behaviors and life satisfaction and effects of health promotion behaviors on life satisfaction in rural elderly women living alone.
METHODS
A descriptive correlation study was conducted with 189 rural elderly women living alone aged 65 or older in four senior counties in Jeollanam-do. Descriptive statistics, t-test, ANOVA, ScheffÃ© test, Pearson's correlation, and multiple regression.
RESULTS
The subjects' health promotion behaviors and life satisfaction were significantly positive. Among the factors influencing the subjects' life satisfaction, nutrition and diet showed the greatest positive effects, followed by exercise and activity, and drinking and smoking. Among them, drinking and smoking had significantly negative influence.
CONCLUSION
Among the health promotion behaviors that influenced life satisfaction, nutrition and diet, exercise and activity, and drinking and smoking were most significant factors. Therefore, this study provided basic data for improving the life satisfaction among rural elderly women living alone.

Citations

Citations to this article as recorded by

Ageing Perception as a Key Predictor of Self-Rated Health by Rural Older People—A Study with Gender and Inclusive Perspectives
Vanessa Zorrilla-Muñoz, María Silveria Agulló-Tomás, Carmen Rodríguez-Blázquez, Alba Ayala, Gloria Fernandez-Mayoralas, Maria João Forjaz
Land.2022; 11(3): 323. CrossRef
Perceived Barriers to Rural Elderly Women’s Health-Promoting Behaviors: An Ecological Perspective
Hyunjung Moon, Sunkyung Cha, Eunyoung Park
International Journal of Environmental Research and Public Health.2020; 17(17): 6107. CrossRef
Effect of a Comprehensive Health Care Program on Blood Pressure, Blood Glucose, Body Composition, and Depression in Older Adults Living Alone: A Quasi-Experimental Pretest–Posttest Study
Eun Jeong Hwang, In Ok Sim
International Journal of Environmental Research and Public Health.2019; 17(1): 220. CrossRef
Effects of Social Support on Health Promotion Behavior through the Mediating Effect of Self-efficacy in Older Women Living Alone
Ji Hyun Oh
Journal of Korean Gerontological Nursing.2018; 20(3): 177. CrossRef

Prevalence of the Metabolic Syndrome and Its associated Factors among Elders in a Rural Community: Bong Jeong Kim; J Korean Acad Community Health Nurs. 2013;24(2):225-235. Published online June 30, 2013; DOI: https://doi.org/10.12799/jkachn.2013.24.2.225

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Abstract PDF

PURPOSE
The purpose of this study is to identify the prevalence of the metabolic syndrome (MS) and factors associated with it among elders in a rural community.
METHODS
Data were collected from 683 subjects with a questionnaire, physical measurement, and blood test. The prevalence of the MS was determined by AHA/NHLBI and waist circumference cutoff points for Koreans.
RESULTS
The prevalence of the MS was 50.5% in total (41.6% in men, 56.3% in women) while the prevalence of 5 metabolic risk factors was 67.7% for elevated blood pressure, 51.0% for low HDL-cholesterol, and 50.2% for abdominal obesity. Risk factors associated with the prevalence of the MS included family history, BMI, and physical activity; significant factors associated with that of metabolic components included family history, BMI, smoking, drinking, and physical activity. Especially, a higher BMI was a strong risk factor of the prevalence of abdominal obesity as well as the MS and its components.
CONCLUSION
The findings indicate that nurses should care for elders based on each metabolic component regarding its prevalence level and concentrate primarily on reducing elevated blood pressure, low HDL-cholesterol by controlling the main risk factor, abdominal obesity through lifestyle modification.

Citations

Citations to this article as recorded by

Sociodemographic and Health Characteristics Associated with Metabolic Syndrome in Men and Women Aged ≥50 Years
Goeun Chung, Hye-Sun Jung, Hye-Jin Kim
Metabolic Syndrome and Related Disorders.2021; 19(3): 159. CrossRef
Prevalence and correlates of metabolic syndrome and its components in elderly Korean adults
Seonho Kim, Wi-Young So
Experimental Gerontology.2016; 84: 107. CrossRef

Coping with Experiences in Multiple Chronic Diseases in the Rural Elderly: Eun Ok Joung, Sung Bok Kwon, Ok Hee Ahn; J Korean Acad Community Health Nurs. 2007;18(1):32-41. Published online March 31, 2007

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Abstract PDF: PURPOSE
The purpose of this study was to describe how the rural elderly cope with experiences in multiple chronic diseases.
METHOD
Data were collected through participant observation and in-depth interview using ethnography. The participants were 9 women and 2 men who aged over 65, were living in rural community, and had experienced two or more chronic diseases.
RESULTS
According to the results of this study, those who had experienced multiple chronic diseases went through the stages of 'recognizing of revealed symptoms', 'discovering of disease', 'overcoming', 'neglecting', 'discovering another disease', 'being frustrated' and 'living with suffering'.
CONCLUSION
The results of this study are expected to be utilized as basic materials to develop a nursing intervention program for effective management of chronic diseases.

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