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Original Articles
Effect of a Physical Activity Promoting Program Based on the IMB Model on Obese-Metabolic Health Outcomes among Obese Older Adults with Knee Osteoarthritis
Kim, Jung-Suk , Kim, Chun-Ja
J Korean Acad Nurs 2020;50(2):271-285.   Published online April 30, 2020
DOI: https://doi.org/10.4040/jkan.2020.50.2.271
AbstractAbstract PDF
Purpose
This study examined the effects of a physical activity promoting program based on the Information-Motivation-Behavioral Skills (IMB) model on physical activity and health outcomes among obese older adults with knee osteoarthritis.
Methods
This study utilized a randomized controlled trial with a convenience sample of 75 obese older adults with knee osteoarthritis in a university hospital. The older adults in the intervention group participated in a 12-week program involving weekly group sessions and monitoring calls with education booklets and video clips for exercise dances, while those in the control group received an usual care. Outcomes were measured using self-report questionnaires, anthropometrics, and blood analyses. The intervention effects were analyzed using Mann-Whitney U test and ANCOVA.
Results
The mean age of participants was 74.9 years with 84.0% women. The intervention group at 12 weeks showed significantly greater improvements in self-efficacy for physical activity (F=81.92, p <.001), physical activity amounts (Z=-2.21, p =.044), knee joint function (F=15.88, p <.001), and health-related quality of life (F=14.89, p <.001) compared to the control group. Among obese-metabolic outcomes, the intervention group at 12 weeks showed a significant decrease in visceral fat mass (F=7.57, p =.008) and improvement in high-density level cholesterol (F=9.51, p =.003) compared to the control group.
Conclusion
Study findings support the need for an IMB based physical activity program for promoting physical activity, knee function and health outcomes in obese older adults with knee osteoarthritis. Longitudinal studies are warranted to confirm the persistence of obese-metabolic effects in clinical settings.

Citations

Citations to this article as recorded by  
  • Does Higher Compliance With American College of Sports Medicine Exercise Prescription Guidelines Influence Exercise Outcomes in Knee Osteoarthritis? A Systematic Review With Meta‐Analysis
    Belinda J. Lawford, Rana S. Hinman, Libby Spiers, Alexander J. Kimp, Andrea Dell'Isola, Alison R. Harmer, Martin Van der Esch, Michelle Hall, Kim L. Bennell
    Arthritis Care & Research.2025; 77(4): 460.     CrossRef
  • Effects of Progressive Balance Training Exercise Programs with Whole Body Vibration on Pain, Function, Psychosocial Status, and Balance in Patients with Knee Osteoarthritis
    Sang-woo Yoon, Suhn-yeop Kim
    Journal of The Korean Society of Physical Medicine.2024; 19(1): 81.     CrossRef
  • A predictive model for medication adherence in older adults with heart failure
    Eun Ha Oh, Chun-Ja Kim, Elizabeth A Schlenk
    European Journal of Cardiovascular Nursing.2024; 23(6): 635.     CrossRef
  • Exercise for osteoarthritis of the knee
    Belinda J Lawford, Michelle Hall, Rana S Hinman, Martin Van der Esch, Alison R Harmer, Libby Spiers, Alex Kimp, Andrea Dell'Isola, Kim L Bennell
    Cochrane Database of Systematic Reviews.2024;[Epub]     CrossRef
  • Development and Evaluation of a Web-Based Self-Management Program for Korean Adult Patients with Irritable Bowel Syndrome Based on the Information–Motivation–Behavioral Skills Model
    Seohyeon Hwang, Woori Na, Dayoung Oh, Cheongmin Sohn
    Applied Sciences.2023; 13(12): 6915.     CrossRef
  • The Information-Motivation-Behavioral Skills Model: An Examination of Snacking-Avoidance Behavior Among Elementary Schoolchildren
    Chun-Hsia Huang, Shu Yu, Caroline Chou, Tze-Fang Wang
    Child & Family Behavior Therapy.2023; 45(4): 304.     CrossRef
  • The effectiveness of exercise with behavior change techniques in people with knee osteoarthritis: A systematic review with meta‐analysis
    Takashi Ariie, Hiroshi Takasaki, Ryota Okoba, Hiroki Chiba, Yusuke Handa, Takahiro Miki, Shunsuke Taito, Yusuke Tsutsumi, Masaharu Morita
    PM&R.2023; 15(8): 1012.     CrossRef
  • Effectiveness of online caries management platform in children's caries prevention: A randomized controlled trial
    Siqi Yan, Song Luo, Xiaoxia Yang, Lidan He, Xinyi Chen, Guoying Que
    Frontiers in Public Health.2023;[Epub]     CrossRef
  • The Relationship Between Psychosocial Behavior and the Quality of Life of Male Gout Patients in Southwest China: A Cross-Sectional Study Based on an Information-Motivation-Behavioral Skills Model
    Ying Wang, Xin Guo, Bo Chen, Hong Chen, Yanling Chen, Ling Ma, Huan Liu
    Patient Preference and Adherence.2023; Volume 17: 3503.     CrossRef
  • Development and Evaluation of an Integrated Health Management Program for Psychiatric Patients with Metabolic Syndrome
    Yun Bock Kwak, Ji Young Kim
    Journal of Korean Academy of Nursing.2022; 52(3): 261.     CrossRef
  • Outcomes addressed in randomized controlled lifestyle intervention trials in community‐dwelling older people with (sarcopenic) obesity—An evidence map
    Isabel Galicia Ernst, Gabriel Torbahn, Lukas Schwingshackl, Helge Knüttel, Robert Kob, Wolfgang Kemmler, Cornel C. Sieber, John A. Batsis, Dennis T. Villareal, Nanette Stroebele‐Benschop, Marjolein Visser, Dorothee Volkert, Eva Kiesswetter, Daniel Schoene
    Obesity Reviews.2022;[Epub]     CrossRef
  • Given According to Knowledge, Motivation and Behavioral Skills (IMB Model) The Effect of Diabetes Education on Self-Care
    Bahar İNKAYA, Tuba YILMAZER, Hilal TÜZER, Elif Yeter ERBİL
    Turkish Journal of Diabetes and Obesity.2022; 6(3): 241.     CrossRef
  • [Retracted] Effects of Physical Exercise on Physical Fitness and Mental Health of Obese Students
    Junfang Wu, Shao Liang
    Journal of Environmental and Public Health.2022;[Epub]     CrossRef
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Effects of a Daily Life-Based Physical Activity Enhancement Program for Middle-Aged Women at Risk for Cardiovascular Disease
Kyung Ae Kim, Seon Young Hwang
J Korean Acad Nurs 2019;49(2):113-125.   Published online April 30, 2019
DOI: https://doi.org/10.4040/jkan.2019.49.2.113
AbstractAbstract PDF
Purpose

The purpose of this study was to examine the effects of a daily life-based physical activity enhancement program performed by middle-aged women at risk for cardiovascular disease.

Methods

This study used a randomized control group pretest-posttest design. Middle-aged women aged 45 to 64 were recruited from two outpatient cardiology departments, and randomly assigned to an experimental group (n=28) and a control group (n=30). For the experimental group, after providing one-on-one counseling and education, we provided customized text messages to motivate them in daily life. To monitor the practice of physical activity, they also used an exercise diary and mobile pedometer for 12 weeks. Subjects' physical activities (MET-min/week) were measured using the International Physical Activity Questionnaire (IPAQ). Their physiological data were obtained by blood tests using a portable analyzer, and the data were analyzed using the SPSS 21.0/WIN program.

Results

There were significant differences in exercise self-efficacy, health behavior, IPAQ score, body fat, body muscle, and fasting blood sugar between the two groups. However, there were no significant differences in total cholesterol, hemoglobin A1c, high-density lipoprotein cholesterol, and waist-to-hip ratio.

Conclusion

Strengthening physical activity in daily life without being limited by cost burden and time and space constraints. Therefore, it is essential to motivate middle-aged women at risk for cardiovascular disease to practice activities that are easily performed in their daily lives.

Citations

Citations to this article as recorded by  
  • Development and effectiveness of a mobile-based autonomy support program for the prevention of metabolic syndrome in middle-aged women
    Miseon Seo, Eun-Young Jun, Hyunjin Oh
    Frontiers in Public Health.2024;[Epub]     CrossRef
  • Effects of a Remote Physical Activity Improvement Program on Male Office Workers with Metabolic Syndrome in Their 30s and 40s with Sedentary Behavior: A Randomized Controlled Trial
    Kyong Sil Park, Seon Young Hwang
    Asian Nursing Research.2024; 18(2): 81.     CrossRef
  • Effects of Breathing Exercises Using Virtual Reality and Schroth Breathing Exercises on the Lung Function of Adults in Their 20s
    Byung-Kon Kim, Wook-Jin Lee
    The Journal of Korean Physical Therapy.2024; 36(2): 67.     CrossRef
  • Effectiveness of physical activity monitors in adults: systematic review and meta-analysis
    Rasmus Tolstrup Larsen, Vibeke Wagner, Christoffer Bruun Korfitsen, Camilla Keller, Carsten Bogh Juhl, Henning Langberg, Jan Christensen
    BMJ.2022; : e068047.     CrossRef
  • Trajectories of subjective health status among married postmenopausal women based on the ecological system theory: a longitudinal analysis using a latent growth model
    Eun Jin Kim, Ju-Hee Nho
    Korean Journal of Women Health Nursing.2022; 28(2): 123.     CrossRef
  • Effect and mechanism of tai chi on blood pressure of patients with essential hypertension: a randomized controlled study
    Bo LIN, Qiu JIN, Chunhua LIU, Wenhui ZHAO, Runyuan JI
    The Journal of Sports Medicine and Physical Fitness.2022;[Epub]     CrossRef
  • The effect of behaviour change interventions on changes in physical activity and anthropometrics in ambulatory hospital settings: a systematic review and meta-analysis
    Stephen Barrett, Stephen Begg, Paul O’Halloran, Owen Howlett, Jack Lawrence, Michael Kingsley
    International Journal of Behavioral Nutrition and Physical Activity.2021;[Epub]     CrossRef
  • Factors related to the Identification of Middle-Aged Women Who are Disadvantaged by Cardio-cerebrovascular Disease
    Moon Jung Kang, Jee Seon Yi, Chang Seung Park
    Korean Journal of Women Health Nursing.2018; 24(2): 185.     CrossRef
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Effects of an Integrated Physical Activity Program for Physically Inactive Workers - Based on the PRECEDE-PROCEED Model -
Hye-Jin Kim, Jina Choo
J Korean Acad Nurs 2018;48(6):692-707.   Published online January 15, 2018
DOI: https://doi.org/10.4040/jkan.2018.48.6.692
AbstractAbstract PDF
Abstract Purpose

We aimed to examine the effects of an integrated physical activity (PA) program developed for physically inactive workers on the theoretical basis of the PRECEDE-PROCEED model.

Methods

Participants were 268 workers in three departments of L manufacturing unit in South Korea. The three departments were randomly allocated into integration (n=86) (INT), education (n=94) (ED), and control (n=88) (CT) groups. The INT group received self-regulation, support, and policy-environmental strategies of a 12-week integrated PA program, the ED group received self-regulation strategies only, and the CT group did not receive any strategies. After 12 weeks, process evaluation was conducted by using the measures of self-regulation (autonomous vs. controlled regulation), autonomy support, and resource availability; impact evaluation by using PA measures of sitting time, PA expenditure, and compliance; and outcome evaluation by using the measures of cardiometabolic/musculoskeletal health and presenteeism.

Results

Among process measures, autonomous regulation did not differ by group, but significantly decreased in the CT group (p=.006). Among impact measures, PA compliance significantly increased in the INT group compared to the CT group (p=.003). Among outcome measures, the changes in cardiometabolic/musculoskeletal health and presenteeism did not differ by group; however, systolic blood pressure (p=.012) and a presenteeism variable (p=.041) significantly decreased only in the INT group.

Conclusion

The integrated PA program may have a significant effect on increases in PA compliance and significant tendencies toward improvements in a part of cardiometabolic health and presenteeism for physically inactive workers. Therefore, occupational health nurses may modify and use it as a workplace PA program.

Citations

Citations to this article as recorded by  
  • The Impact of Post-Traumatic Stress Disorder Symptoms on Depressive Symptoms and Health-Promoting Behaviors Among Korean Coast Guards: The Mediating Role of Social Support
    Hyung-Eun Seo, Mijung Yeom, Hye-Jin Kim
    Workplace Health & Safety.2024;[Epub]     CrossRef
  • Use of the PRECEDE–PROCEED Model to Pilot an Occupational Physical Activity Intervention: Tailored Through a Community Partnership
    Debra L. Fetherman, Joan Cebrick-Grossman
    Workplace Health & Safety.2023; 71(8): 367.     CrossRef
  • Corporate Well-Being Programme in COVID-19 Times. The Mahou San Miguel Case Study
    José M. Núñez-Sánchez, Ramón Gómez-Chacón, Carmen Jambrino-Maldonado, Jerónimo García-Fernández
    Sustainability.2021; 13(11): 6189.     CrossRef
  • Effects of an Integrated Physical Activity Program for Physically Inactive Workers: Based on the PRECEDE-PROCEED Model
    Hye-Jin Kim, Jina Choo
    Journal of Korean Academy of Nursing.2018; 48(6): 692.     CrossRef
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The Effects of a Physical Activity-Behavior Modification Combined Intervention(PABM-intervention) on Metabolic Risk Factors in Overweight and Obese Elementary School Children
Young Ran Tak, Ji Yeon An, Young A Kim, Hae Young Woo
Journal of Korean Academy of Nursing 2007;37(6):902-913.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2007.37.6.902
AbstractAbstract PDF

PURPOSE: The purpose of this study was to identify the effects of a physical activity-behavior modification combined intervention(PABM-intervention) on metabolic risk factors in overweight and obese elementary school children. METHODS: Thirty-two participants (BMI≥85 percentile or relative obesity≥10) were allocated to the PABM-intervention group and behavior modification only intervention group. The PABM-intervention was composed of exercise intervention consisting of 50 minutes of physical activity(Hip-hop dance & gymbased exercises) twice a week and the behavior modification intervention consisted of 50 minutes of instruction for modifying lifestyle habits (diet & exercise) once a week. Effectiveness of intervention was based on waist circumference, BP, HDL-cholesterol, TG, and fasting glucose before and after the intervention. RESULTS: The proportion of subjects with 1, 2, 3 or more metabolic risk factors were 28.1, 43.8, and 15.6%, respectively. After the 8-week intervention, waist circumference, systolic BP, diastolic BP, and HDL-cholesterol changed significantly(p<.01) in the PABM group. CONCLUSION: This provides evidence that a PABM-intervention is effective in changing metabolic risk factors such as waist circumference, systolic BP, diastolic BP, and HDL-cholesterol in overweight and obese elementary school children.

Citations

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  • Moderating effect of Lifestyle and Type D personality on the Relationship between Metabolic Syndrome and Severity of Coronary Artery Disease
    In-Kyoung Noh, Myoung Soo Kim
    Korean Journal of Adult Nursing.2018; 30(3): 290.     CrossRef
  • Influence of Occupational Type and Lifestyle Risk Factors on Prevalence of Metabolic Syndrome among Male Workers: A Retrospective Cohort Study
    So Hui Kang, Seon Young Hwang
    Korean Journal of Adult Nursing.2016; 28(2): 180.     CrossRef
  • Effects of the 26-weeks Obesity Management Program on Obesity Index, Self-esteem, Self-efficacy, and Body Image among Obese Elementary School Children
    Jin Hee Lee, Sangeun Oh
    Journal of the Korea Academia-Industrial cooperation Society.2016; 17(9): 83.     CrossRef
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    Mi-Hee Jung, Sang-Sook Han, So-Hee Lim
    Journal of the Korea Academia-Industrial cooperation Society.2015; 16(12): 8437.     CrossRef
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    Sekyoung Youm, Seung-Hun Park
    Telemedicine and e-Health.2014; 20(11): 1057.     CrossRef
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    Mi-Hyun Jin, Jea-Young Lee
    Journal of the Korean Data and Information Science Society.2013; 24(4): 867.     CrossRef
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    Mee Young Im, Young-Ran Lee, Suk Jung Han, Chung-Min Cho
    Journal of Korean Academy of Community Health Nursing.2012; 23(1): 13.     CrossRef
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    Yun Jun Yang
    Journal of the Korean Medical Association.2011; 54(7): 697.     CrossRef
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    Ji-Soo Yoo, Jeong In Jeong, Chang Gi Park, Se Won Kang, Jeong-Ah Ahn
    Journal of Korean Academy of Nursing.2009; 39(4): 594.     CrossRef
  • Perceived Body Image, Intentional Caloric Restriction and Physical Manifestations of Unbalanced Nutrition according to Body Mass Index in Fifth and Sixth Grade Elementary School Students
    Bo Hwan Kim, Ji Hea Choi
    Journal of Korean Academy of Child Health Nursing.2009; 15(4): 359.     CrossRef
  • The Relationship between Physical Activity and Clustering of Metabolic Abnormalities in Children
    Hyun Jin Son, Mi Kyung Kim, Hyun Ja Kim, Ho Kim, Bo Youl Choi
    Journal of Preventive Medicine and Public Health.2008; 41(6): 427.     CrossRef
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The Effects of a Physical Activity Reinforcement Program on Exercise Compliance, Depression, and Anxiety in Continuous Ambulatory Peritoneal Dialysis Patients
Suk Jeong Lee, Ji Soo Yoo
Journal of Korean Academy of Nursing 2004;34(3):440-448.   Published online March 28, 2017
DOI: https://doi.org/10.4040/jkan.2004.34.3.440
AbstractAbstract PDF
Purpose

This study was to evaluate the effects of a physical activity reinforcement program on exercise compliance, depression, and anxiety in continuous ambulatory peritoneal dialysis(CAPD) patients.

Method

A nonequivalent control group with a pre-post test was designed. Data collection was done from December, 2002 to June, 2003 at a hoapital. The degree of depression and anxiety of the patients was assessed by the score of SCL-90-R, and exercise compliance was measured by exercise period, frequency, time and intensity. The experimental group was composed of 19 participants who were educated based on an exercise education protocol and carried out walking exercises two to four times a week after hearing verbal persuasion biweekly through the telephone or a face-to-face interview for 12 weeks, while 17 participants in control group received no intervention.

Result

1. The experimental group showed significant improvement in self-efficacy of exercise compliance (U=79.00, p=.01), exercise period (χ2=20.84, p=.00), exercise frequency (χ2=9.03, p=.01), exercise time (χ2=9.03, p=.01) and exercise intensity (χ2=11.09, p=.00) compared to those of the control group. 2. The experimental group showed a lower depression score (U=84.50, p=.01) than the results of the control group. 3. However, there were no changes in anxiety level compared to the control group.

Conclusion

The physical activity reinforcement program was found to have an effect on exercise compliance and the depression score of CAPD patients. The results provided evidence for the importance of physical activity and verbal persuasion in CAPD patients.

Citations

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  • Peritoneal Dialysis and the Role of Exercise Training Interventions
    Osasuyi Iyasere, Hannah M. L. Young, James O. Burton
    Kidney and Dialysis.2022; 2(1): 57.     CrossRef
  • Effects of Exercise Intervention on Physical Fitness and Health-relalted Quality of Life in Hemodialysis Patients
    Eun-Joung Jang, Hee-Seung Kim
    Journal of Korean Academy of Nursing.2009; 39(4): 584.     CrossRef
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Review Article
Effects of Dietary and Physical Activity Interventions on Metabolic Syndrome: A Meta-analysis
Guna Lee, Hye-Young Choi, Sook-Ja Yang
J Korean Acad Nurs 2015;45(4):483-494.   Published online August 31, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.4.483
AbstractAbstract PDF
Purpose

This study identified effects of dietary and physical activity interventions including dietary interventions or physical activity interventions alone or combined dietary-physical activity interventions to improve symptoms in metabolic syndrome including abdominal obesity, high triglycerides, low high density lipoprotein cholesterol, elevated blood pressure, and elevated fasting glucose through meta-analysis.

Methods

Articles on metabolic syndrome X published from 1988 to 2013 were searched through electronic databases, Google Scholar, and reference reviews. Methodological quality was assessed by the checklist, SIGN (Scottish Intercollegiate Guidelines Network).

Results

In the meta-analysis, there were 9 articles reporting 13 interventions with 736 participants. Using random effect models, the dietary and/or physical activity interventions showed a lower mean difference in waist circumference ( - 1.30 cm, 95% CI: - 2.44~ - 0.15, p =.027). The combined dietary-physical activity interventions showed a lower mean difference in waist circumference ( - 2.77 cm, 95% CI: - 4.77~ - 0.76, p =.007) and systolic blood pressure ( - 5.44 mmHg, 95% CI: - 10.76~ - 0.12, p =.044). Additionally, interventions of over 24 weeks yielded a lower mean difference in waist circumference ( - 2.78 cm, 95% CI: - 4.69~ - 0.87, p =.004) and diastolic blood pressure ( - 1.93 mmHg, 95% CI: - 3.63~ - 0.22, p =.026).

Conclusion

The findings indicate that dietary and/or physical activity interventions for metabolic syndrome reduce central obesity with no adverse effects. This finding provides objective evidences for dietary and physical activity management on metabolic syndrome as an efficient intervention.

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    Minyeong Kim, Subin Kim, Dayeon Shin
    Journal of Nutrition and Health.2025; 58(1): 131.     CrossRef
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    BoAe Im, HyunSoo Oh, SooHyun Kim, HyeSun Jeong, WhaSook Seo
    Health Education & Behavior.2024; 51(4): 625.     CrossRef
  • Development and effectiveness of a mobile-based autonomy support program for the prevention of metabolic syndrome in middle-aged women
    Miseon Seo, Eun-Young Jun, Hyunjin Oh
    Frontiers in Public Health.2024;[Epub]     CrossRef
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    Wachira Suriyawong, Tsui-Sui Annie Kao, Lorraine B. Robbins, Jiying Ling, Leapetswe Malete
    Western Journal of Nursing Research.2023; 45(5): 455.     CrossRef
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    서현 이, 슬 구, 유미 서, 선화 반
    Public Health Weekly Report.2023; 16(48): 1633.     CrossRef
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    Hyeonjin Cho, Sunwoo Han, Jiwon Jeong, Hyein Jung, Sangah Shin
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    Tuba Bülbül, Betül Tosun, Ezgi Dirgar
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    Kameron B Suire, Ashley Peart, Jan Kavookjian, Danielle D Wadsworth
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    Journal of Korean Academy of Nursing.2020; 50(4): 571.     CrossRef
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    Mikyung Park, Kiwol Sung
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    Benedetta Russo, Fabiana Picconi, Ilaria Malandrucco, Simona Frontoni
    International Journal of Molecular Sciences.2019; 20(9): 2061.     CrossRef
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    Chao Wang, Hokyung Ryu
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  • Physical activity, mediating factors and risk of colon cancer: insights into adiposity and circulating biomarkers from the EPIC cohort
    Krasimira Aleksandrova, Mazda Jenab, Michael Leitzmann, Bas Bueno-de-Mesquita, Rudolf Kaaks, Antonia Trichopoulou, Christina Bamia, Pagona Lagiou, Sabina Rinaldi, Heinz Freisling, Marion Carayol, Tobias Pischon, Dagmar Drogan, Elisabete Weiderpass, Paula
    International Journal of Epidemiology.2017; 46(6): 1823.     CrossRef
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    The Journal of nutrition, health and aging.2017; 21(10): 1118.     CrossRef
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    Чу, Syaoyan Chu, Киргизова, Oksana Kirgizova
    Бюллетень Восточно-Сибирского научного центра Сибирского отделения Российской академии медицинских наук.2016; 1(5): 187.     CrossRef
  • Prevalence of Central Obesity among Adults with Normal BMI and Its Association with Metabolic Diseases in Northeast China
    Peng Zhang, Rui Wang, Chunshi Gao, Lingling Jiang, Xin Lv, Yuanyuan Song, Bo Li, Pratibha V. Nerurkar
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Original Articles
Effects of a Physical Activity Program using Exergame with Elderly Women
Jungok Yu, Jungsoon Kim
J Korean Acad Nurs 2015;45(1):84-96.   Published online February 15, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.1.84
AbstractAbstract PDF
Abstract Purpose

This study was done to investigate the motivational, physical and affective benefits of exergaming in community dwelling older adult women.

Methods

The research design was a nonequivalent control group pre-test and post-test design. Sixty-one older adult women over the age of 65 were recruited from 6 community senior centers to participate in the 8 week exercise intervention or control group. Six centers were divided into one of three groups: exergame, qigong exercise, or control. The exergame and the qigong exercise group received 16 sessions, scheduled twice a week, with each session lasting 50 minutes. Test measures were completed before and after the 8 week intervention period for all participants. Measures included: Grip strength, chair stand, 6 m walking, balance, geriatric depression scale, vitality and intrinsic motivation.

Results

There were significant improvements in the exergame and qigong exercise group for grip strength, chair stand, 6m walking, balance, vitality and intrinsic motivation at the end the 8-week program compared with the control group.

Conclusion

The exergame could be an effective alternative for older adult women to group exercise classes.

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Factors Associated with Physical Activity among Chinese Immigrant Women
Sung-Hye Cho, Hyeonkyeong Lee
J Korean Acad Nurs 2013;43(6):760-769.   Published online December 31, 2013
DOI: https://doi.org/10.4040/jkan.2013.43.6.760
AbstractAbstract PDF
Purpose

This study was done to assess the level of physical activity among Chinese immigrant women and to determine the relationships of physical activity with individual characteristics and behavior-specific cognition.

Methods

A cross-sectional descriptive study was conducted with 161 Chinese immigrant women living in Busan. A health promotion model of physical activity adapted from Pender's Health Promotion Model was used. Self-administered questionnaires were used to collect data during the period from September 25 to November 20, 2012. Using SPSS 18.0 program, descriptive statistics, t-test, analysis of variance, correlation analysis, and multiple regression analysis were done.

Results

The average level of physical activity of the Chinese immigrant women was 1,050.06±686.47 MET-min/week and the minimum activity among types of physical activity was most dominant (59.6%). As a result of multiple regression analysis, it was confirmed that self-efficacy and acculturation were statistically significant variables in the model (p<.001), with an explanatory power of 23.7%.

Conclusion

The results indicate that the development and application of intervention strategies to increase acculturation and self-efficacy for immigrant women will aid in increasing the physical activity in Chinese immigrant women.

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    Jiazhi Sheng, Lamei Gong, Jian Zhou
    Frontiers in Psychology.2023;[Epub]     CrossRef
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    Lamei Gong, Jiazhi Sheng
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    Jeong Eui Cho, Yeongmi Ha
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    Sung-Hye Cho, MoonKi Choi, JuHee Lee, Hyewon Cho
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    Meenhye Lee, Hyeonkyeong Lee, Sue Kim, Yeonsoo Jang
    Journal of Korean Academy of Community Health Nursing.2013; 24(4): 438.     CrossRef
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Impact of level of physical activity on healthcare utilization among Korean adults
Jiyun Kim, Seungmi Park
J Korean Acad Nurs 2012;42(2):199-206.   Published online April 30, 2012
DOI: https://doi.org/10.4040/jkan.2012.42.2.199
AbstractAbstract PDF
Purpose

This study was done to identify the impact of physical activity on healthcare utilization among Korean adults.

Methods

Drawing from the 2008 Korean National Health and Nutrition Examination Survey (NHANES IV-2), data from 6,521 adults who completed the Health Interview and Health Behavior Surveys were analyzed. Association between physical activity and healthcare utilization was tested using the χ2-test. Multiple logistic regression analysis was used to calculate the odds ratios of using outpatient and inpatient healthcare for different levels of physical activity after adjusting for predisposing, enabling, and need factors. A generalized linear model applying a negative binomial distribution was used to determine how the level of physical activity was related to use of outpatient and inpatient healthcare.

Results

Physically active participants were 16% less likely to use outpatient healthcare (OR, 0.84; 95% CI, 0.74-0.97) and 23% less likely to use inpatient healthcare (OR, 0.77; 95% CI, 0.63-0.93) than physically inactive participants. Levels of outpatient and inpatient healthcare use decreased as levels of physical activity increased, after adjusting for relevant factors.

Conclusion

An independent association between being physically active and lower healthcare utilization was ascertained among Korean adults indicating a need to develop nursing intervention programs that encourage regular physical activity.

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    Kyu-Min Kim, Han-Kyoul Kim, Hyun-Sill Rhee
    The Korean Journal of Health Service Management.2019; 13(4): 179.     CrossRef
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    Ahrin Kim, Chanyeong Kwak, Eun Shil Yim
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Relationship of Daily Activity and Biochemical Variables in the Elderly with Diabetes Mellitus
Ki-Wol Sung
J Korean Acad Nurs 2011;41(2):182-190.   Published online April 30, 2011
DOI: https://doi.org/10.4040/jkan.2011.41.2.182
AbstractAbstract PDF
Purpose

This study was done to identify correlates and variables predicting daily activity among elders with Diabetes Mellitus (DM).

Methods

Seventy-six elders registered in the Department of Endocrine Medicine at C university hospital participated in data collection. Data on daily activity and biochemical variables were collected via actigraph accelerator (Actical) and blood tests between September 2009 and July 2010. Data analysis was done using SPSS WIN 15.0 program and included one-way ANOVA, independent t-test, Pearson correlation coefficients, and stepwise multiple regression.

Results

This study showed a positive correlation between daily activity and High Density Lipoprotein Cholesterol (HDL-C) and a negative correlation among Total Cholesterol (TC), Triglyceride (TG), and Low Density Lipoprotein Cholesterol (LDL-C). The variables predicting daily activity were frequency of exercise, HDL-C, and TC. These factors accounted for 40.0% of the variance of daily activity in elders with DM.

Conclusion

The results indicate that it is necessary to improve daily activity to reduce Fasting Blood Glucose (FBG), TC, and TG in elders with DM.

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Predictors of Physical Activity in Korean Older Adults: Distinction between Urban and Rural Areas
Seungmi Park, Yeon-Hwan Park
J Korean Acad Nurs 2010;40(2):191-201.   Published online April 30, 2010
DOI: https://doi.org/10.4040/jkan.2010.40.2.191
AbstractAbstract PDF
Purpose

The aim of this study was to compare the predictors of physical activity between urban and rural dwelling Korean older adults.

Methods

This study was a cross-sectional descriptive survey. A self-report questionnaire or face to face interviews were used to collect data from 336 older adults (urban: 129, rural: 207) who visited public health centers or welfare centers in 2008.

Results

About half of the participants (urban: 50.4%, rural: 47.3%) were classified as the minimally active group. Cognitive function (odds ratio [OR]=1.106, p=.004) and loneliness (OR=0.965, p=.044) were predicting factors for physical activity in rural elderly. Age (OR=0.326, p=.037), gender (OR=2.841, p=.021) and depression (OR=0.799, p<.001) were significant factors predicting physical activity in urban elders.

Conclusion

These findings provide information that is relevant in designing interventions to enhance physical activity in older adults. There is a need to develop effective mutifaceted physical activity interventions that include reducing psychological barriers such as depression, loneliness.

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    Hyun-Ju Lee, Yeongsuk Lee, Jungmi Yun
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    Kyung Hee Seo, Young Eun
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    Hye Sun Hyun, Insook Lee
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    Kyung Choon Lim, Jeung-Im Kim, Young Ran Chae
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    Carol E. Rogers, Maria Cordeiro, Erica Perryman
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    Hye-Yeon Kang, Mee-Ock Gu
    Journal of muscle and joint health.2012; 19(1): 57.     CrossRef
  • Effects of a regular walking exercise program on behavioral and biochemical aspects in elderly people with type II diabetes
    Kiwol Sung, Sangkeun Bae
    Nursing & Health Sciences.2012; 14(4): 438.     CrossRef
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    Jia Lee, Yena Lee
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    Ki-Wol Sung
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Physical Activity and Sleep Patterns in Elderly Who Visited a Community Senior Center
Yeon Hwan Park
Journal of Korean Academy of Nursing 2007;37(1):5-13.   Published online February 28, 2007
DOI: https://doi.org/10.4040/jkan.2007.37.1.5
AbstractAbstract PDF
Purpose

The purpose of this study was to identify the relationship between physical activity and sleep patterns of the elderly.

Methods

The subjects of this study were 154 elderly who visited a community senior center in Korea. Data was collected by an interview and a self reported questionnaire, during the period from June to October, 2006. Physical activity was measured by IPAQ Korean version (2006), and sleep pattern by Korean Sleep Scale A developed by Oh et al. (1998).

Results

The prevalence of chronic illness in the subjects was 73.4 %. The mean time of vigorous activity was 6.62±31.27 minutes/day during the past week. Moderate activity time was 28.85±50.31 minutes/day and walking time was 28.85±50.3 minutes/day. The total sleep time was 397.63±111.53 minutes/day. Physical activity of the elderly significantly correlated with sex, chronic illness, job, and sleep patterns of the elderly. Stepwise multiple regression analysis revealed that the most powerful predictor of sleep pattern was the satisfaction of sleep. A combination of the number of chronic illnesses, moderate physical activities (MET), and total time of sleep accounted for 44.4% of the sleep pattern.

Conclusions

Moderate physical activity is more effective than vigorous physical activity for improving the sleep quality of the elderly.

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    Hyo-Yoel Jang, Tae-Im Kim
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    Ji-Yeon Ha, Yeon-Hwan Park
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    Kyung Hee Seo, Young Eun
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    Ahrin Kim
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    Eun-Suk Yun
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    Kyung Choon Lim, Jeung-Im Kim, Young Ran Chae
    Korean Journal of Women Health Nursing.2014; 20(4): 297.     CrossRef
  • Validity and Reliability of Korean Version of International Physical Activity Questionnaire Short Form in the Elderly
    Min Young Chun
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    Hye-Yeon Kang, Mee-Ock Gu
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    Kiwol Sung, Sangkeun Bae
    Nursing & Health Sciences.2012; 14(4): 438.     CrossRef
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    Bo Kyoung Cha, Chang Seung Park
    Journal of Korean Academy of Community Health Nursing.2011; 22(2): 161.     CrossRef
  • A Comparison of Pain, Pain Interference and Fatigue according to the Level of Physical Activity in the Elderly with Chronic Pain
    Bo Kyoung Cha, Chang Seung Park
    Journal of Korean Academy of Community Health Nursing.2011; 22(2): 162.     CrossRef
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    Young-Hee Kim, Jin-Sook Han
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    Seungmi Park, Yeon-Hwan Park
    Journal of Korean Academy of Nursing.2010; 40(2): 191.     CrossRef
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Influence of Lifetime Sports Activity Based on a Ground Reaction Force on Bone Mineral Density in Korean Adults
Eun Nam Lee, Mary Kathleen Clark
Journal of Korean Academy of Nursing 2005;35(3):621-630.   Published online June 30, 2005
DOI: https://doi.org/10.4040/jkan.2005.35.3.621
AbstractAbstract PDF
Purpose

The purpose of this study was to retrospectively describe the childhood sports activity level of Korean adult men and women and to determine whether a higher level of childhood sports activity was positively associated with adult bone mineral density.

Methods

A cross-sectional study of 100 Korean men (n=40) and women (n=60) was completed. Participants completed a detailed lifetime sports activity questionnaire and had their bone mineral density of the femur and lumbar spine measured using dual energy x-ray densitometry (DEXA). All sports activities were classified into four categories of peak strain score on the basis of ground reaction forces (GRF).

Results

During the age of high school, women and men who participated in a high intensity sports activity demonstrated higher bone density in the femur site after adjustment for the effects of body weight, fat body mass, lean body mass, the level of calcium intake, and breast feeding period than those who did not participate in sports activity at all.

Conclusion

These results highlight the need to participate in high intensity sports activity during high school age as a means of increasing peak bone mass in the femur site.

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    Eun-Nam Lee, Eun Jung Choi
    Journal of Korean Academy of Nursing.2008; 38(5): 667.     CrossRef
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