본문 바로가기
KERD
논문KCI 등재

노인의 대사증후군 인지 및 신체활동 실천 요인

Metabolic Syndrome Perception and Exercise Behaviors in the Elderly

이정아|이진석|박종헌
한국보건교육건강증진학회 (Korean Society for Health Education and Promotion)|2012.12|보건교육건강증진학회지 (KOREAN JOURNAL OF HEALTH EDUCATION AND PROMOTION)|제29권 제5호|pp. 61-75

1

조회

0

다운로드

11

인용

0

참고문헌

키워드

PerceptionElderlyMetabolic syndromeMultilevel analysisHealth behaviors
주제분류예방의학/직업환경의학

초록

Objectives: A great number of the elderly are not aware of having metabolic syndrome, and this pattern differs among regions of the nation. This issue is particularly important for the elderly people with chronic diseases. This study was conducted in order to identify the prevalence, predicting factors of perception and exercise behaviors of among the elderly population. Methods: Using data from the 2009 Korean Community Health Survey, we employed two-level logistic regression models to determine whether individual and community factors are associated with perception and exercise behaviors among the elderly population. Results: Results from weighted two-level logistic regression analyses indicated the individual-level factors of smoking, education level, health center education, community exercise program participation and unmet needs in men, and marital status (being separated), health center education women predicted the elders’perception. As for the community-level predictors, higher smoking and living in regions with high suicide rates significantly predicted the elders’ perception and exercise behaviors of metabolic syndrome. Conclusions: These findings demonstrate that education according to stage would increase the perception and motivation toward healthier behavior particularly for the elderly with lower perception levels of metabolic syndrome.

Abstract

Objectives: A great number of the elderly are not aware of having metabolic syndrome, and this pattern differs among regions of the nation. This issue is particularly important for the elderly people with chronic diseases. This study was conducted in order to identify the prevalence, predicting factors of perception and exercise behaviors of among the elderly population. Methods: Using data from the 2009 Korean Community Health Survey, we employed two-level logistic regression models to determine whether individual and community factors are associated with perception and exercise behaviors among the elderly population. Results: Results from weighted two-level logistic regression analyses indicated the individual-level factors of smoking, education level, health center education, community exercise program participation and unmet needs in men, and marital status (being separated), health center education women predicted the elders’perception. As for the community-level predictors, higher smoking and living in regions with high suicide rates significantly predicted the elders’ perception and exercise behaviors of metabolic syndrome. Conclusions: These findings demonstrate that education according to stage would increase the perception and motivation toward healthier behavior particularly for the elderly with lower perception levels of metabolic syndrome.

참고문헌 (49)

  1. Alm-Roijer, C., "Better knowledge improves adherence to lifestyle changes and medication in patients with coronary heart disease", European Journal of Cardiovascular Nursing, 3(4), pp.321~330 (2004)
  2. Asadi-Lari, M., "Unmet health needs in patients with coronary heart disease: implications and potential for improvement in caring services", Health and Quality of Life Outcomes, 1(1), pp.1~26 (2003)
  3. Braun, S., "The link between the metabolic syndrome and cancer", International Journal of Biological Sciences, 7(7), pp.1003~1015 (2011)
  4. Brewer, N. T., "Meta-analysis of the relationship between risk perception and health behavior: the example of vaccination", Health Psychology, 26(2), pp.136~145 (2007)
  5. 조인창, "대사증후군과 만성 신질환과의 연관성", Korean Journal of Urology, 50(3), pp.261~266 (2009), 대한비뇨기과학회
  6. 조숙희, "한국인 급성 심근경색증 환자의 관상동맥 중증도에 영향을 미치는 대사증후군 위험요인", 임상간호연구, 18(1), pp.171~181 (2012), 병원간호사회[DOI]
  7. Cho, Y., "Perceived neighborhood characteristics and the health of adult Koreans", Social Science & Medicine, 60(6), pp.1285~1297 (2005)
  8. Ewing, R., "Relationship between urban sprawl and physical activity, obesity, and morbidity", American Journal of Health Promotion, 18(1), pp.47~57 (2003)
  9. Goodman, E., "Socioeconomic disparities in insulin resistance: results from the princeton school district study", Psychosomatic Medicine, 69(1), pp.61~67 (2007)
  10. Grzywacz, J. G., "Social inequalities and exercise during adulthood: toward an ecological perspective", Journal of Health and Social Behavior, 42(2), pp.202~220 (2001)
  11. Han, D. H., "Periodontitis could be related factors on metabolic syndrome among Koreans: a case–control study", Journal of Clinical Periodontology, 39(1), pp.30~37 (2012)
  12. 한동욱, "자기페이스 걷기운동이 여성 노인의 고혈압, 고혈당증, 고콜레스테롤혈증에 미치는 효과", 한국전문물리치료학회지, 15(1), pp.54~60 (2008), 한국전문물리치료학회
  13. Harper, S., "Trends in socioeconomic inequalities in adult health behaviors among US states, 1990–2004", Public Health Reports, 122(2), pp.177~189 (2007)
  14. Hill, J. O., "What to do about the metabolic syndrome?", Archives of Internal Medicine, 163(4), pp.395~397 (2003)
  15. Huh, S. I., "Policy options to tackle unmet health needs" (2009), The Korea Institute for Health and Social Affairs
  16. Ilanne-Parikka, P., "Effect of lifestyle intervention on the occurrence of metabolic syndrome and its components in the Finnish Diabetes Prevention Study", Diabetes Care, 31(4), pp.805~807 (2008)
  17. Jallinoja, P., "The dilemma of patient responsibility for lifestyle change: perceptions among primary care physicians and nurses", Scandinavian Journal of Primary Health Care, 25(4), pp.244~249 (2007)
  18. 정휘수, "과체중 성인들에서의 횡이론적 단계별 변화 모형에 의한 체중조절상태와 체중조절에 대한 의사의 충고", 대한비만학회지, 20(1), pp.23~30 (2011), 대한비만학회
  19. Jung, M., "Determinants of community capacity influencing residents’ health status in Seoul, South Korea", Asia-Pacific Journal of Public Health, 20(10), pp.1~10 (2012)
  20. 김유진, "한국인의 남․녀 직업군별 복부비만과 대사증후군의 위험", 대한비만학회지, 21(2), pp.108~114 (2012), 대한비만학회[DOI]
  21. 김정환, "당뇨병이 없는 성인 여성에서 혈청 visfatin 농도와 비만 및 대사증후군과의 관련성", 대한비만학회지, 18(1), pp.15~23 (2009), 대한비만학회
  22. 김상훈, "간헐적인 걷기가 고령여성의 건강관련체력과 대사증후군 위험요인에 미치는 영향", 한국노년학, 29(4), pp.1397~1411 (2009), 한국노년학회
  23. 김윤희, "지역특성이 취약집단 건강에 미치는 영향 분석", 한국인구학, 31(1), pp.1~26 (2008), 한국인구학회[DOI]
  24. "Results of population projections (2010-2020)" (2011)[URL]
  25. Krause, N., "Social class differences in social support among older adults", The Gerontologist, 35(4), pp.498~508 (1995)
  26. 이은희, "생활습관 중재프로그램이 성인의 건강생활습관실천과 대사증후군 개선에 미치는 효과 분석", 보건교육건강증진학회지, 24(2), pp.1~19 (2007), 한국보건교육건강증진학회
  27. Lee, K. Y., "Relationships between health practices and hypertension, hypercholesterolemia, and hyperglycemia in male workers", Journal of the Korean Academy of Family Medicine, 21(5), pp.660~671 (2000)
  28. 이석구, "노인들의 사회경제적 수준과 건강수준, 건강행태와의 관계", 예방의학회지, 38(2), pp.154~162 (2005), 대한예방의학회
  29. Lee, Y. H, "Factors associated with physical functioning among community dwelling older adults", Journal of Preventive Medicine and Public Health, 32(3), pp.325~332 (1999)
  30. Lidfeldt, J., "Socio-demographic and psychosocial factors are associated with features of the metabolic syndrome. The Women's Health in the Lund Area(WHILA) Study", Diabetes, Obesity and Metabolism, 5(2), pp.106~112 (2003)
  31. Maibach, E. W., "Understanding consumers' health information preferences development and validation of a brief screening instrument", Journal of Health Communication, 11(8), pp.717~736 (2006)
  32. McLeroy, K. R., "An ecological perspective on health promotion programs", Health Education & Behavior, 15(4), pp.351~377 (1988)
  33. Minehira, K., "Dietary and lifestyle interventions in the management of the metabolic syndrome: present status and future perspective", European Journal of Clinical Nutrition, 56(12), pp.1264~1269 (2002)
  34. Mokdad, A. H., "Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001", The Journal of the American Medical Association, 289(1), pp.76~79 (2003)
  35. 오의금, "농촌지역 대사증후군 위험집단의 질병에 대한 지식,인지도 및 생활습관 관련 건강 행위", Journal of Korean Academy of Nursing, 37(5), pp.790~800 (2007), 한국간호과학회
  36. Orchard, T. J., "The effect of metformin and intensive lifestyle intervention on the metabolic syndrome: the diabetes prevention program randomized trial", Annals of Internal Medicine, 142(8), pp.611~619 (2005)
  37. Park, M. J., "The relationship between socioeconomic status and metabolic syndrome among Korean adults", The Korean Journal of Obesity, 15(1), pp.10~17 (2006)
  38. Piaseu, N., "Causal analysis of exercise and calcium intake behaviors for osteoporosis prevention among young women in Thailand", Health Care for Women International, 23(4), pp.364~376 (2002)
  39. Rodgers, S., "Media usage as health segmentation variables", Journal of Health Communication, 12(2), pp.105~119 (2007)
  40. Stack, R. J., "Patient perceptions of treatment and illness when prescribed multiple medicines for co-morbid type 2 diabetes", Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 4, pp.127~135 (2011)
  41. Stump, T. E., "The structure of health status among Hispanic, African American, and white older adults", The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 52(Special Issue), pp.49~60 (1997)
  42. 성기월, "노인 당뇨병 환자의 규칙적 걷기운동 프로그램이 대사증후군, 심혈관 위험도 및 우울정도에 미치는 효과", 지역사회간호학회지, 21(4), pp.409~418 (2010), 지역사회간호학회
  43. Tan, H., "Effect of repeated dental health care education on gingival health, knowledge, attitude, behavior and perception", Community Dentistry and Oral Epidemiology, 9(1), pp.15~21 (2006)
  44. Villareal, D. T., "Effect of lifestyle intervention on metabolic coronary heart disease risk factors in obese older adults", The American Journal of Clinical Nutrition, 84(6), pp.1317~1323 (2006)
  45. Wannamethee, S. G., "Modifiable lifestyle factors and the metabolic syndrome in older men: effects of lifestyle changes", Journal of the American Geriatrics Society, 54(12), pp.1909~1914 (2006)
  46. Yen, I. H., "Poverty area residence and changes in physical activity level: evidence from the Alameda County Study", American Journal of Public Health, 88(11), pp.1709~1712 (1998)
  47. 유승현, "대사증후군 상태 개선을 위한 생활습관 중재프로그램의 프로그램 이론 평가", 보건교육건강증진학회지, 27(4), pp.165~175 (2010), 한국보건교육건강증진학회
  48. Yoon, T. H., "Differences in health behaviors among the social strata in Korea", Journal of Preventive Medicine and Public Health, 33(4), pp.469~476 (2000)
  49. Zhu, S., "Lifestyle behaviors associated with lower risk of having the metabolic syndrome", Metabolism: Clinical and Experimental, 53(11), pp.1503~1511 (2004)

관련 논문AI추천

비만여부에 따른 주관적 건강인식과 신체활동량이 대사증후군 발생 위험도에 미치는 영향곽성정, 이윤미대한체육학회 · 대한체육학회지2022 · 제20권 제2호광주 전남지역 성인의(19-64세) 건강생활실천과 대사증후군 인지와의 관련성- 2010년 지역사회건강조사 자료를 이용하여 -박종, 류소연, 박현희, 천인애, 최성우, 한미아한국농촌의학.지역보건학회 · 농촌의학.지역보건2013 · 제38권 제4호농촌지역 노인에서 대사증후군 위험인자의 2년 후 변화김하정, 손석준, 심정신, 오숙희한국농촌의학.지역보건학회 · 농촌의학.지역보건2010 · 제35권 제1호한국 성인과 노인의 신체활동과 대사증후군의 연관성: 국민건강영양조사 2014-2017 가속도계 자료를 이용하여김연수, 김준식, 임정준한국운동생리학회 · 운동과학2022 · 제31권 제3호여성 노인의 복부비만도와 대사증후군의 관계에 대한 체력의 조절효과 분석김민준, 김준웅, 이인환국민체육진흥공단 한국스포츠과학원 · 체육과학연구2024 · 제35권 제2호건강검진 수진 노인의 대사증후군 유병상태 및 관련 요인김명, 조선, 권은주, 박지연, 이은희, 현성민한국보건교육건강증진학회 · 보건교육건강증진학회지2009 · 제26권 제4호

이 간행물의 다른 논문 (10건)

대사증후군 성인의 영양표시 이용실태 및 관련요인김묘성, 유정옥, 김정순pp. 1-12이주노동자의 레질리언스와 정신건강임혁, 이효영pp. 13-26건강 메시지의 독이성과 소통 효과주영기, 유명순pp. 27-36중·고등학교 건강매점사업의 비용편익분석김미경, 이원영, 유창훈pp. 37-48신체활동사업에서의 보건교육사의 역할과 능력 개발김영복pp. 49-59
원문 보기