J Korean Biol Nurs Sci.  2015 May;17(2):89-96. 10.7586/jkbns.2015.17.2.89.

Effect of a Randomized Controlled Trial Walking Program on Walking, Stress, Depressive Symptoms and Cardiovascular Biomarkers in Elderly Korean Immigrants

Affiliations
  • 1College of Nursing, Seattle University, Seattle, WA, USA. sinm@seattleu.edu
  • 2Harborview Medical Center, Seattle, WA, USA.
  • 3College of Nursing, Interdisciplinary Life Sciences Research Laboratory, Seattle University, Seattle, WA, USA.

Abstract

PURPOSE
Despite well-known benefits of walking on cardiovascular health, no structured walking exercise program has been formally tested on elderly Korean immigrants (EKIs). This pilot randomized controlled trial study assessed the effect of a walking program on walking behavior (pedometer steps count), stress (cortisol), depressive symptoms (CESD-10), and cardiovascular disease biomarkers (hs-CRP and fibrinogen) via venipuncture in EKIs.
METHODS
Seventy EKIs recruited from a Korean community were randomly assigned to a 12-week walking group or control group in a 3:2 ratio. The working program included a pedometer, buddy, monthly coffee card, weekly call for goal setting, and physical activity consultation. Walking group EKIs maintained the Centers for Disease Control and Prevention recommended exercise guidelines and good mental health status over 12 weeks.
RESULTS
There was no significant difference in the outcomes between control and walking groups.
CONCLUSION
Social networking with Koreans in the senior center and church from a well-established Korean community might have positive effects on mental health.

Keyword

Depression; Older adults; Serum biomarkers; Stress; Walking

MeSH Terms

Aged*
Biomarkers*
Cardiovascular Diseases
Centers for Disease Control and Prevention (U.S.)
Coffee
Depression*
Emigrants and Immigrants*
Humans
Mental Health
Motor Activity
Phlebotomy
Senior Centers
Walking*
Coffee
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