J Korean Acad Nurs.  2019 Apr;49(2):113-125. 10.4040/jkan.2019.49.2.113.

Effects of a Daily Life-Based Physical Activity Enhancement Program for Middle-Aged Women at Risk for Cardiovascular Disease

• Kim KA
• Hwang SY

• KMID: 2444827
• DOI: http://doi.org/10.4040/jkan.2019.49.2.113

Abstract

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.

Keyword

Cardiovascular disease; Physical activity; Self efficacy; Health behaviors; Patient education

MeSH Terms

Adipose Tissue
Blood Glucose
Cardiology
Cardiovascular Diseases*
Cholesterol
Counseling
Education
Fasting
Female
Health Behavior
Hematologic Tests
Humans
Lipoproteins
Motor Activity*
Outpatients
Patient Education as Topic
Self Efficacy
Text Messaging
Waist-Hip Ratio
Blood Glucose
Cholesterol
Lipoproteins

Figure

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  Figure 1 Plans and motivational strategies for physical activity enhancement in this study.

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  Figure 2 Flow diagram of the progress through the phases of a randomized trial (based on CONSORT statement).

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  Figure 3 Contents of daily-based physical activity enhancement program.

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