J Korean Acad Nurs.  2010 Apr;40(2):191-201. 10.4040/jkan.2010.40.2.191.

Predictors of Physical Activity in Korean Older Adults: Distinction between Urban and Rural Areas

Affiliations
  • 1Department of Nursing. The Research Institute for Basic Sciences, Hoseo University, Asan, Korea.
  • 2College of Nursing. The Research Institute of Nursing Science, Seoul National University, Seoul, Korea. hanipyh@snu.ac.kr

Abstract

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.

Keyword

Physical activity; Aged; Urban population; Rural population

MeSH Terms

Activities of Daily Living
Age Factors
Aged
Aged, 80 and over
Cognition
Cross-Sectional Studies
Depression/etiology
*Exercise
Female
Humans
Interviews as Topic
Loneliness
Male
Motor Activity
Questionnaires
Republic of Korea
Rural Population
Sex Factors
Urban Population

Cited by  3 articles

Literature Review for the Effects of Physical Activity on Musculoskeletal Outcomes in Community-dwelling Older Adults
Kyung Choon Lim, Jeung-Im Kim, Young Ran Chae
Korean J Women Health Nurs. 2014;20(4):297-308.    doi: 10.4069/kjwhn.2014.20.4.297.

The Effect of Health Coaching Programs on Self-Efficacy, Health Behaviors, and Quality of Life in Hypertensive People Living in Poverty
Sun Ok Eom, Insook Lee
J Korean Acad Nurs. 2017;47(3):380-391.    doi: 10.4040/jkan.2017.47.3.380.

Factors Affecting Physical Activity Levels among the Korean Elderly with Osteoarthritis: Focusing on Gender Differences
Yeo-Won Hwang, Eun-Jung Bae
Korean J Health Promot. 2023;23(4):171-181.    doi: 10.15384/kjhp.2023.23.4.171.


Reference

1. Arcury TA, Snively BM, Bell RA, Smith SL, Stafford JM, Wetmore-Arkader LK, et al. Physical activity among rural older adults with diabetes. The Journal of Rural Health. 2006. 22:164–168.
2. Aronson RE, Oman RF. Views on exercise and physical activity among rural-dwelling senior citizens. The Journal of Rural Health. 2004. 20:76–79.
3. Bae JH. The effects of sports social factors on continuous physical activity and resocialization in old woman. Korea Sports Research. 2004. 15:869–880.
4. Ballard JE, McFarland C, Wallace LS, Holiday DB, Roberson G. The effect of 15 weeks of exercise on balance, leg strength, and reduction in falls in 40 women aged 65 to 89 years. Journal of American Medical of Women's Association. 2004. 59:255–261.
5. Browning C, Sims J, Kendig H, Teshuva K. Predictors of physical activity behavior in older community-dwelling adults. Journal of Allied Health. 2009. 38:8–17.
6. Brownson RC, Eyler AA, King AC, Brown DR, Shyu YL, Sallis JF. Patterns and correlates of physical activity among US women 40 years and older. American Journal of Public Health. 2000. 90:264–270.
7. Carruth AK, Logan CA. Depressive symptoms in farm women: Effects of health status and farming lifestyle characteristics, behaviors, and beliefs. Journal of Community Health. 2002. 27:213–228.
8. Craig CL, Marshall AL, Sjostrom M, Bauman AE, Booth ML, Ainsworth BE, et al. International Physical Activity Questionnaire (IPAQ). 12-county reliability and validity. Medical Science of Sports Exercise. 2003. 35:1381–1395.
9. Davis DC, Henderson MC, Boothe A, Douglass M, Faria S, Kennedy D, et al. An interactive perspective on the health beliefs & practices of rural elders. Journal of Gerontological Nursing. 1991. 17(5):11–16.
10. Faul F, Erdfelder E, Lang AG, Buchner A. G power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods. 2007. 39:175–191.
11. Han IY, Chung S. Linkage effects of new social support system for the elderly women living alone. Journal of the Korean Gerontological Society. 2002. 21:145–156.
12. Hassinger EW, Hicks LL, Godino V. A literature review of health issues of the rural elderly. The Journal of Rural Health. 1993. 9:68–75.
13. Hellman E. Use of the stages of change in exercise adherence model among older adults with a cardiac diagnosis. Journal of Cardiopulmonary Rehabilitation. 1997. 17:145–155.
14. Kaplan MS, Newsom JT, McFarland BH, Lu L. Demographic and psychosocial correlates of physical activity in late life. American Journal of Preventive Medicine. 2001. 21:306–312.
15. Kim OS. Korean version of the revised UCLA loneliness scale: Reliability, validity test. Journal of Korean Academy of Nursing. 1997. 27:871–879.
16. Korea Centers for Disease Control and Prevention. 2007 Korean Health and Nutrition Examination Survey. 2008. 12. Seoul: Author.
17. Kwon YC, Park JH. Korean version of mini-mental state examination(MMSE-K), Part I: Development of the test for the elderly. Journal of the Korean Neurological Association. 1989. 28:125–135.
18. Lee YJ, Kim TH. A study on the buffering effect of social support on the stress of the elderly who lives alone. Journal of the Korean Gerontological Society. 1999. 19:79–93.
19. Park YH. Physical activity and sleep patterns in elderly who visited a community senior center. Journal of Korean Academy of Nursing. 2007. 37:5–13.
20. Plonczynski DJ, Wilbur J, Larson JL, Thiede K. Lifestyle physical activity of older rural women. Research in Nursing and Health. 2008. 31:501–513.
21. Posner JD, Gorman KM, Windsor-Landsberg L. Low to moderate intensity endurance training in healthy older adults: Physiologic responses after four months. Journal of American Geriatric Society. 1992. 40:1–7.
22. Pullen C, Fiandt K, Walker SN. Determinants of preventive services utilization in rural older women. Journal of Gerontological Nursing. 2001. 27:40–51.
23. Sanderson B, Littleton M, Pulley L. Environmental, policy, and cultural factors related to physical activity among rural, African American women. Women. Women & Health. 2002. 36:75–90.
24. Scharff DP, Homan S, Kreuter M, Brennan L. Factors associated with physical activity in women across the life span: Implications for program development. Women. Women & Health. 1999. 29:115–134.
25. Semanik P, Wilbur J, Sinacore J, Chang RW. Physical activity behavior in older women with rheumatoid arthritis. Arthritis Care. Arthritis Care & Research. 2004. 51:246–252.
26. Sheikh JI, Yesavage JA. Geriatric depression scale (G DS), recent evidence and development of a short version. Clinical Gerontologist. 1986. 5:165–172.
27. Song MS. Construction of a functional status prediction model for the elderly. 1991. Seoul: Seoul National University;Unpublished Doctoral dissertation.
28. Wilcox S, Bopp M, Oberrecht L, Kammermann SK, McElmurray CT. Psychosocial and perceived environmental correlates of physical activity in rural and older african american and white women. Journal of Gerontology: Psychological Sciences Society. 2003. 58:329–337.
29. Yu HH, Kim IS. Health status, dietary patterns and living habits of the elderly in Jeon-ju. Nutritional Sciences. 2002. 5:91–102.
30. Yun SN, Jeon TW, Lee HJ. A survey of physical activities and exercise program of the public health centers. Journal of Korean Community Nursing. 2002. 16:148–164.
Full Text Links
  • JKAN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr