Journal of agricultural medicine and community health (농촌의학ㆍ지역보건)

Korean Society for Rural Medicine and Community Health (한국농촌의학지역보건학회)
권호 표지
DOI QR코드

DOI QR Code

Barriers related to Walking Activity according to the Age Group of Rural residents

농촌 지역주민들의 연령대에 따른 신체활동의 장애요인

  • Kim, Bokyoung (Department of Preventive Medicine, Institute of Health Sciences, College of Medicine, Gyeongsang National University) ;
  • Lee, Gyeong-Ye (Department of Preventive Medicine, Institute of Health Sciences, College of Medicine, Gyeongsang National University) ;
  • Seo, Ae-Rim (Department of Preventive Medicine, Institute of Health Sciences, College of Medicine, Gyeongsang National University) ;
  • Kim, Mi-Ji (Department of Preventive Medicine, Institute of Health Sciences, College of Medicine, Gyeongsang National University) ;
  • Seo, Sung-Hyo (Center for Farmer's Safety and Health, Gyeongsang National University Hospital) ;
  • Park, Ki-Soo (Department of Preventive Medicine, Institute of Health Sciences, College of Medicine, Gyeongsang National University)
  • 김보경 (경상대학교 의과대학 예방의학교실 및 건강과학연구원) ;
  • 이경예 (경상대학교 의과대학 예방의학교실 및 건강과학연구원) ;
  • 서애림 (경상대학교 의과대학 예방의학교실 및 건강과학연구원) ;
  • 김미지 (경상대학교 의과대학 예방의학교실 및 건강과학연구원) ;
  • 서성효 (경상대학교병원 농업안전보건센터) ;
  • 박기수 (경상대학교 의과대학 예방의학교실 및 건강과학연구원)
  • Received : 2020.06.01
  • Accepted : 2020.06.15
  • Published : 2020.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objective: This study aimed to report the relationship between walking activity and perceived physical activity barriers after classifying the age group(≤64, 65-74, ≥75). Methods: The subjects were conducted on 1500 residents of two areas, and the walking activity was defined as five or more times a week, 10 minutes or more at a time, and 30 minutes or more per day. Perceived physical activity barriers were lack of time, lack of social support, lack of energy, lack of willpower, and fear of falling. Results: In the group under 64 year, the lack of time (exp(B)=0.819, p=0.002) and the lack of willpower (exp(B)=0.656, p<0.001) were significantly associated. In the 65-74 year old group, the lack of willpower (exp(B)=0.714, p<0.001) and fear of falling (exp(B)=0.787, p=0.003) were a significant association. In the group aged 75 years and over, lack ofwill power (exp(B)=0.734, p<0.001) and fear of falling (exp(B)=0.807, p=0.003) were significantly associated. Conclusion: In order to solve the lack of willpower and lack of time, a walking activity should be performed together at a certain time in the village, and the elderly in the late ages should reduce the fear of falling by performing a fall prevention exercise in parallel.

이 연구는 연령대를 성인, 전기 노인, 후기 노인으로 구분 후 신체활동과 인지된 운동장애요인과의 관련성을 보고자 하였다. 연구 대상자는 두 군데 면 지역에 거주하고 있는 주민들 1500명을 대상으로 실시하였으며 걷기실천율의 정의는 주 5회 이상, 한번 할 때 10분 이상, 하루에 30분 이상 하는 것으로 하였고, 인지된 장애요인은 시간부족, 사회적 지지 부족, 기력 부족, 의지력 부족, 부상에 대한 공포 등 5개의 영역으로 조사하였다. 연령대를 세 개 군(~64세 이하, 65-74세, 75세 이상)으로 구분했을 때 의지력 부족이 모든 연령대에서 유의하였고, 64세 이하의 경우는 시간부족이 관련이 있었으며, 65세 이상은 부상에 대한 공포가 관련 있었다. 결론적으로 의지력 부족과 시간부족에 대한 해결을 위해서 마을 내에서 일정한 시간대에 함께 걷기운동을 실시하여 이를 해결하도록 하고, 노인들에게는 낙상예방을 위하여 걷기운동과 같은 유산소운동을 권장할 때 근력운동을 병행해 실시하여 부상에 대한 공포를 줄여야 할 것이다.

Keywords

References

  1. Ding D, Lawson KD, Kolbe-Alexander TL, Finkelstein EA, Katzmarzyk PT, van Mechelen W, Pratt M. The economic burden of physical inactivity: a global analysis of major non-communicable diseases. Lancet 2016;388(10051):1311-1324 https://doi.org/10.1016/S0140-6736(16)30383-X
  2. WHO. Global recommendations on physical activity for health. available from https://www.who.int/dietphysicalactivity/publications/9789241599979/en/
  3. Ministry of Health and Welfare, Center for Disease Control. 2018 National Health Statistics. Available from https://www.cdc.go.kr/board/board.es?mid=a40303030000&bid=0034&list_no=364483&act=view
  4. Ibrahim S, Karim NA, Oon NL, Ngah WZ. Perceived physical activity barriers related to body weight status and sociodemographic factors among Malaysian men in Klang Valley. BMC Public Health 2013;13:275 https://doi.org/10.1186/1471-2458-13-275
  5. Ishii K, Inoue S, Ohya Y, Odagiri Y, Takamiya T, Suijo K, Owen N, Shimomitsu T. Sociodemographic variation in the perception of barriers to exercise among Japanese adults. J Epidemiol 2009;19(4):161-168 https://doi.org/10.2188/jea.JE20080094
  6. Reichert FF, Barros AJ, Domingues MR, Hallal PC. The role of perceived personal barriers to engagement in leisure-time physical activity. Am J Public Health 2007;97(3):515-519 https://doi.org/10.2105/AJPH.2005.070144
  7. Community Health Research Group. Foundations of Physical Activity and Public Health. Gyechul Munhwasa 2016 seoul pp 71-210
  8. Lee S, Kim H, Jung YI, Hong YC. Factors associated with frailty among communitydwelling older adults by age group: A multi-dimensional approach. Korean J Health Educ Promot 2018;35(2):89-101 https://doi.org/10.14367/kjhep.2018.35.2.89
  9. Jung S, Okubo Y, Osuka Y, Seino S, Park J, Nho H, Tanaka K. Older Korean adults have lower physical function despite longer exercise times compared to their Japanese counterparts: A Japan-Korea comparative study. Geriatr Gerontol Int 2018;18(4):576-583 https://doi.org/10.1111/ggi.13218
  10. Kim JR, Jeong BK, Park KS, Kang YS. The Associations of Empowerment and Social Capital with Self-Rated Health in Communities with Poor Health. J Agric Med Community Health 2012;37(3):131-144 https://doi.org/10.5393/JAMCH.2012.37.3.131
  11. Hwang SH, Lee MS, Lee SK. Health Behavior and Health Condition of the Rural Young-Old and the Rural Old-Old in an Agricultural District. J Agric Med Community Health 2011;36(4):207-217 https://doi.org/10.5393/JAMCH.2011.36.4.207
  12. Thomas N, Alder E, Leese GP. Barriers to physical activity in patients with diabetes. Postgrad Med J 2004;80:287-91 https://doi.org/10.1136/pgmj.2003.010553
  13. Alghafri T, Alharthi SM, Al Farsi YM, Bannerman E, Craigie AM, Anderson AS. Perceived barriers to leisure time physical activity in adults with type 2 diabetes attending primary healthcare in Oman: a cross-sectional survey. BMJ Open 2017;7(11):e016946 https://doi.org/10.1136/bmjopen-2017-016946
  14. Trost SG, Owen N, Bauman AE, Sallis JF, Brown W. Correlates of adults' participation in physical activity: review and update. Med Sci Sports Exerc 2002;34:1996-2001 https://doi.org/10.1097/00005768-200212000-00020
  15. van Stralen MM, De Vries H, Mudde AN, Bolman C, Lechner L. Determinants of initiation and maintenance of physical activity among older adults: a literature review. Health Psychol Rev 2009;3:147-207 https://doi.org/10.1080/17437190903229462
  16. Donahue KE, Mielenz TJ, Sloane PD, et al. Identifying supports and barriers to physical activity in patients at risk for diabetes. Prev Chronic Dis 2006;3:A119-A19
  17. Lawton J, Ahmad N, Hanna L, Douglas M, Hallowell N. 'I can't do any serious exercise': barriers to physical activity amongst people of Pakistani and Indian origin with Type 2 diabetes. Health Educ Res 2006;21(1):43-54 https://doi.org/10.1093/her/cyh042
  18. Korkiakangas EE, Alahuhta MA, Laitinen JH. Barriers to regular exercise among adults at high risk or diagnosed with type 2 diabetes: a systematic review. Health Promot Int 2009;24:416-27 https://doi.org/10.1093/heapro/dap031