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PHRP : Osong Public Health and Research Perspectives

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Original Articles
Associations between Social and Physical Environments, and Physical Activity in Adults from Urban and Rural Regions
Bongjeong Kim, Hye Sun Hyun
Osong Public Health Res Perspect. 2018;9(1):16-24.   Published online December 31, 2017
DOI: https://doi.org/10.24171/j.phrp.2018.9.1.04
  • 3,127 View
  • 40 Download
  • 6 Citations
AbstractAbstract PDF
Objectives

This study investigates investigated the relationship between social and physical environments, and moderate to vigorous physical activity (MVPA) amongst adults in both rural and urban areas within Korea.

Methods

A sample of 128,735 adults from the 2013 Community Health Survey (CHS) was analyzed using a multilevel logistic analysis.

Results

Urban residents with higher satisfaction in public transportation satisfaction and rural residents with more access to sports parks, hiking trails, and bike cycle paths were more likely to be active. The MVPA of adults from rural areas correlated urban adults was uncorrelatedwith neighborhood factors, but that of rural adults was whereas no correlations were observed in adults from urban areas.

Conclusion

These differences should be considered when developing interventions strategies to enhance adult physical activity in different communities.

Community-Based Home Healthcare Project for Korean Older Adults
TaeBum Lee
Osong Public Health Res Perspect. 2013;4(5):233-239.   Published online October 31, 2013
DOI: https://doi.org/10.1016/j.phrp.2013.09.002
  • 1,703 View
  • 15 Download
  • 5 Citations
AbstractAbstract PDF
Objectives
The aim of this study was to identify the effects of community-based home healthcare projects that influence service performances with regard to Korean national long-term care insurance services in older adults.
Methods
The project's applicants were 18 operational agencies in national long-term care institutions in Korea, and participants were care recipients (n = 2263) registered in long-term care institutions. We applied our healthcare system to the recruited participants for a 3-month period from October 2012 to December 2012. We measured the community-based home healthcare services such as long-term care, health and medical service, and welfare and leisure service prior to and after applying the community-based home healthcare system.
Results
After the implementation of community-based home healthcare project, all community-based home healthcare services showed an increase than prior to the project implementation. The nutrition management service was the most increased and its increase rate was 628.6%. A comparison between the long-term care insurance beneficiaries and nonbeneficiaries showed that health and medical services’ increase rate of nonbeneficiaries was significantly higher than beneficiaries (p < 0.001).
Conclusion
Our community-based home healthcare project might improve the service implementation for older adults and there was a difference in the increase rate of health and medical services between Korean national long-term care insurance beneficiaries and nonbeneficiaries.
Articleses
Improvements in the Metabolic Syndrome and Stages of Change for Lifestyle Behaviors in Korean Older Adults
Seunghyun Yoo, Hyekyeong Kim, Han-Ik Cho
Osong Public Health Res Perspect. 2012;3(2):85-93.   Published online June 30, 2012
DOI: https://doi.org/10.1016/j.phrp.2012.04.007
  • 1,639 View
  • 15 Download
  • 15 Citations
AbstractAbstract PDF
Objectives
This study aims to examine the effectiveness of a 6-month lifestyle modification program on the improvement in metabolic syndrome (MetS) status and in stages of change for lifestyle behaviors associated with MetS among Korean older adults.
Methods
A lifestyle modification program was developed based on the transtheoretical model. The program consisted of health counseling, education classes, a self-management handbook, newsletters and a health diary. Older adults aged ≥60 (n = 480) with MetS were randomly assigned to the intervention group (IG) or the comparison group (CG). The IG received a comprehensive 6-month lifestyle modification intervention, while the CG received minimal information on MetS and lifestyle modification. Health examination and selfadministered survey were conducted before and after the intervention to determine the effectiveness of the program.
Results
After the intervention, the prevalence of MetS decreased to 38.1% in the IG and 52.4% in the CG (p = 0.046). The IG improved abdominal obesity (p = 0.016), blood pressure (p = 0.030), and triglyceride (p = 0.005) more than the CG did. The IG demonstrated significant improvements in the behavioral stages for portion control (p = 0.021), balanced diet (p < 0.001) and adequate intake of fruits and vegetables (p = 0.012). The IG reduced the prevalence of abdominal obesity (OR = 2.34) and improved MetS status (OR = 1.79) better than the CG. The IG were more likely to advance from preaction stages at baseline to action stage at post-intervention for portion control (OR = 3.29) and adequate intake of fruits and vegetables (OR = 2.06).
Conclusion
Lifestyle modification can improve the MetS status and behavioral stages in older adults.
Food and Nutrient Intakes According to Income in Korean Men and Women
Inyoung Hur, Myoung-Jin Jang, Kyungwon Oh
Osong Public Health Res Perspect. 2011;2(3):192-197.   Published online December 31, 2011
DOI: https://doi.org/10.1016/j.phrp.2011.11.044
  • 1,674 View
  • 17 Download
  • 14 Citations
AbstractAbstract PDF
Objectives
The present study investigated associations between income and intake of nutrients and food in adults (n = 11,063) from the fourth Korea National Health and Nutrition Examination Survey 2007–2009.
Methods
To examine relationships between individual dietary intake and anthropometric measures and family income, multiple linear regression models were constructed for each outcome variable. All models were adjusted for age, education, energy intake, smoking, body mass index, and physical activity.
Results
For men, intakes of protein, calcium, phosphorus, potassium, and vitamin C were lower in low-income compared to high-income groups. For women, intakes of protein and niacin were lower in low-income groups. Lowest income group ate less dairy products in men and less fruits and fishes or shellfishes in women.
Conclusion
Low-income groups had severe food insecurity and low diet quality compared to high-income groups. The study results will provide direction for public health efforts regarding dietary intakes according to economic status among Korean men and women.

PHRP : Osong Public Health and Research Perspectives