Predictors of Sedentary Behavior in Elderly Koreans With Hypertension

Ae Kyung Chang ； Sohyune R. Sok

《The Journal of Nursing Research》 23卷4期 (2015/12) Pp. 262-270

https://doi.org/10.1097/jnr.0000000000000094

並列摘要

Background: The older adults are the most sedentary of all age groups. Sedentary behavior is associated with the onset and exacerbation of hypertension and the deterioration of health in hypertensive patients. Purpose: The aims of this study were to examine the level of sedentary behavior and to identify the factors predicting sedentary behavior in elderly Koreans with hypertension. Methods: A cross-sectional descriptive design was used. Three hundred six hypertensive elderly subjects who visited three public health centers in Korea for regular medical checkups completed self-report questionnaires on sedentary behavior, physical activity, empowerment, perceived health, depression, self-efficacy for physical activity, and social support for physical activity. Results: The participants spent an average of 8.59 hours a day in sedentary behavior. The stepwise multiple regression analysis showed that sedentary behavior was significantly predicted by empowerment level, perceived health, time since diagnosis of hypertension, vigorous-intensity physical activity, and depression. These variables explained 42.6% of the variance in sedentary behavior. Conclusions/Implications for Practice: To reduce sedentary behavior in this population, future interventions should improve empowerment and perceived health, increase the intensity of physical activity, and alleviate depression while considering the duration of disease.

並列關鍵字

sedentary behavior ； empowerment ； physical activity ； perceived health ； depression

參考文獻

Korea Institute for Health and Social Affairs. (2012). 2011 National health survey: The 5th Korea national health and nutrition examination survey. Seoul, Republic of Korea: Author

Anderson, R.M.,Fitzgerald, J. T.,Gruppen, L. D.,Funnell, M. M.,Oh, M. S.(2003).The diabetes empowerment scale-short form (DES-SF).Diabetes Care.26(5),1641-1642.

Beunza, J. J.,Martínez-González, M.Á.,Ebrahim, S.,Bes-Rastrollo, M.,Núnez, J.,Martínez, J. A.,Alonso, Á.(2007).Sedentary behaviors and the risk of incident hypertension: TheSUNCohort.American Journal of Hypertension.20(11),1156-1162.

Brown, W. J.,Miller, Y. D.,Miller, R.(2003).Sitting time and work patterns as indicators of overweight and obesity in Australian adults.International Journal of Obesity.27,1340-1346.

Chang, A. K.,Fritschi, C.,Kim, M. J.(2013).Sedentary behavior, physical activity, and psychological health of Korean older adults with hypertension: Effect of an empowerment intervention.Research in Gerontological Nursing.6(2),81-88.