The Positive Effect of Physical Activity on Health and Health-related Quality of Life in Elderly Korean People-Evidence from the Fifth Korea National Health and Nutrition Examination Survey

Kang-Ok Cho, Kang-Ok Cho

Abstract

Background: The proportion of elderly people in the population is growing, and Korea has one of the fastest growing populations among the world's major regions. The objective of this study was to examine the effects of physical activity on the health and quality of life of elderly Korean people.

Methods: A nationally representative sample of 2,853 elderly Korean people (1,239 males and 1,614 females) aged more than 65 years was evaluated to determine whether they met guidelines for vigorous PA (VPA), moderate PA (MPA), and low PA (LPA) and how those results were associated with self-rated health (SRH) and health-related quality of life (HRQoL).

Results: The adjusted odds ratio (AOR) of males and females who reported very good SRH significantly decreased with VPA (males: AOR = 0.42, females: AOR = 0.44), MPA (males: AOR = 0.46, females: AOR = 0.48), and LPA (males: AOR = 0.44, females: AOR = 0.32). Subjects who met the guidelines for VPA (males: AOR = 0.40, females: AOR = 0.43), MPA (males: AOR = 0.49, females: AOR = 0.45), and LPA (males: AOR = 0.33, females: AOR = 0.39) and reported no problems with their HRQoL showed significantly decreased AORs compared with subjects who reported HRQoL problems.

Conclusion: Elderly Korean people were fairly inactive, but participation in vigorous, moderate, or low PA was positively associated with SRH and HRQoL.

Keywords: Elderly people; Korea; Physical activity; Quality of life; Self-rated health.

References

    1. Statistics Korea. The aged. 2008. Retrieved September 10, 2010, from .
    1. Park H, Lee SK. Association of obesity with osteoarthritis in elderly Korean women. Maturitas. 2011;70:65–8. doi: 10.1016/j.maturitas.2011.05.014.
    1. Cho KO, Nam SN, Kim YS. Assessment of nutrient intake and metabolic profiles in Korean adolescents according to exercise regularity using data from the 2008 Korean National Health and Nutrition Examination Survey. Nutr Res Pract. 2011;5:66–72. doi: 10.4162/nrp.2011.5.1.66.
    1. Kim YS, Park YS, Allegrante JP, Marks R, Ok H, OK Cho K, Barber CE. Relationship between physical activity and general mental health. Prev Med. 2012;23:367–75.
    1. Cho KO. Sleep duration and self-rated health are independently associated with physical activity level in the Korean population. Iran J Public Health. 2014;43:590–600.
    1. Abu-Omar K, Ruütten A, Lehtinen V. Mental health and physical activity in the European Union. Soz Praventivmed. 2004;49:301–9.
    1. Cho KO, Jo YJ, Song BK, Oh JW, Kim YS. Colon transit time according to physical activity and characteristics in South Korean adults. World J Gastroenterol. 2013;19:550–5. doi: 10.3748/wjg.v19.i4.550.
    1. Baek SI, So WY. Association between times spent on the internet and weight status in Korean adolescents. Iran J Public Health. 2011;40:37–43.
    1. Lee DC, Park IH, Jun TW, Nam BH, Cho SI, Blair SN, Kim YS. Physical activity and body mass index and their association with the development of type 2 diabetes in Korean men. Am J Epidemiol. 2012;176:43–51. doi: 10.1093/aje/kwr471.
    1. Roos NP, Havens R. Predictors of successful aging; a twelve-year study of Manitoba elderly. Am J Public Health. 1991;81:63–8. doi: 10.2105/AJPH.81.1.63.
    1. Idler EL, Benyamini Y. Self-rated health and mortality: a review of twenty-seven community studies. J health Soc Behav. 1997;38:21–37. doi: 10.2307/2955359.
    1. Scocco P, Fantoni G, Caon F. Role of depressive and cognitive status in self-reported evaluation of quality of life in older people: comparing proxy and physician perspectives. Age Ageing. 2006;35:166–71. doi: 10.1093/ageing/afj026.
    1. Huppert FA, Whittington JE. Evidence for the independence of positive and negative well-being: implications for quality of life assessment. Br J Health Psychol. 2003;8:107–22. doi: 10.1348/135910703762879246.
    1. Saarni SI, Suvisaari J, Sintonen H, Pirkola S, Koskinen S, Aromaa A, Lönnqvist J. Impact of psychiatric disorders on health-related quality of life: general population survey. Br J Psychiatry. 2007;190:326–32. doi: 10.1192/bjp.bp.106.025106.
    1. EuroQol Group. EuroQol--a new facility for the measurement of health-related quality of life. Health Policy. 1990;16:199–208. doi: 10.1016/0168-8510(90)90421-9.
    1. Craig CL, Marshall AL, Sjostram M, Bauman AE, Booth ML, Ainsworth BE, Pratt M, Ekelund U, Yngve A, Sallis JF, Oja P. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003;35:1381–95. doi: 10.1249/01.MSS.0000078924.61453.FB.
    1. American College of Sports Medicine. ACSM’s guidelines for exercise testing and prescription. 8th ed. Lippincott Williams & Wilkins; USA: 2010.
    1. Hamilton MT, Hamilton DG, Zderic TW. Role of low energy expenditure and sitting in obesity, metabolic syndrome, type 2 diabetes, and cardiovascular disease. Diabetes. 2007;56:2665–77. doi: 10.2337/db07-0882.
    1. Eaton DK, Kann L, Kinchen S, Shanklin S, Ross J, Hawkins J, Harris WA, Lowry R, McManus T, Chyen D, Lim C, Whittle L, Brener ND, Wechsler H. Youth Risk Behavior Surveillance-United States, 2009. MMWR Surveill Summ. 2010;59:1–142.
    1. Brown DW, Balluz LS, Health GW, Moriarty DG, Ford ES, Giles WH, Mokdad AH. Association between recommended levels of physical activity and health-related quality of life. Findings from the 2001 Behavior Risk Factor Surveillance System (BRFSS) survey. Prev Med. 2003;37:520–8. doi: 10.1016/S0091-7435(03)00179-8.
    1. Okano G, Miyake H, Mori M. Leisure time physical activity as a determinant of self-perceived health and fitness in middle-aged male employees. J Occup Health. 2003;45:286–92. doi: 10.1539/joh.45.286.
    1. Motl RW, McAuley E, Birnbaum AS, Lytle LA. Naturally occurring changes in time spent watching television are inversely related to frequency of physical activity during early adolescence. J Adolesc. 2006;29:19–32. doi: 10.1016/j.adolescence.2005.01.005.
    1. Driskell MM, Dyment S, Mauriello L, Castle P, Sherman K. Relationships among multiple behaviors for childhood and adolescent obesity prevention. Prev Med. 2008;46:209–15. doi: 10.1016/j.ypmed.2007.07.028.
    1. Mejía D, Berchtold A, Bélanger RE, Kuntsche EN, Michaud PA, Surís JC. Frequency and effects of meeting health behavior guidelines among adolescents. Eur J Public Health. 2013;23:8–13. doi: 10.1093/eurpub/cks050.
    1. Wang J, Iannotti RJ. Patterns of physical activity, sedentary behavior, and diet in U.S. adolescents. J Adolesc Health. 2013;53:280–6. doi: 10.1016/j.jadohealth.2013.03.007.

Source: PubMed

Sponsorer og samarbeidspartnere

Medisinsk tilstand

Legemiddelintervensjoner

3
Abonnere