J Korean Acad Nurs. 2010 Apr;40(2):191-201. Korean.
Published online Apr 30, 2010.
Copyright © 2010 Korean Society of Nursing Science
Original Article

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

Seungmi Park,1 and Yeon-Hwan Park2
    • 1Full-time Lecturer, Department of Nursing · The Research Institute for Basic Sciences, Hoseo University, Asan, Korea.
    • 2Associate Professor, College of Nursing · The Research Institute of Nursing Science, Seoul National University, Seoul, Korea.
Received September 09, 2009; Revised September 14, 2009; Accepted March 18, 2010.

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.

Keywords
Physical activity; Aged; Urban population; Rural population

Tables

Table 1
Comparison of the Physical Activity between Rural and Urban Dwelling Elders (N=336)

Table 2
Comparison of Characteristics of Rural and Urban Dwelling Elders (N=336)

Table 3
Factors related to the Physical Activity in Rural and Urban Dwelling Older Adults (N=336)

Table 4
Logistic Analysis of Factors which Affected the Physical Activity of Rural Dwelling Older Adults (N=207)

Table 5
Logistic Analysis of Factors which Affected the Physical Activity of Urban Dwelling Older Adults (N=129)

References

    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.
    1. Aronson RE, Oman RF. Views on exercise and physical activity among rural-dwelling senior citizens. The Journal of Rural Health 2004;20:76–79.
    1. Bae JH. The effects of sports social factors on continuous physical activity and resocialization in old woman. Korea Sports Research 2004;15:869–880.
    1. 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.
    1. 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.
    1. 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.
    1. 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.
    1. 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.
    1. 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.
    1. 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.
    1. 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.
    1. 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.
    1. 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.
    1. 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.
    1. Kim OS. Korean version of the revised UCLA loneliness scale: Reliability, validity test. Journal of Korean Academy of Nursing 1997;27:871–879.
    1. Korea Centers for Disease Control and Prevention. 2007 Korean Health and Nutrition Examination Survey. Seoul: Author; 2008 Dec.
    1. 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.
    1. 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.
    1. 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.
    1. Plonczynski DJ, Wilbur J, Larson JL, Thiede K. Lifestyle physical activity of older rural women. Research in Nursing and Health 2008;31:501–513.
    1. 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.
    1. Pullen C, Fiandt K, Walker SN. Determinants of preventive services utilization in rural older women. Journal of Gerontological Nursing 2001;27:40–51.
    1. 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.
    1. 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.
    1. 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.
    1. Sheikh JI, Yesavage JA. Geriatric depression scale (G DS), recent evidence and development of a short version. Clinical Gerontologist 1986;5:165–172.
    1. Song MS. In: Construction of a functional status prediction model for the elderly. Seoul: Seoul National University; 1991.
      Unpublished Doctoral dissertation.
    1. 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.
    1. Yu HH, Kim IS. Health status, dietary patterns and living habits of the elderly in Jeon-ju. Nutritional Sciences 2002;5:91–102.
    1. 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.

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