Journal List > J Korean Acad Nurs > v.49(2) > 1121932

Kim and Hwang: Effects of a Daily Life-Based Physical Activity Enhancement Program for Middle-Aged Women at Risk for Cardiovascular Disease



The purpose of this study was to examine the effects of a daily life-based physical activity enhancement program performed by middle-aged women at risk for cardiovascular disease.


This study used a randomized control group pretest-posttest design. Middle-aged women aged 45 to 64 were recruited from two outpatient cardiology departments, and randomly assigned to an experimental group (n=28) and a control group (n=30). For the experimental group, after providing one-on-one counseling and education, we provided customized text messages to motivate them in daily life. To monitor the practice of physical activity, they also used an exercise diary and mobile pedometer for 12 weeks. Subjects' physical activities (MET-min/week) were measured using the International Physical Activity Questionnaire (IPAQ). Their physiological data were obtained by blood tests using a portable analyzer, and the data were analyzed using the SPSS 21.0/WIN program.


There were significant differences in exercise self-efficacy, health behavior, IPAQ score, body fat, body muscle, and fasting blood sugar between the two groups. However, there were no significant differences in total cholesterol, hemoglobin A1c, high-density lipoprotein cholesterol, and waist-to-hip ratio.


Strengthening physical activity in daily life without being limited by cost burden and time and space constraints. Therefore, it is essential to motivate middle-aged women at risk for cardiovascular disease to practice activities that are easily performed in their daily lives.

Figures and Tables

Figure 1

Plans and motivational strategies for physical activity enhancement in this study.

Figure 2

Flow diagram of the progress through the phases of a randomized trial (based on CONSORT statement).

Figure 3

Contents of daily-based physical activity enhancement program.

Table 1

Homogeneity Test of Characteristics and Dependent Variables of Subjects (N=58)


Exp.=Experimental group; Cont.=Control group; M=Mean; SD=Standard deviation; CVD=cardiovascular disease.

Currently taking medication or diagnosed; ††Multiple responses.

Table 2

Differences in Dependent Variables between Experimental and Control Groups (N=58)


Cont.=Control group; Exp.=Experimental group; M=Mean; SD=Standard deviation; WHR=Waist to hip ratio; HDL-C=High-density lipoproteins cholesterol.


This research was supported hanmaum scholarship by the Seoul Nurses Association in 2016.

This manuscript is a condensed form of the first author's doctoral dissertation from Hanyang University.

CONFLICTS OF INTEREST The authors declared no conflict of interest.


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Kyung Ae Kim

Seon Young Hwang

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