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

Kyung Ae Kim; Seon Young Hwang

doi:10.4040/jkan.2019.49.2.113

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

Original Article

Journal of Korean Academy of Nursing 2019; 49(2): 113-125.

Published online: 30 April 2019

DOI: https://doi.org/10.4040/jkan.2019.49.2.113

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

Kyung Ae Kim¹

, Seon Young Hwang²

¹College of Nursing, Gyeongdong University, Wonju, Korea.

²School of Nursing, Hanyang University, Seoul, Korea.

Address reprint requests to: Hwang, Seon Young. School of Nursing, Hanyang University, The Second Medical Building, 222 Wangsimni-ro, Seondong-gu, Seoul 04763, Korea. Tel: +82-2-2220-0702, Fax: +82-2-2220-1163, seon9772@hanyang.ac.kr

Received 20 September 2018 Revised 22 November 2018 Accepted 29 November 2018

Korean Society of Nursing Science

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

Abstract

Purpose

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.

Methods

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.

Results

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.

Conclusion

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.

Keywords: Cardiovascular disease, Physical activity, Self efficacy, Health behaviors, Patient education

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.

Notes

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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ORCID iDs

Kyung Ae Kim
https://orcid.org/0000-0002-9188-4694

Seon Young Hwang
https://orcid.org/0000-0003-3613-3350

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