Featured Intervention Study
Sedentary Behavior, Physical Activity, and Psychological Health of Korean Older Adults with Hypertension: Effect of an Empowerment Intervention
Published Online:December 19, 2012https://doi.org/10.3928/19404921-20121219-01
Abstract
The aim of this study was to determine the effect of an 8-week empowerment intervention on sedentary behavior, physical activity, and psychological health in Korean older adults with hypertension. Using a quasi-experimental design, older adults participated in either an experimental group (n = 27) or control group (n = 21). The experimental group received an empowerment intervention including lifestyle modification education, group discussion, and exercise training for 8 weeks, and the control group received standard hypertension education. After 8 weeks, participants in the experimental group had significantly decreased sedentary behavior, increased physical activity, increased self-efficacy for physical activity, and increased perceived health (p < 0.05). However, no significant group difference was found for depression. Findings from this study suggest that empowerment interventions may be more effective than standard education in decreasing sedentary behavior and increasing physical activity, self-efficacy for physical activity, and perceived health in Korean older adults with hypertension.
[Res Gerontol Nurs. 2013; 6(2):81–88.]
- Borg G. (1998). Borg’s perceived exertion and pain scales. Champaign, IL: Human Kinetics. Google Scholar
- Bosworth H.B., Bartash R.M., Olsen M.K., Steffens D.C. (2003). The association of psychosocial factors and depression with hypertension among older adults. International Journal of Geriatric Psychiatry, 18, 1142–1148
10.1002/gps.1026 . Crossref, Google Scholar - Brodin N., Eurenius E., Jensen I., Nisell R., Opava C.H. (2008). Coaching patients with early rheumatoid arthritis to healthy physical activity: A multicenter, randomized, controlled study. Arthritis Care & Research, 59, 325–331
10.1002/art.23327 . Crossref, Google Scholar - Cankurtaran M., Halil M., Yavuz B.B., Dagli N., Cankurtaran E.S., Ariogul S. (2005). Depression and concomitant diseases in a Turkish geriatric outpatient setting. Archives of Gerontology and Geriatrics, 40, 307–315
10.1016/j.archger.2004.10.002 . Crossref, Google Scholar - Chobanian A.V., Bakris G.L., Black H.R., Cushman W.C., Green L.A., Izzo J.L., Wright J.T. (2003). The seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Journal of the American Medical Association, 289, 2560–2571
10.1001/jama.289.19.2560 . Crossref, Google Scholar - Cohen J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum. Google Scholar
- Craig C.L., Marshall A.L., Sjöström M., Bauman A.E., Booth M.L., Ainsworth B.E., Sallis J.F. (2003). International Physical Activity Questionnaire: 12-country reliability and validity. Medicine & Science in Sports & Exercise, 35, 1381–1395
10.1249/01.MSS.0000078924.61453.FB . Crossref, Google Scholar - De Cocker K.A., De Bourdeaudhuij I.M., Brown W.J., Cardon G.M. (2007). Effects of “10,000 steps Ghent”: A whole-community intervention. American Journal of Preventive Medicine, 33, 455–463
10.1016/j.amepre.2007.07.037 . Crossref, Google Scholar - De Cocker K.A., De Bourdeaudhuij I.M., Brown W.J., Cardon G.M. (2008). The effect of a pedometer-based physical activity intervention on sitting time. Preventive Medicine, 47, 179–181
10.1016/j.ypmed.2008.05.012 . Crossref, Google Scholar - Dogra S. (2011). Better self-perceived health is associated with lower odds of physical inactivity in older adults with chronic disease. Journal of Aging and Physical Activity, 19, 322–335. Google Scholar
- Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults. (2001). Executive summary of the third report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). Journal of the American Medical Association, 285, 2486–2497. Google Scholar
- Falk-Rafael A. (2001). Empowerment as a process of evolving consciousness: A model of empowered caring. Advances in Nursing Science, 24(1), 1–16. Google Scholar
- Funnell M.M., Anderson R.M. (2004). Empowerment and self-management of diabetes. Clinical Diabetes, 22(3), 123–127
10.2337/diaclin.22.3.123 . Crossref, Google Scholar - Galper D.I., Trivedi M.H., Barlow C.E., Dunn A.L., Kampert J.B. (2006). Inverse association between physical inactivity and mental health in men and women. Medicine & Science in Sports & Exercise, 38, 173–178
10.1249/01.mss.0000180883.32116.28 . Crossref, Google Scholar - Gardiner P.A., Eakin E.G., Healy G.N., Owen N. (2011). Feasibility of reducing older adults’ sedentary time. American Journal of Preventive Medicine, 41, 174–177
10.1016/j.amepre.2011.03.020 . Crossref, Google Scholar - Gardiner P.A., Healy G.N., Eakin E.G., Clark B.K., Dunstan D.W., Shaw J.E., Owen N. (2011). Associations between television viewing time and overall sitting time with the metabolic syndrome in older men and women: The Australian Diabetes Obesity and Lifestyle Study. Journal of the American Geriatrics Society, 59, 788–796
10.1111/j.1532-5415.2011.03390.x . Crossref, Google Scholar - Gilson N., McKenna J., Puig-Ribera A., Brown W., Burton N. (2008). The International Universities Walking Project: Employee step counts, sitting times and health status. International Journal of Workplace Health Management, 1, 152–161.
10.1108/17538350810926516 Crossref, Google Scholar - Healy G.N., Dunstan D.W., Salmon J., Shaw J.E., Zimmet P.Z., Owen N. (2008). Television time and continuous metabolic risk in physically active adults. Medicine & Science in Sports & Exercise, 40, 639–645
10.1249/MSS.0b013e3181607421 . Crossref, Google Scholar - Ishikawa-Takata K., Ohta T., Tanaka H. (2003). How much exercise is required to reduce blood pressure in essential hypertensives: A dose-response study. American Journal of Hypertension, 16, 629–633
10.1016/S0895-7061(03)00895-1 . Crossref, Google Scholar - Kamphuis M.H., Geerlings M.I., Tijhuis M.A.R., Giampaoli S., Nissinen A., Kromhout D. (2007). Physical inactivity, depression, and risk of cardiovascular mortality. Medicine & Science in Sports & Exercise, 39, 1693–1699
10.1249/mss.0b013e3180f6109f . Crossref, Google Scholar - Kim M.S. (2011). Factors related to life satisfaction of elderly patients with hypertension: Centering on subjective health status and health promoting behaviors (Unpublished master’s thesis). Catholic University of Pusan, Pusan, Korea. Google Scholar
- Korea Institute for Health and Social Affairs. (2008). 2007 National Health Survey: The 4th Korea National Health and Nutrition Examination Survey. Seoul: Author. Google Scholar
- Lee S.M. (2006). Social ecological correlates with physical activity among low income hypertensive patients (Unpublished master’s thesis). Seoul National University, Seoul, Korea. Google Scholar
- Lee Y.S., Laffrey S.C. (2006). Predictors of physical activity in older adults with borderline hypertension. Nursing Research, 55, 110–120
10.1097/00006199-200603000-00006 . Crossref, Google Scholar - Macera C.A., Ham S.A., Yore M.M., Jones D.A., Kimsey C.D., Kohl H.W. (2005). Prevalence of physical activity in the United States: Behavioral risk factor surveillance system, 2001. Preventing Chronic Disease, 2(2), 1–10. Google Scholar
- Malmberg J., Miilunpalo S., Pasanen M., Vuori I., Oja P. (2005). Characteristics of leisure time physical activity associated with risk of decline in perceived health—A 10-year follow-up of middle-aged and elderly men and women. Preventive Medicine, 41, 141–150
10.1016/j.ypmed.2004.09.036 . Crossref, Google Scholar - Marcus B.H., Selby V.C., Niaura R.S., Rossi J.S. (1992). Self-efficacy and the stages of exercise behavior change. Research Quarterly for Exercise and Sport, 63, 60–66
10.1080/02701367.1992.10607557 . Crossref, Google Scholar - Ostchega Y., Hughes J.P., Wright J.D., McDowell M.A., Louis T. (2008). Are demographic characteristics, health care access and utilization, and comorbid conditions associated with hypertension among US adults?American Journal of Hypertension, 21, 159–165
10.1038/ajh.2007.32 . Crossref, Google Scholar - Otten J.J., Jones K.E., Littenberg B., Harvey-Berino J. (2009). Effects of television viewing reduction on energy intake and expenditure in overweight and obese adults: A randomized controlled trial. Archives of Internal Medicine, 169, 2109–2115
10.1001/archinternmed.2009.430 . Crossref, Google Scholar - Owen N., Bauman A., Brown W. (2009). Too much sitting: A novel and important predictor of chronic disease risk?British Journal of Sports Medicine, 43, 81–83
10.1136/bjsm.2008.055269 . Crossref, Google Scholar - Pahor M., Blair S., Espeland M., Fielding R., Gill T., Guralnik J., Maraldi C. (2006). Effects of a physical activity intervention on measures of physical performance: Results of the Lifestyle Interventions and Independence for Elders Pilot (LIFE-P) study. Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 61, 1157–1165
10.1093/gerona/61.11.1157 . Crossref, Google Scholar - Rabkin J.G., Charles E., Kass F. (1983). Hypertension and DSM-III depression in psychiatric outpatients. American Journal of Psychiatry, 140, 1072–1074. Google Scholar
- Radloff L.S. (1977). The CES-D scale. Applied Psychological Measurement, 1, 385–401
10.1177/014662167700100306 . Crossref, Google Scholar - Scalco A.Z., Scalco M.Z., Azul J.B.S., Lotufo Neto F. (2005). Hypertension and depression. Clinics, 60, 241–250
10.1590/S1807-59322005000300010 . Crossref, Google Scholar - Shin Y.H., Hur H.K., Pender N.J., Jang H.J., Kim M.S. (2006). Exercise self-efficacy, exercise benefits and barriers, and commitment to a plan for exercise among Korean women with osteoporosis and osteoarthritis. International Journal of Nursing Studies, 43, 3–10
10.1016/j.ijnurstu.2004.10.008 . Crossref, Google Scholar - Simon C., Wagner A., DiVita C., Rauscher E., Klein-Platat C., Arveiler D., Triby E. (2004). Intervention centred on adolescents’ physical activity and sedentary behaviour (ICAPS): Concept and 6-month results. International Journal of Obesity, 28(Suppl. 3), S96–S103
10.1038/sj.ijo.0802812 . Crossref, Google Scholar - Smith P.J., Blumenthal J.A., Babyak M.A., Georgiades A., Hinderliter A., Sherwood A. (2007). Effects of exercise and weight loss on depressive symptoms among men and women with hypertension. Journal of Psychosomatic Research, 63, 463–469
10.1016/j.jpsychores.2007.05.011 . Crossref, Google Scholar - Sung K.W., Kim M.H. (2008). Self-care behaviors and depressive symptoms of low-income elderly women with hypertension. Journal of Korean Academy of Nursing, 38, 593–602
10.4040/jkan.2008.38.4.593 . Crossref, Google Scholar - Taqui A., Itrat A., Qidwai W., Qadri Z. (2007). Depression in the elderly: Does family system play a role? A cross-sectional study. BMC Psychiatry, 7(57), 1–12
10.1186/1471-244X-7-57 . Crossref, Google Scholar - Touvier M., Bertrais S., Charreire H., Vergnaud A.C., Hercberg S., Oppert J.M. (2010). Changes in leisure-time physical activity and sedentary behaviour at retirement: A prospective study in middle-aged French subjects. International Journal of Behavioral Nutrition and Physical Activity, 7(14).
10.1186/1479-5868-7-14 Crossref, Google Scholar - Wijndaele K., Brage S., Besson H., Khaw K.T., Sharp S.J., Luben R., Eklund U. (2011). Television viewing time independently predicts all-cause and cardiovascular mortality: The EPIC Norfolk Study. International Journal of Epidemiology, 40, 150–159.
10.1093/ije/dyq105 Crossref, Google Scholar - Wijndaele K., Duvigneaud N., Matton L., Duquet W., Delecluse C., Thomis M., Philippaerts R.M. (2009). Sedentary behaviour, physical activity and a continuous metabolic syndrome risk score in adults. European Journal of Clinical Nutrition, 63, 421–429
10.1038/sj.ejcn.1602944 . Crossref, Google Scholar - Wilmot E.G., Davies M.J., Edwardson C.L., Gorely T., Khunti K., Nimmo M., Biddle S.J. (2011). Rationale and study design for a randomised controlled trial to reduce sedentary time in adults at risk of type 2 diabetes mellitus: Project STAND (Sedentary Time ANd Diabetes). BMC Public Health, 11(1), 908–924
10.1186/1471-2458-11-908 . Crossref, Google Scholar - Xue F., Yao W., Lewin R. (2008). A randomised trial of a 5 week, manual based, self-management programme for hypertension delivered in a cardiac patient club in Shanghai. BMC Cardiovascular Disorders, 8(10)
10.1186/1471-2261-8-10 . Crossref, Google Scholar
