Analysis of Environmental Correlates with Walking among Older Urban Adults

Lee, Hyung-Sook; Ahn, Joon-Suk; Chun, Seung-Hoon

doi:10.9715/kila.2011.39.2.065

Cited by 14 publications

(5 citation statements)

References 10 publications

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“…Many new apartment complexes include high-quality sports facilities, parks, and safe walking environments. According to Lee et al ( 36 ), an apartment complex was indeed one of the favorite places for older adults to walk.…”

Section: Discussionmentioning

confidence: 99%

Correlates of Objectively Measured Sitting Time in South Korean Adults: 2014–2015 Korea National Health and Nutrition Examination Survey

Lee

2022

Front. Public Health

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The purpose of this study was to investigate daily amounts of time spent sitting and frequency of breaks from sitting and to identify their sociodemographic, environmental, and health behavioral correlates for Korean adults (age = 19–65). This study analyzed accelerometer subdata from the 2014–2015 Korea National Health and Nutrition Examination Survey (n = 1,768). Ordinary least squares regression models stratified by weekday and weekend were tested to identify correlates of time spent sitting and number of sitting breaks. The average daily amounts of sitting time during weekdays and weekends were 500.63 min (95% confidence interval [CI] = 495.20–506.06) and 488.10 min (95% CI = 481.72–494.49), respectively. On weekdays and weekends, the average numbers of breaks from sitting per hour were 6.62 (95% CI = 6.57–6.68) and 6.60 (95% CI = 6.54–6.66), respectively. The participants with the greatest daily sitting time tended to be male, middle-aged, never married, office workers, and residents of a metropolis; tended to have a high school educational level or higher; and had never smoked, were underweight, were physically inactive, and slept <6 h a day. Fewer breaks from sitting was associated with being male, never married, middle-aged, an office worker, an apartment resident, never having smoked, and underweight. Higher education level and physical inactivity were associated with more frequent breaks from sitting. To reduce sedentary behavior, this study helps identify at-risk populations and their characteristics. Future studies should incorporate longitudinal data and measure domain-specific sedentary behavior.

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Section: Discussionmentioning

confidence: 99%

Correlates of Objectively Measured Sitting Time in South Korean Adults: 2014–2015 Korea National Health and Nutrition Examination Survey

Lee

2022

Front. Public Health

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“…Previous research findings suggest that gardening inspires healthy eating and improve one’s physical activity and ability to cope with stress [ 38 ]. Furthermore, proximity to a park is an important physical environmental factor that increase the frequency of walking [ 39 ], not to mention that simply observing nature near one’s residence can reduce stress in adults [ 40 ]. As such, making good use of the available health resources is one way to improve the health level in Samho-dong.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, it may be necessary to promote a health environment that is well-suited to the characteristics of the residents in Samho-dong. Previous research findings indicate that factors such as narrow walking paths, road surface conditions, the shortage of benches, and steep inclines make walking activities difficult for seniors [ 39 ]. Considering that the majority of residents in Samho-dong are seniors, filling potholes and establishing a waiting area in bus stops may be feasible solutions.…”

Section: Discussionmentioning

confidence: 99%

A participatory practice study for the improvement of sub-regional health vulnerabilities: a qualitative study

et al. 2022

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Background This study aimed to explore the experiences of the residents of Samho-dong with the health environment in the local community, and their in-depth opinions on health promotion using a photovoice methodology. Alternatives to improve health among the residents of Samho-dong were also discussed with the local residents, with the aim of translating suggestions from the discussion into practice. Methods A total of 195 photographs taken by the 15 participants over the course of 7 weeks were collected, along with 96 photovoice activity logs and transcription data from 5 rounds of focus group discussions. The photovoice activity logs consisted of the photographer’s name, the dates photos were taken, and a series of responses to the following SHOWeD questions: “What do you SEE here?”, “What is really HAPPENING?”, “How does this situation or scenario affect OUR lives/health?”, “WHY does this problem or strength Exist?”, “What can we DO about it?”. Direct content analysis was used for analysis. Results The analysis yielded a total of 247 semantic units, which were categorized into the themes, “the good, but insufficiency, living environment in Samho-dong,” “the health environment in Samho-dong needs improvement,” “small efforts to improve Samho-dong,” and “points of improvement for a better Samho-dong”. Samho-dong was found to have a poorer walking and transportation infrastructure than other regions, even though it was a town with a large elderly population. The dark streets in the residential complex made participants hesitate to engage in afternoon activities, and the insufficient traffic environment made it difficult to live a natural daily life by solving food, clothing, and shelter. Participants have made various attempts to solve areas that need improvement in the Samho-dong, which has led to actual improvement. It was analyzed that in order to make Samho-dong better, it was necessary to improve the perception of residents in Samho-dong and cooperate with the local community. Conclusions This study was significant in that it enabled the in-depth exploration and identification of areas of improvement from the participants’ perception of their health environment, considering that as residents, they are the direct stakeholders of the community health environment.

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“…The walking route was a 3.5 km flat course suitable for older adults within the participants' residential village. In response to a previous survey, older adults suggested that they preferred walking around their residence [23]; thus, outdoor exercise was considered more effective than indoor exercise [24]. The community health center selected some villagers and provided them with an opportunity to train as walking specialists.…”

Section: Interventionmentioning

confidence: 99%

Effects of a Physical Exercise Program on Physiological, Psychological, and Physical Function of Older Adults in Rural Areas

Kim

Lee

Kim

2021

IJERPH

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With the increase in the older population, there is a concern for health in older adults. This study aimed to develop a physical exercise program that combined walking and gymnastics for older adults residing in rural areas and to evaluate its effect on their physiological and psychological health and physical function. A quasi-experimental design was adopted. Participants were aged 65 years or older, with 94 and 130 participants in the experimental and control group, respectively. The program was implemented for seven months, from April–October 2016. Walking and gymnastics were performed once a week each, for about 60 and 50 min, respectively. Data were analyzed using the Chi-squared test, Fisher’s exact test, independent t-test, or Mann–Whitney U test. Results revealed that the experimental group participants displayed improved waist circumference (t = 1.70, p = 0.045), body mass index (U = 4691.00, p = 0.002), depressive symptoms (t = −2.94, p = 0.002), upper limb strength (t = 2.27, p = 0.012), and lower limb strength (t = 3.86, p < 0.001). Therefore, it can be presumed that the physical exercise program was effective and beneficial for older adults living in rural areas. This program is expected to contribute to maintaining and improving their health if implemented regularly in the future.

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Analysis of Environmental Correlates with Walking among Older Urban Adults

Cited by 14 publications

References 10 publications

Correlates of Objectively Measured Sitting Time in South Korean Adults: 2014–2015 Korea National Health and Nutrition Examination Survey

Correlates of Objectively Measured Sitting Time in South Korean Adults: 2014–2015 Korea National Health and Nutrition Examination Survey

A participatory practice study for the improvement of sub-regional health vulnerabilities: a qualitative study

Effects of a Physical Exercise Program on Physiological, Psychological, and Physical Function of Older Adults in Rural Areas

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