Purpose The purpose of this study was to evaluate the moderate to vigorous physical activity(MVPA) and sedentary time measured by accelerometer. Furthermore, the level of physical activity and adherence rate of physical activity guideline(PAG) were compared with the self-reported questionnaire. Methods The MVPA, sedentary time, and adherence rate of PAG according to age and sex were examined to people who agreed to wear accelerometers among the participants of the 2014-2015 Korea National Health and Nutrition Examination Survey. To compare the relationship between accelerometer and self-reported questionnaire, Chi-squared test and Spearman correlation analysis were performed. Results The MVPA of the accelerometer-total(AT) was 40.6 minutes/day for men and 31.1 minutes/day for women. Sedentary time was 502.9 minutes/day for men and 498.9 minutes/day for women. The MVPA of accelerometer-bout(AB) estimates was 16.4 minutes/day for men and 14.2 minutes for women. On the other hand, the MVPA of the self-report was 95.8 minutes for men and 64.3 minutes for women, and the sedentary time was 471.2 minutes for men and 455.2 minutes for women. The adherence rate of PAG was 55.6% of the self-report, 56.1% of the AT, and 21.4% of the AB. The correlation between self-report and accelerometer was statistically significant(p < 0.01), but showed a weak correlation coefficient(rho=0.112-0.351). There was no association between AB and self-report(p < 0.01). The sensitivity and specificity of the self-report were 71.3% and 48.6%, respectively. The positive and negative predictive values of the self-report were 27.5% and 86.1%, respectively. Conclusions As a result of this study, self-reported physical activity level by questionnaire had more MVPA and less sedentary time than the accelerometer-determined physical activity. In addition, the adherence rate of the PAG differed from accelerometer and self-report. The difference was significantly increased when comparing AB with the self-report. Therefore, great care must be taken when interpreting accelerometer and self-report questionnaire. Further research will be needed on specific methods that can be used by complementing the two measurement tools.
PURPOSE This study aimed to examine the associations between accelerometer-measured physical activity and both cardiometabolic disease risk factors and metabolic syndrome in Korean adults. METHODS We performed a retrospective cohort study with age-sex matched case-control using data from the 2014-2016 Korea National Health and Nutrition Examination Survey, which was administered to South Korean adults (n=320). Individuals were categorized into quartiles based on accelerometer-measured moderate-to-vigorous physical activity (MVPA). Demographic and physical characteristics, waist circumference, visceral adiposity index, blood pressure, lipid profiles, and TG/HDL-C were observed. The associations between MVPA status and cardiometabolic disease risk factors as well as metabolic syndrome were determined using multiple logistic regression. RESULTS For the waist circumference, SBP, DBP, MBP, visceral adiposity, triglyceride, and a surrogate estimate of insulin resistance, the Q1 and Q2 groups had higher means compared with the Q3 and Q4 groups. HDL-C was higher in the Q3 and Q4 groups compared to the Q1 and Q2 groups. Odds ratios for cardiometabolic disease risk factors and metabolic syndrome decreased in a curvilinear manner with the increasing quartile of MVPA. CONCLUSIONS Adults with higher MVPA participation were strongly associated with cardiometabolic disease risk factors and metabolic syndrome.
The purpose of this study was to investigate the relationship between depression and bone mineral density in Korean elder men (55+), and test mediating role of health behaviors. Korean National Health and Nutrition Examination Survey 2006-2011 data were analyzed. Bone mineral density was measured using DXA. Depression was measured by whether a participant had diagnosed depression, depressed mood lasted longer than 2 weeks, and/or suicidal thinking. Mediating health behaviors were serum vitamine D, calcium intake, high-risk drinking, endurance physical actiity, and resistance exercise. The associations among depression, health behaviors, and bone mineral density with demographic covariates were tested by linear regression, logistic regression, and path analysis. Diagnosed depression was not significantly associated with bone mineral density. Men who experienced substantial depressed mood and suicidal thinking has significantly lower bone mineral density than non-experienced counterparts. The effect of suicidal thinking on bone mineral density was mediated by endurance physical activity only. This study results suggest that elder men who experienced severely depressed mood and suicidal thinking were at-risk population for osteopenia. Also, physical activity intervention seems to be a priority to prevent osteoporosis comorbidity in depressed people.
This study examined the association between physical activity (PA) and the prevalence of chronic disease and chronic depression. Additionally, the relationships between PA and health-related quality of life (HRQoL) among general population, categorized by healthy, chronic disease and depression were investigated. Cross-sectional data includes 9,739 participants (4,351 males, 5,659 females, over 19 years old) who completed physical activity, chronic disease and HRQoL questionnaires from The Fifth Korea National Health and Nutrition Examination Survey (KNHANES). Complex samples frequency, descriptive, cross-tab and logistic analysis were used. Estimated prevalence of chronic disease and depression were significantly different between PA levels and frequency. Based on odds ratios (OR) and 95% confidence intervals (CI), participating in lower levels of daily PA including less resistance and flexibility exercise were associated with an increased likelihood of chronic disease. Less frequency of resistance PA was also associated with an increased likelihood of depression. Estimated prevalence of HRQoL was different according to PA in the healthy and chronic disease populations. Adjusted OR and confidence intervals represented through lower levels of daily PA and less frequency of resistance PA were associated with an increased likelihood of poor HRQoL in the chronic disease population. No significant OR between PA and HRQoL in the depression population was observed.
[Purpose] This study evaluated the predictive power of Body Mass Index (BMI) for metabolic syndrome in older adults across pre-, during-, and post-COVID-19 periods, and examined the effects of metabolic syndrome factors on BMI by income level, aiming to inform elderly health management and crisis-related policies. [Methods] Data from 6,242 older adults (aged 65–80) were drawn from the 2019–2022 Korea National Health and Nutrition Examination Survey. Income was divided into quartiles, and time was segmented into pre-, during-, and post-pandemic periods. Multiple linear regression was used to assess the effects of metabolic syndrome factors (diabetes, abdominal obesity, low HDL, hypertension, hypertriglyceridemia) on BMI by income and period. Receiver Operating Characteristic (ROC) analysis evaluated BMI’s predictive power for metabolic syndrome. Significance was set at .05. [Results] Abdominal obesity and low HDL consistently influenced BMI across all groups. In the lowest income group, hypertension increasingly affected BMI during and after the pandemic. BMI Area Under the Curve (AUC) values peaked during the pandemic in this group, while the highest income group showed stable predictive power. [Conclusion] The COVID-19 pandemic had a differential impact on the association between BMI and metabolic syndrome among older adults according to income level. In low-income older adults, the predictive power of BMI for metabolic syndrome increased during the mid-pandemic period, while it remained stable across all periods in high-income groups. Systematic health management programs and policy interventions targeting low-income older adults are required to reduce health disparities during public health crises.
