[Purpose] The present study attempted to verify the effectiveness of an early childhood physical health improvement program (subsequently in the present study, KICCE Early Childhood Health Improvement Program) developed in Korea by modifying and improving the Mission-X: Train Like an Astronaut program developed by NASA to be suitable for children of ages 4 and 5. [Methods] The subjects in the study were 679 children at 7 facilities in Seongnam city, Osan city, and Yongin city, of which 4 were daycares and 3 were kindergartens. The participant group consisted of 339 children, and the control group consisted of 340 children. The program consisted of total 24 activities 3 times a week over 8 weeks, of which 8 activities were related to nutrition and 16 activities were related to physical activity, and in the 9th and 10th weeks, the 16 physical activities were reconfigured and performed 3 times a week. Physical parameters and related fitness parameters were measured before and after the program, and an ANCOVA analysis was performed in which descriptive statistics and scores before the program were the covariate variables. [Results] The results show that first, growth statuses of participant children were in the upper middle section of the distribution, and second, of the 6 fitness developments, flexibility, balance, and quickness were improved, and in most areas, boys and below-normal-BMI group showed beneficial effects. [Conclusion] Thus, KICCE Early Childhood Health Improvement Program is conclusively proven to be effective for early-childhood physical development.
PURPOSE This study aimed to analyze factors associated with physical activity (PA) in older adults based on social ecological theory. METHODS Secondary analysis was conducted using raw data from the 2021 Community Health Survey. after excluding 129 non-responses in the PA domain, a total of 74,363 individuals were included in the final analysis. A total of eight factors, including personal (level of depression, history of falls), relational (relationships with neighbors, living alone), community (satisfaction with the local community system, safety), and environmental factors (living environment, natural environment), were selected in accordance with the key points of social ecological theory. To analyze social ecological factors related to the PA of older adults, we conducted a decision tree analysis using Chi-square automatic interaction detection (CHAID). RESULTS The average PA level among older adults was approximately 136 minutes, but the mode and median were both 0 minutes. A total of 20.2% of older adults met the physical activity recommendations, while 79.8% did not. According to the first split of the decision tree, living alone was the most relevant factor associated with the PA of older adults, followed by depression and falls. Older adults living alone, with a depression score of 10 or higher, and who had experienced a fall within the past year, were least likely to meet the PA recommendations. CONCLUSIONS This study urgently suggests that PA programs should target older adults living alone, experiencing depression, and falls.
Circadian rhythm (CR) is an intrinsic process that changes in a cycle of approximately 24h/day to maintain body homeostasis. It is mainly controlled by the central command through the suprachiasmatic nucleus, and modern society features can disturb the central CR, contributing to various diseases. Recent studies have provided evidence that extrinsic factors, such as regular physical activity (RPA) and timerestricted feeding (TRF), can also alter the CR peripherally, emphasizing RPA and TRF as the non-therapeutic methods for circadian misalignment (CM). Therefore, this review scrutinizes the regulatory mechanism of CR and summarizes the relationships between CM and various diseases. In addition, by reviewing studies investigating the prevention or improvement of CM via RPA and TRF, the value of circadian biology research that can directly affect health, physical function, and lifespan is summarized. By introducing the scientific evidence for RPA and TRF to maintain and improve CR, we tried to emphasize the importance of regular exercise and healthy eating habits to people in the modern world who have difficulty maintaining CR.
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 aims to investigate the problems posed by the new “Health Exercise Managers” qualification system implemented in 2015 and suggest a reformation plan for the qualification definition, written test, and practical–oral test. METHODS Eleven experts working in the academia and the exercise prescription field were selected as research participants using purposive sampling method (professors=5, director of sport science division in national research and development institute=1, head of national/private organization that issue Health Exercise Managers certificates=2, and health exercise managers working at university hospitals =3). The results were collected, examined and classified following numerous discussions among the authors. RESULTS First, the qualification definition should be based on “course completion” in the short term and “department certification” in the long term. Second, the written test can be reformed by identifying the core courses related to health exercise management and merging similar or overlapped courses. Also, the grades should be calculated for each question based on the knowledge gained in related courses. Third, the practical–oral test questions should be publicly available in advance to help candidates better prepare and learn practical skills, rather than set the standards for elimination. CONCLUSIONS An overall reformation of the qualification definition, written test, and practical–oral test will solve the problems posed on the quality of the “health exercise managers” qualification system.
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 The purpose of the study was to determine difference of body composition, bone mineral density and health-related fitness by physical activity level in young women. Methods A total of 90 women aged 19-29 years participated in this study. The subjects were divided into three groups (low, middle, and high level) according to the physical activity level estimated by bone-specific physical activity questionnaire(BPAQ). Body height and weight were measured. Body composition parameters including four sites of bone mineral density(BMD) were estimated by DXA (Hologic, QDR-4500, USA). Health-related fitness tests was assessed using sit & reach, grip strength, sit-ups, and VO2max. Statistical analysis was performed using SAS version 9.4. All data were presented in terms of means and standard deviations. One-way ANOVA was applied to determine difference of dependent variables by physical activity level. Duncan's multiple range test was used as a post-hoc test. The statistical significance level was set at p < .05. Results There were significant differences on body weight(F = 4.867, p = .01), body mass index(F = 5.053, p = .008) and fat-free mass(F = 8.364, p = .0001) among the three groups. Significant differences were found on whole body BMD(F = 16.730, p = .0001), lumbar BMD(F = 11.480, p = .0001), femur BMD(F = 42.182, p = .0001) and forearm BMD(F = 5.560, p = .005) among the three groups. There were also significant differences on sit and reach(F = 11.433, p = .0001), sit-ups(F = 17.972, p = .0001), VO2max(F = 3.106, p = .05) and duration of GXT(F = 7.479, p = .001). Conclusions There were differences on body composition, bone mineral density and health-related physical fitness by physical activity levels. Nevertheless, the questionnaire used in this study was not able to judge participation in various exercise types including aerobic exercise or resistance exercise. Therefore, in the future study, longitudinal study considering various types of physical activity and dietary intake will be needed.
PURPOSE This study assessed Taekwondo’s impact on functional fitness and health-related quality of life (HRQoL) in older women from South Korean multicultural families. METHODS Through purposive sampling, 16 participants were divided into an experimental group that underwent a 12-week Taekwondo training program and a control group without this intervention. RESULTS Pre- and post-intervention assessments showed that the Taekwondo group experienced significant improvements in both functional fitness and HRQoL. These findings suggest that Taekwondo could be an effective physical activity for enhancing the well-being of older women in multicultural families, advocating for inclusion of culturally sensitive physical activities in health promotion programs targeting this demographic. CONCLUSIONS This study contributes to the growing body of evidence supporting physical activity’s benefits for elderly populations, particularly in multicultural family dynamics.
Purpose The purpose of this study was to investigate the effects of aerobic exercise intensity on body composition, health related fitness, and quality of life in elderly women. Methods 48 elderly women over 65 years of age without physical and mental problems were assigned to four groups: control group, low intensity, moderate intensity, and high intensity aerobic training group. The aerobic exercise group applied a heart rate reserve (HRR) to low-intensity group (HRR 40-55%), moderate intensity group (HRR 55-70%), high intensity group (HRR> 70%) for 12 weeks, 3 times a week for 20 minutes a day. Subjects of the control group were to maintain their usual lifestyles during the same intervention period. Body composition, health related fitness, and quality of life were measured and analyzed using repeated two-way ANOVA. Results The main results obtained in this study are as follows. 1) There was a significant decrease in sitting forward bending in the low intensity group and a significant increase in EQ-VAS. 2) There was a significant decrease in body weight, BMI, and 6 minutes walking in the moderate intensity group, and a significant increase in grip strength and EQ-VAS. 3) The high intensity group showed a significant decrease in weight, BMI, waist circumference, sitting forward bending, and 6 minutes walking, and a significant increase in grip strength, sit and stand, functional reach, and VO2max. On the other hand, there was no significant change in all variables in the control group. Conclusions In conclusion, aerobic training was found to be effective for body composition, health related fitness and quality of life in elderly women. In particular, it can be concluded that high intensity aerobic training is effective for health related fitness, and low and moderate intensity aerobic exercise is effective for improving quality of life.
[Purpose] The purpose of this study was to determine the influence of complex exercise and chromium supplement on healthe-related physical fitness, appetite regulating hormones, and diabetes risk factors in obese elementary school students. [Methods] The subjects were 32 obese elementary students over 25 kg/m2 to BMI, 8 complex exercise with high chromium supplement group (CE+HC), 8 complex exercise with low chromium supplement group (CE+LC), 8 complex exercise with placebo group (CE+PL), and 8 placebo group (PL). The subjects have performed the exercise program for 70 minutes a day and 3 times a week with aerobic and anaerobic exercise during 12 weeks. Also, low and high chromium supplement group took a peel 50 ug and 400 ug respectively at the same time and place. [Results] There were significant decreases in body fat to CE+HC compared with CE+PL (p<.05) and significant increase in muscle mass compared with CE+PL (p<.05). However, there were no significant differences in body weight, BMI, muscular strength, muscular endurance, and flexibility between groups. For appetite regulating hormones, there is a significant difference to ghrelin in CE+HC compared with CE+PL (p<.05) and there were significant differences to glucose and insulin significantly decreased in CE+HC compared with CE+PL (p<.05) in diabetes risk factors. [Conclusion] In conclusion, there were positive responses for body composition and diabetes risk factors for the twofold cases through complex exercise and high chromium supplement, but not for physical fitness and appetite regulating hormones.
