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1.
J Autism Dev Disord ; 50(1): 333-339, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31630294

RESUMO

The prevalence of autism spectrum disorder (ASD) is increasing worldwide. We investigated the economic burden of ASD in South Korea using a nationally representative data source. The direct medical and non-medical costs, and indirect costs resulting from ASD were estimated. The total prevalence was 5.04 (per 100,000) in 2008, and 10.97 in 2015. The economic cost of ASD was estimated to be $2,700,596 in 2008 and $9,645,503 in 2015. Of the total economic cost in 2015, 72.3% was from direct costs and 27.7% from indirect costs, and 87.5% related to male patients and 12.5% to female patients. The results suggest that the increase in economic costs was greater than the increase in prevalence.

2.
Am J Health Behav ; 44(1): 90-99, 2020 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-31783936

RESUMO

Objectives: Androgen-deprivation therapy (ADT) for prostate cancer (PCa) is associated with reduced physical function and quality of life (QoL). We investigated the impact of a structured lifestyle intervention on the promotion of physical activity (PA) and reduction of sedentary behavior (SB), and its effect on QoL in men on ADT. Methods: Patients with advanced PCa on long-term ADT were randomized to the intervention (N = 11) or a control arm (N = 10) between February 2018 and May 2019. The intervention group received a structured lifestyle intervention including motivational text messages for 8 weeks (maintenance visit at week 12). At each visit, self-report measures and accelerometer data were used to assess PA and SB, and questionnaires were used to measure QoL, life satisfaction, anxiety, and depression. Results: Significantly greater improvements in QoL and depression compared to baseline were reported in the intervention group compared to the control group. In addition, the intervention group also showed a significantly greater increase in self-reported light, as well as moderate-to-vigorous PA, and reduction in self-reported SB. Conclusions: Given its inherent advantage in improving QoL and reducing depression, a lifestyle intervention program should be offered to patients on ADT.

3.
Asian Nurs Res (Korean Soc Nurs Sci) ; 13(5): 313-317, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31778826

RESUMO

PURPOSE: There is a growing number of older adults moving into assisted-living facilities to maintain their independence while being assisted with certain tasks and having convenient access to services. Physical activity (PA) and vitality play an important role in independence, as well as in mental health, of older adults. However, no research has examined the difference in older adults' levels of vitality (defined as the state of feeling alive and alert) between those living in assisted-living facilities and those from community-living settings. This study also explored sociodemographic predictors of PA and vitality among older adults living in two different types of housing. METHODS: This cross-sectional study examined differences in PA levels and vitality between older adults (aged ≥ 60 years; n = 148, mean age = 74.70 years) living in assisted-living facilities (n = 85, mean age = 77.46 years) and those in community-living settings (n = 63, mean age = 70.98 years). PA was assessed by accelerometry, and vitality was measured using the subjective vitality scale. RESULTS: Engagement in light PA and moderate to vigorous PA was higher in individuals living in community-living settings after controlling for sociodemographic variables. However, vitality was not significantly different between the two types of housing after controlling for sociodemographic variables. Marital status, education, and number of diagnosed diseases were associated with vitality. CONCLUSION: The support is needed for designing strategies to increase PA in older adults living in assisted-living facilities. More attention should be paid to increasing subjective vitality of older adults in both types of housing to promote healthy aging.

4.
Artigo em Inglês | MEDLINE | ID: mdl-31640281

RESUMO

Despite the increasing prevalence and economic burden of dyslipidemia in South Korea, we have little data on the physical activity of patients. Thus, we aimed to investigate how quality of life among patients with dyslipidemia is influenced by a combination of the following variables: light physical activity (PA), sedentary behavior (SB), perceived body shape, and body mass index (BMI). We examined data from the Sixth Korean National Health and Nutrition Examination Survey (KNHANES VI 2015), collected in 2015 by the Korean Centers for Disease Control and Prevention. The analysis included 534 individuals with dyslipidemia out of 7380 survey participants. Latent profile analysis identified three latent classes of individuals based on their physical profiles. Class 1 patients (active; n = 48) were more active, possessed more positive views of their body shape, were less sedentary, and had a lower BMI than Class 3 patients (inactive; n = 154). Class 2 patients (moderate; n = 331) had profiles in between the other two classes. Additionally, Class 1 and 2 patients had better quality of life than Class 3 patients. Our results suggest that promoting light PA and altering perceived body shape through counselling may improve quality of life in patients with dyslipidemia.

5.
Medicine (Baltimore) ; 98(39): e17287, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31574848

RESUMO

Evidence suggests that mental health is associated with multiple factors such as physical activity, sedentary behavior, and physical function in older adults. The present study used latent profile analysis to identify classes of older adults based on their health profile among a representative sample of Korean older adults with hypertension. Differences in mental health between these classes were also examined.Seven hundred and sixty seven participants (mean age = 70.23, SD = 6.08; men 45.6%) were included in the analysis.There were 3 latent classes (class 1: a physically inactive lifestyle with low physical function and body perception; class 2: a physically moderate lifestyle with moderate physical function and low body perception; class 3: a physically active lifestyle with high physical function and body perception). According to class comparisons, older adults in class 3 had significantly lower anxiety/depression levels than classes 1 and 2. Older adults in class 3 had significantly lower stress levels than class 1.It is possible that among older adults, having a positive attitude of one's body shape may also be important for improving anxiety/depression along with having a physically active lifestyle and maintaining physical function.


Assuntos
Imagem Corporal/psicologia , Força da Mão , Hipertensão/psicologia , Postura Sentada , Caminhada , Idoso , Idoso de 80 Anos ou mais , Ansiedade/psicologia , Estudos Transversais , Depressão/psicologia , Exercício/psicologia , Feminino , Humanos , Hipertensão/fisiopatologia , Análise de Classes Latentes , Estilo de Vida , Masculino , Pessoa de Meia-Idade , Inquéritos Nutricionais , Percepção , República da Coreia , Estresse Psicológico/psicologia
6.
Am J Health Behav ; 43(6): 1040-1049, 2019 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-31662164

RESUMO

Objectives: In this study, we examined factors of moderate-to-vigorous physical activity (MVPA) and sedentary behavior (SB) in elderly Koreans. Methods: We used 2015 data from the Sixth National Health and Nutrition Examination Survey. To analyze physical activity (PA), we categorized participants were into those who met MVPA recommendations (150 minutes/week of moderate PA or 75 minutes/week of vigorous PA) or those who did not. We also categorized them into high SB (620-1200 minutes/day of sitting) and low SB (30-600 minutes/day). Results: Final analyses included 1501 adults over 60 years old (mean: 69.2 ± 6.2). We performed multiple logistic regressions examining impacts of grip strength and body mass index, along with self-reports of perceived health, sleep duration, and demographics on PA and SB. We found positive associations between meeting MVPA guidelines and self-perceived health and urban living, but negative associations with sleep duration and education. A strong grip, high self-perceived health, long sleep duration (8-14 hours), and living with a partner were factors of being less sedentary. High annual income was a factor of being more sedentary. Conclusion: Our findings support efforts that develop interventions promoting active lifestyles among elderly Koreans.

8.
Ann Behav Med ; 52(1): 19-28, 2018 01 05.
Artigo em Inglês | MEDLINE | ID: mdl-28646335

RESUMO

Background: Little attention has been paid to within-person daily associations among light physical activity (PA), moderate-to-vigorous physical activity (MVPA), and sedentary behavior (SB) with subsequent bodily pain and fatigue. Daily reports of pain and fatigue are less likely to be affected by recall bias and to conflate days of high and low pain/ fatigue into one overall score. Purpose: The purpose of this study was to examine daily within-person associations between pain, fatigue, and physical health and ascertain whether such associations are moderated by individual differences in these variables. Methods: Participants were 63 community-living older adults (female n = 43, mean age = 70.98 years). Questionnaires measured typical levels of PA, SB, bodily pain, fatigue, and physical health. Subsequently, on a daily basis over a 1-week period, participants' levels of light PA, MVPA, and SB were measured using accelerometers. Participants completed a questionnaire rating their pain and fatigue at the end of each day. Results: Multilevel modeling revealed positive within-person associations between daily light PA, dailyMVPA, and pain, as well as negative within-person associations between daily SB and pain. For individuals with higher typical levels of fatigue, there was a negative association between daily light PA, MVPA, and fatigue. For individuals with better levels of physical health, there was also a negative association between daily MVPA and fatigue. For those with higher typical levels of fatigue and better levels of physical health, there was a positive association between daily SB and fatigue. No such interaction effects were found between high levels of typical pain and PA or SB. Conclusions: Our findings indicate that efforts to promote daily PA in older adults might be more effective for those who report high typical levels of fatigue and physical health, compared to those who report high levels of daily physical pain.


Assuntos
Dor Crônica , Exercício , Fadiga , Nível de Saúde , Comportamento Sedentário , Idoso , Dor Crônica/diagnóstico , Fadiga/diagnóstico , Feminino , Humanos , Masculino , Prognóstico
9.
Appl Psychol Health Well Being ; 9(1): 60-80, 2017 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-28332337

RESUMO

BACKGROUND: The current study used latent profile analyses to identify classes of older participants based on physical health, physical function, light physical activity, moderate-to-vigorous physical activity, and sedentary behavior, and then examined differences in mental health between these classes. METHODS: Eighty-five residents (M = 77.5 years old, SD = 8.2) from assisted living facilities participated. Light physical activity, moderate-to-vigorous physical activity, and sedentary behavior were assessed by accelerometers, physical function was measured using different tasks (mobility, grip strength, and spirometry), and body mass index was calculated. Mental and physical health (i.e. anxiety, depression, fatigue, vitality, and subjective mental and physical health) were assessed by questionnaires. RESULTS: Latent profile analyses revealed three classes: "Class 1: Low physical function and physical activity with a highly sedentary lifestyle" (27.1%), "Class 2: Moderate physical function and physical activity with a moderate sedentary lifestyle" (41.2%), "Class 3: High physical function and physical activity with an active lifestyle" (31.8%). The results revealed that the latter class reported better mental health than the other two classes. CONCLUSIONS: This study suggests that health promotion for older adults might benefit from identifying profiles of movement-related behaviors when examining the links between physical activity and mental health. Future study should test the intervention potential of this profiling approach.


Assuntos
Atividades Cotidianas/psicologia , Moradias Assistidas , Exercício/psicologia , Comportamentos Relacionados com a Saúde , Transtornos Mentais/psicologia , Comportamento Sedentário , Idoso , Idoso de 80 Anos ou mais , Inglaterra , Feminino , Avaliação Geriátrica/estatística & dados numéricos , Humanos , Masculino , Inquéritos e Questionários
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