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양윤준,윤영숙,이언숙,신성현,오상우,김두희,김윤호,이서영 대한임상건강증진학회 2005 Korean Journal of Health Promotion Vol.5 No.3
As the evidence that participation in physical activity have benefits for health is growing, it is important to evaluate physical activity accurately. Up to now, although many questionnaires have being used for evaluation of physical activity, there are no self-administered uestionnaires evaluated for these reliability and validity. This study was undertaken to establish the validity and reliability of three self-aministered physical activity questionnaires(International Physical activity Questionnaire translated into Korean(Translated IPAQ), 2004 National Health Interview Survey Questionnaire-Adult HealthBehaviors translated into Korean(Translated NHISQ-AHB), Daily Physical ActivityDistribution table(DPAD table))From September 2004 to January 2005, 20 to 40 aged male volunteers(n=30) who have no history of hypertension, diabetes mellitus, coronary heart disease and pulmonary disease undertook grade treadmill test for getting Peak VO2and filled out three self-administered physical activity questionnaires. And second test with same questionnaires was repeated after 1 week. To evaluate validity, the correlation coefficients between Peak VO2and physical activity from the questionnaires were calculated. And to establish reliability, the correlation coefficients between 1st and 2nd replies to the same questionnaires were calculated In the validity analyses, there wassignificant correlation between the physical activity obtained from the three questionnaires and the Peak VO2(p〈0.05). In the reliability study, significant correlation between physical activity of 1st and 2nd test with same questionnaires was found from Translated IPAQ and Translated NHISQ-AHB, but not from DPAD table Among the three questionnaires evaluated in this study, Translated IPAQ and Translated NHISQ-AHB can be used with confidence to measure physical activity. (Korean J Health Promot Dis Prev 2005 ; 3 :178~189) 신체활동 참여가 건강에 대한 이점이 있다는 증거가 커져감에 따라 신체활동량을 정확히 평가하는 것이 중요해졌다. 현재 신체활동량 평가를 위해 다양한 설문지를 사용하고 있지만 신뢰도와 타당도가 평가된 설문지가 없다. 이번 연구는 자가기입식신체활동 설문지 3종(International Physical Activity Questionnaire(IPAQ) short form 한글 번역판, 2004 National Health Interview Survey Questionnaire-Adult Health Behaviors(NHISQ-AHB) 한글 번역판, 1일 신체활동 분포표(Daily Physical Activity Distribution Table, DPAD table))의 타당도와 신뢰도를 평가하기 위해 시행되었다.2004년 9월부터 2005년 1월까지 고혈압, 당뇨병, 심장 질환, 폐질환의 과거 병력이 없는 20~40세 성인 남자 자원자를 대상으로운동부하검사(Graded exercise test)를 시행하여 Peak VO2 측정하였으며 세 종류의 자가기입식 신체활동 설문지를 이용하여 신체활동량을 조사하였다. 1주 후 동일 설문지를 반복 조사하였다. 설문지를 이용하여 조사한 신체활동량과 운동부하검사에서 측정한 Peak VO2의 상관계수를 구하여 설문지의 타당성을 평가하고 신뢰도 평가를 위해 설문지의 문항 각각에 대해 1차조사 설문 응답과 2차 조사 설문 응답 사이의 상관계수를 구하였다.본 연구에서 사용된 세 가지 설문지 모두 신체활동량(Met-min/wk)과 운동부하검사로 측정한 Peak VO2가 통계적으로 유의한 상관관계를 보여 설문지의 타당성이 있었다(p〈0.05). 신뢰도 조사를 위해 문항별로 구한 1차와 2차 설문조사 응답 사이의 상관계수가 NHISQ-AHB 한글 번역판과 IPAQ short form 한글 번역판에서 유의한 값을 보였다. 1일 신체활동 분포표의 경우1차, 2차 응답이 유의한 상관성을 보이지 못했다.이번 연구에서 타당도와 신뢰도를 평가한 3가지 자가기입식 설문지(IPAQ short form 한글 번역판, NHISQ-AHB 한글 번역판, 1일 신체활동 분포표)중 2가지(IPAQ short form 한글 번역판, NHISQ-AHB 한글 번역판)는 신체활동량을 평가하기 위한도구로서 유용하다.
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양윤준 대한의사협회 2017 대한의사협회지 Vol.60 No.10
Aerobic and muscle-strengthening exercise is essential for weight management, in addition to diet control. Engaging in moderate-intensity aerobic exercise for 150 to 300 minutes a week and in muscle-strengthening exercise more than twice a week is recommended to reduce obesity. High-intensity aerobic exercise is also effective and can save time. Extra caution is needed to prevent injuries during high intensity exercise. Diabetic patients should prevent hypoglycemia and monitor the status of their feet. Exercise modification is needed in patients with complications of diabetes. Individuals with hypertension can do muscle-strengthening exercises safely. Lower-impact exercises are recommended for patients with osteoarthritis and extremely obese patients.
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2001 국민건강영양조사에 의한 우리나라 성인의 신체활동도
양윤준,윤영숙,이언숙,오상우 대한가정의학회 2005 Korean Journal of Family Medicine Vol.26 No.1
Background: The assessment of how much people exercise needs to be analyzed in order to promote their health status. Methods: Accordingly, 2001 Korean National Health and Nutrition Survey was performed during a two- month period beginning November 1st, 2001. Questionnaires on physical activities have been completed by 9,170 persons (88.45%) among 10,368 persons over 12 years old. We analyzed 7,838 subjects who were over 20 years old. Results: Among the total, 71.8% persons of the respondents did not work out at all. Among them, 14.9% respondents were classified as lower exercise group, 6.9% middle exercise group and 6.4% as higher exercise group. The number of middle and higher exercise groups were increased on 2001 survey compared to those in 1998. Daily walking hours were 65.8±73.6 minutes. A proper amount of exercise were performed by older age groups than those in their twenties, by town residents than villagers, by unmarried people than married or divorced or bereaved ones, by higher educated people, by people with more weight, by those who were felt less stress, and by non drinkers. Favorite exercises were walking, mountaineering, jogging and working out at a fitness club which were chosen by 62.6% of the respondents. Conclusion: Many respondents did not work out at all and overall exercise rate was low. The rate of proper exercise was different by demographic features. 연구 배경: 운동은 국민 건강 향상에 필수적이므로 국민의 운동실천율을 적절하게 향상시킬 필요가 있다. 이를 위해서는 현재 운동실천율을 파악할 필요가 있다. 방법: 2001년 국민건강영양조사 자료를 이용하였다. 운동에 관한 조사는 설문조사로 12세 이상 인구 총 10,368명에 대해 시행하였고, 이중 88.45%인 9,170명이 조사가 완료되었다. 본 연구는 이중 20세 이상 인구 7,838명을 대상으로 분석하였다. 결과: 비운동군 71.8%, 낮은 운동량 14.9%, 중간 운동량 6.9%, 높은 운동량 6.4%였다. 1998년에 비해 2001년에는 비운동군과 낮은 운동량군이 조금 줄고 중간 및 높은 운동량 군이 조금 늘었다. 출퇴근 포함 평소 하루 걷는 시간은 65.8±73.6분이었다. 적절한 운동은 20대에 비해 30대 이상 모든 연령군이, 시골보다 도시 지역에서, 유배우자와 기타보다 미혼이, 교육 수준이 높은 경우, 체중이 늘수록, 스트레스가 거의 없다고 느끼는 군에서, 현재 음주자보다 비음주자가 더 많이 실시하고 있었다. 운동 종류는 걷기, 등산, 조깅, 헬스 등을 선호하는데 20세 이상 운동하는 사람의 62.6%가 시행하고 있었다. 결론: 비운동군이 71.8%로 운동실천율이 높지 않고 인구학적 특성에 따라 다르게 나타났다.
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양윤준 대한의사협회 2022 대한의사협회지 Vol.65 No.12
Background: Physical activity is vital for health promotion and maintenance. The proportion meeting the guidelines for basic physical activity recommended by the World Health Organization is not high. Insufficient physical activity combined with aging can lead to development of various chronic diseases, increasing risks of complications. To prevent cardiovascular disease, cancer, and musculoskeletal diseases, and to promote mental health, it is necessary to increase physical activity. Current Concepts: The global insufficient aerobic physical activity rate was 27.5% in 2016. In Korea, the rate of aerobic insufficient physical activity in adults over the age of 19 was 54.4% in 2020 (51.7% for men and 57% for women). The rate in adults aged 19 to 64 was 53.9% (male 51.8% and female 56.1%), can reach 66.8% (male 59.2% and female 73%) in those 65 years and older, and can be as high as 94.1% (male 91.3% and female 97.1%) in adolescents. Discussion and Conclusion: To promote physical activity, national and local governments, civic organizations, public health centers, workplaces, schools, and medical institutions must all work together. Medical personnel are in a good position to encourage physical activity in patients following occurrence of a disease. Physical activity of patients should be constantly encouraged by identifying the levels of physical activity for all patients, encouraging physical activity, providing motivation through information, and re-monitoring the progress of physical activity.
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