Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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Impact of Physical Activity, Body Mass Index and Depression on the Health Related Quality of Life according to the Presence of Hypertension in the Elderly Women

여성노인의 고혈압 유무에 따른 신체활동, 체질량 지수 및 우울이 건강관련 삶의 질에 미치는 영향

  • Kim, Ae-Sil (School of Nursing, Yeungnam University College) ;
  • Bea, Han-Ju (Department of Nursing, Keimyung College University)
  • 김애실 (영남이공대학교 간호학과) ;
  • 배한주 (계명문화대학교 간호학과)
  • Received : 2020.10.07
  • Accepted : 2020.11.06
  • Published : 2020.11.30
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Abstract

This study analyzed secondary data using the results of the 7th Korea National Health and Nutrition Survey in 2018. The aim of this study was to identify and compare the effects of physical activity, body mass index, and depression on the health-related quality of life of elderly women. Specifically, the sample consisted of 550 women with hypertension and 375 women without hypertension. The data were analyzed using descriptive statistics, chi-square test, t-test, and multiple linear regression with the IBM SPSS/WIN 22.0 program. Multiple linear regression analysis showed that age, education, physical activity, body mass index, and depression accounted for 26.9% of the health-related quality of life (HRQOL) in the hypertension group (F=14.30, p<.001), followed by physical activity (t=3.02, p=.003), body mass index (t=-3.12, p=.002), and depression (t=-7.69, p<.001). Education and depression accounted for 31.7% of the QoL in the non-hypertension group (F=4.42, p<.001), followed by depression (t=-5.53, p<.001). Based on these results, a physical activity intervention program will be needed to reduce depression and obesity in older women. Moreover, further research comparing the characteristics of other specific physical activities in elderly women with hypertension is recommended.

본 연구는 2018년 제7기 국민건강영양조사 결과를 이용한 2차 자료 분석이었다. 본 연구의 목적은 65세 이상 여성노인의 신체활동, 체질량지수, 우울이 건강관련 삶의 질에 미치는 영향을 파악하고 비교하기 위함이다. 구체적으로 연구대상자는 고혈압 진단을 받은 여성노인 550명, 고혈압 진단을 받지 않은 여성노인 375명으로 구성되었다. SPSS/WIN 22.0 프로그램을 이용하여 기술통계, chi-square test, t-test, multiple linear regression으로 분석하였다. 다중 선형 회귀 분석결과, 고혈압군에서 나이, 교육, 신체활동, 체질량 지수, 우울이 건강관련 삶의 질에 유의한 예측인자로 확인되었고 설명력은 26.9%였다(F=14.30, p<.001). 즉 신체활동량이 많을수록(t=3.02, p=.003), 체질량 지수가 낮을수록(t=-3.12, p=.002), 우울이 낮을수록(t=-7.69, p<.001) 건강관련 삶의 질이 높았다. 반면, 비고혈압군에서 교육과 우울이 건강관련 삶의 질에 유의한 영향인자로 확인되었고 설명력은 31.7%였다(F=5.37, p<.001). 즉, 우울이 낮을수록 (t=-5.53, p<.001) 건강관련 삶의 질이 높았다. 이러한 결과를 바탕으로 향후 고혈압 질환을 갖고 있는 여성노인을 대상으로 다른 구체적 신체활동의 특성을 비교하는 연구와 여성노인의 우울 및 비만 감소를 위한 신체활동 중재 프로그램의 개발이 필요하다.

Keywords

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