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Determinants of Physical Activity among Older Adults Through Social Ecological Theory: 2021 Community Health Survey
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사회생태학 이론을 통한 노인 신체활동 결정요인 분석 : 2021년 지역사회건강조사

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Type
Academic journal
Author
Chul Woong Lee (서울시립대학교) Byung mo Ku (용인대학교)
Journal
한국스포츠정책과학원 체육과학연구 체육과학연구 제35권 제1호 KCI Accredited Journals
Published
2024.3
Pages
44 - 52 (9page)

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Determinants of Physical Activity among Older Adults Through Social Ecological Theory: 2021 Community Health Survey
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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.
#노인 #신체활동 #지역사회건강조사 #사회생태학이론 #의사결정나무분석 #Older adults #Physical activity #Community health survey #Social ecological model #Decision tree analysis

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