Purpose
This study examined physical activity and health-related factors affecting Health-Related Quality of Life (HRQoL) in older adults with lower educational levels.
Methods
Data were obtained from the Seventh Korea National Health and Nutrition Examination Survey (Ⅶ-1, 2016; Ⅶ-2, 2017). The sample consisted of 2,985 individuals aged 65 years or older, and the focus was on 1,788 older adults with low educational levels. The data were analyzed using an independent t-test, x2 test, and hierarchical multiple linear regression using the SPSS/WIN 24.0 program.
Results
The results of the hierarchical multiple regression analysis showed that subjective perceived health, cognitive stress, number of chronic diseases, and daily activity explained 25% of the variance in HRQoL after controlling for age and gender. In final model, physical activity types explained an additional 1% of the variance in HRQoL; walking was a significant predictor. Especially, among the various physical activity types, walking proved important for HRQoL. While aerobic exercise and strength exercise were associated with health status, in the hierarchical multiple regression analysis, they did not have an impact on HRQoL.
Conclusion
A walking-centric health care program to improve physical activity should be considered for HRQoL improvement in older adults with lower educational levels. Further research should consider how aerobic exercise and strength exercise could contribute to HRQoL improvement in this population.

Citations

• The Mediating Effect of Physical Activity on the Relationship between Depression and Health-related Quality of Life among Patients with Hypertension and Diabetes in Seoul
  In-Young Yoo
  Journal of The Korean Society of Living Environmental System.2025; 32(2): 179.     CrossRef
• The impact of health literacy, walking practice, and sarcopenia on health-related quality of life in rural older adults: A cross-sectional descriptive study
  Yun Mi Lee, Eun-Jung Kim
  Journal of Korean Gerontological Nursing.2025; 27(2): 226.     CrossRef
• Effects of sleep quality and physical activity measured by a Fitbit and self-rated questionnaire on the health-related quality of life in community-dwelling older adults: A cross-sectional study
  Mi Ui Jeong, Yeongmi Ha
  Journal of Korean Gerontological Nursing.2024; 26(1): 43.     CrossRef
• Prediction model of health-related quality of life in older adults according to gender using a decision tree model: a study based on the Korea National Health and Nutrition Examination Survey
  Hee Sun Kim, Seok Hee Jeong
  Journal of Korean Biological Nursing Science.2024; 26(1): 26.     CrossRef
• Factors Associated with Poor Self-Rated Health among Older Women Living Alone
  Eunha Kim, Hye Young Choi
  International Journal of Environmental Research and Public Health.2022; 19(18): 11182.     CrossRef
• Associated Factors with Health-related Quality of Life among Older Adults with Diabetes in Korea
  Eun-Kyung Lee, Sun-Young Jung
  The Korean Journal of Rehabilitation Nursing.2022; 25(2): 61.     CrossRef
• Factors Influencing Health-Related Quality of Life among Korean Seniors with Osteoarthritis: Focusing on 10-Year Duration with Osteoarthritis Disease
  Hye Young Choi
  Korean Journal of Adult Nursing.2020; 32(5): 526.     CrossRef

PURPOSE
The purpose of this study was to identify the effects of reinforced walking exercise on dyspnea-fatigue symptoms, daily activities, walking ability and health related quality of life (HRQoL) in heart failure patients.
METHODS
This study used a randomized controlled trial design. The participants (experimental group=16, control group=25) were recruited from a university hospital in Kyeong-nam area. Data were collected from March to September, 2015. The reinforced walking exercise included goal setting and feedback (telephone and text message) provided for 12 weeks. Dyspnea-Fatigue Index, Korean Activity Scale/Index (KASI), six-minute walking distance (6MWD) and HRQoL were measured. Data were analyzed using descriptive statistics, t-test, Fisher's exact test, χ2 test, and Kolmogrove-Smirnov test.
RESULTS
Prior to the intervention there were no differences in the research variables between two groups. The exercise compliance in the experimental group was 100% (walking for 50 minutes per day, 5 times per week). The experimental group had improved dyspnea-fatigue symptoms (t=8.63, p<.001), daily activities (t=-4.92, p<.001), longer 6MWD (t=-5.66, p<.001), and increased HRQoL (t=-9.05, p<.001) compared to the control group.
CONCLUSION
The reinforced walking exercise could be a cost-effective intervention in heart failure patient, which could enhance patients' outcomes, such as improving dyspnea-fatigue symptoms, daily activities, walking ability, and quality of life.

Citations

• A Case Report on the Improvement of Dyspnea and Edema Caused by Heart Failure Through a Complex Korean Medicine Treatment
  Jumin Kim, Hyeryun Lee, Hyungsun Jun, Dasol Park, Jungtae Leem
  The Journal of Internal Korean Medicine.2025; 46(1): 172.     CrossRef
• Exercise-based cardiac rehabilitation for adults with heart failure
  Cal Molloy, Linda Long, Ify R Mordi, Charlene Bridges, Viral A Sagar, Edward J Davies, Andrew JS Coats, Hasnain Dalal, Karen Rees, Sally J Singh, Rod S Taylor
  Cochrane Database of Systematic Reviews.2024;[Epub]     CrossRef
• Home-based versus centre-based cardiac rehabilitation
  Sinead TJ McDonagh, Hasnain Dalal, Sarah Moore, Christopher E Clark, Sarah G Dean, Kate Jolly, Aynsley Cowie, Jannat Afzal, Rod S Taylor
  Cochrane Database of Systematic Reviews.2023;[Epub]     CrossRef
• The Effects of Exercise-Based Interventions on Fluid Overload Symptoms in Patients with Heart Failure: A Systematic Review and Meta-Analysis
  Mei Rosemary Fu, Yuan Li, Catherine Conway, Alessandra Masone, Jinbo Fang, Christopher Lee
  Biomedicines.2022; 10(5): 1111.     CrossRef
• Effects of Smartphone-Based Compensatory Cognitive Training and Physical Activity on Cognition, Depression, and Self-Esteem in Women with Subjective Cognitive Decline
  Yanghee Pang, Oksoo Kim
  Brain Sciences.2021; 11(8): 1029.     CrossRef

PURPOSE
The purpose of this study was to examine the effects of a walking program for office workers in terms of social cognitive theory, walking activities and physiological indexes.
METHODS
A nonequivalent control group pretest-posttest design was used. The sample consisted of 50 office workers who were identified as having low levels of physical activity according to the International Physical Activity Questionnaire (IPAQ Research Committee, 2005). The participants were recruited from two companies in Seoul. Of the 50 participants, 26 were assigned to the non-equivalent experimental group and 24 to the control group. The walking program consisted of six didactic sessions via e-mail, two individual telecoaching sessions and three support group meetings over ten weeks. Data were analyzed using SPSS 17.0 program.
RESULTS
The non-equivalent experimental group reported significantly higher posttest scores in walking activities and adhering to the walking protocol than the control group. There were no differences in reported self-efficacy, outcome expectations, body mass index and blood pressure between the two groups.
CONCLUSION
These findings indicate that a walking program based on social cognitive theory is effective in increasing physical activities for office workers.

PURPOSE
To examine the effects of power walking exercise on fatigue and overweight in college students with Taeumin constitution. METHODS: According to results of the constitution diagnosis (QSCC II), 58 students who were identified as Taeumin, whose BMI was over 23 were assigned to one of three groups. The power walking group walked fast at a speed of 7,000 steps per hour using a pedometer, and the walking group walked at a speed of 5,000 steps per hour. There was no treatment with control group. Each group's fatigue level, blood lipids and body composition before and after the experiment were compared and analyzed. RESULTS: Total fatigue and total cholesterol decreased significantly in the power walking group compared to the walking group and the control group. Weight decreased significantly in the power walking group compared to the control group, and percentage of body fat decreased significantly in both the power walking group and the walking group compared to the control group. CONCLUSION: When power walking exercise was used with overweight Taeumin students, fatigue, blood lipid, weight and percentage of body fat decreased significantly.