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KMID : 1143420180110200630
Public Health Weekly Report
2018 Volume.11 No. 20 p.630 ~ p.638
Development of a community physical activity program and evaluation of its effectiveness for elderly women: a pilot study
Lim Hee-Sook

Park Yoon-Hyung
Kim Tae-Hee
Lee Hae-Hyeog
Park Chan-Young
Lim Joong-Yeon
Park Hyun-Young
Kim Won-Ho
Abstract
Background: Korea is experiencing a population decline and rapid aging. The life expectancy of women is greater than that of men, but these extra years generally do not involve good health for women. This study aimed to develop a differentiated physical activity program based on local community health promotion for elderly women and to evaluate the program¡¯s effectiveness.

Methods/results: The participants were divided into an exercise group (n = 57) and a control group (n = 52). The exercise
group underwent a regular physical activity intervention program 3 times a week for 12 weeks. We compared changes in
anthropometric characteristics between before and after a application of the program, and the percentage of body fat mass
decreased significantly in the exercise group. The exercise group also showed a significant decrease in total cholesterol (TC) and low-density lipoprotein (LDL) cholesterol levels. In particular, the change in triglyceride levels after application of the program was approximately 54.3 mg/dl (range from 171.9 mg/dl pre-exercise to 117.6 mg/dl post-exercise). Basal physical fitness improved markedly among the exercise group participants. On the other hand, in the control group, with no application of a regular physical activity program, the body fat mass and the of LDL-cholesterol levels slightly increased after 12 weeks. Additionally, sarcopenia was seen to have significantly decreased after physical activity programs.

Conclusion: The elderly women undergoing a regular exercise program showed improvement across several health indices through reduction in hyperlipidemia, hypercholesterolemia, and sarcopenia, leading to improved physical fitness. Further studies that consider psychosocial factors and nutrition status should be undertaken to increase the effectiveness of the regular physical activity program applied in this study.
KEYWORD
Elderly women, Physical activity, Health program, Skeletal muscle index, Muscle mass
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