Physical Activity Level Among Military Veterans in Marang, Terengganu, Malaysia
DOI:
https://doi.org/10.3923/pjn.2020.367.373Keywords:
Body mass index, lifestyle, military veterans, obesity problem, physical activityAbstract
Background and Objective: The increase in obesity among male military veterans (MVs) is often associated with low levels of physical activity and unhealthy food intake. This situation causes various health diseases if actions are not undertaken to overcome this problem. Therefore, this study aimed to evaluate the level of physical activity and to determine the relationship between body mass index (BMI) and physical activity level among MVs in Marang, Terengganu, Malaysia. Materials and Methods: This study involved 209 male MVs aged 40-60 years old. Data collection involved anthropometric measurements, including weight, height and waist circumference (WC). Meanwhile, the instrument comprised questions regarding sociodemographic characteristics, health status and physical activity habits. The physical activity level (PAL) was measured using the International Physical Activity Questionnaire (IPAQ). Results: This study showed that 41.1% of the respondents were categorized as normal weight, 42.1% overweight and 16.8% obese. The mean weight, height, BMI and waist circumference were 75.213.5 kg, 169.76.3 cm, 26.14.2 kg m–2 and 83.99.7 cm, respectively. A total of 20% of respondents showed a WC of more than 90 cm and were considered to be at high risk of cardiovascular disease and diabetes. Most of the subjects preferred sedentary behaviour, such as watching television/listening to the radio (52.6%), to exercise (7.2%). The average PAL of the respondents was 2445.8±642.1, with most of the respondents reporting a moderate PAL (81.3%) compared to a high (15.8%) or low PAL (2.9%). There was a negative correlation (p<0.01) between BMI and low, medium and high MET physical activity scores r = 0.210, p = 0.002; r = 0.638, p<0.001; r = 0.423, p<0.001, respectively). Conclusion: Most of the MVs in this study had moderate PALs. The Veterans Association of Malaysia Armed Forces can use the information collected to plan health-related programmes to prevent unhealthy lifestyles and chronic diseases among MVs.
References
Balboa-Castillo, T., L.M. León-Muñoz, A. Graciani, F. RodrÃguez-Artalejo and P. Guallar-Castillón, 2011. Longitudinal association of physical activity and sedentary behavior during leisure time with health-related quality of life in community-dwelling older adults. Health Qual. Life Outcomes.
Anne-Marie, H., T. Hoffmann, S. McPhail, C. Beer, K.D. Hill, S.G. Brauer and T.P. Haines, 2011. Factors associated with older patients' engagement in exercise after hospital discharge. Arch. Phys. Med. Rehabil., 92: 1395-1403.
Landi, F., G. Onder, I. Carpenter, M. Cesari, M. Soldato and R. Bernabei, 2007. Physical activity prevented functional decline among frail community-living elderly subjects in an international observational study. J. Clin. Epidemiol., 60: 518-524.
Bauer, K.D., D. Liou and C.A. Sokolik, 2011. Nutrition Counseling and Education Skill Development. 2nd Edn., Brooks Cole, Pacific Grove, California, Pages: 464,.
Acree, L.S., J. Longfors, A.S. Fjeldstad, C. Fjeldstad and B. Schanket al., 2006. Physical activity is related to quality of life in older adults. Health Qual. Life Outcomes.
Hong-Mei, W., M. Beyer, J. Gensichen and F.M. Gerlach, 2008. Health-related quality of life among general practice patients with differing chronic diseases in Germany: Cross sectional survey. BMC Public Health.
Wallace, J.I., D.M. Buchner, L. Grothaus, S. Leveille, L. Tyll, A.Z. LaCroix and E.H. Wagner, 2011. Implementation and effectiveness of a community-based health promotion program for older adults. J. Gerontology Ser. A: Biol. Sci. Med. Sci., 53A: M301-M306.
Mokdad, A.H., E.S. Ford, B.A. Bowman, W.H. Dietz, F. Vinicor, V.S. Bales and J.S. Marks, 2003. Prevalence of obesity, diabetes and obesity-related health risk factors, 2001. J. Am. Med. Assoc., 289: 76-79.
Almond, N., L. Kahwati, L. Kinsinger and D. Porterfield, 2015. The prevalence of overweight and obesity among U.S. military veterans. Mil. Med., 173: 544-549.
Nadiy, I., S. Razalee, M.K. Zalifah and M.J. Zulkeffeli, 2013. Nutritional status and random blood glucose, cholesterol and triglyceride test among Malaysian army (MA) personnel in Kuala Lumpur. AIP Conf. Proc., 1571: 660-668.
Sedek, R., P.B. Koon and I.M. Noor, 2010. Body mass index and body composition among Royal Malaysian Navy (RMN) personnel. J. Defence Secur., 1: 65-82.
Krejcie, R.V. and D.W. Morgan, 1970. Determining sample size for research activities. Educ. Psychol. Meas., 30: 607-610.
Waxman, A. and World Health Assembly, 2004. WHO global strategy on diet, physical activity and health. Food Nutr. Bull., 25: 292-302.
WHO., IASO. and IOTF., 2000. The Asia-Pacific Perspective: Redefining Obesity and its Treatment. Health Communications, Melbourne, Australia,.
Ara, A., 2005. Guidelines for Data Processing and Analysis of the International Physical Activity Questionnaire (IPAQ) – Short and Long Forms Contents. International Physical Activity Questionnaire.
Das, S.R., L.S. Kinsinger, W.S. Yancy, A. Wang, E. Ciesco, M. Burdick and S.J. Yevich, 2005. Obesity prevalence among veterans at Veterans Affairs medical facilities. Am. J. Preventive Med., 28: 291-294.
Smith, C., A. Klosterbuer and A.S. Levine, 2008. Military experience strongly influences post-service eating behavior and BMI status in American veterans. Appetite, 52: 280-289.
Koepsell, T.D., C.W. Forsberg and A.J. Littman, 2009. Obesity, overweight, and weight control practices in U.S. veterans. Preventive Medicine 48: 267-271.
Sturm, R., 2003. Increases in Clinically Severe Obesity in the United States, 1986-2000. Arch. Intern. Med.
Teachman, J. and L. Tedrow, 2012. Veteran status and body weight: A longitudinal fixed-effects approach. Popul. Res. Policy Rev., 32: 199-220.
Adebay, E.T., O.A. Ogunbiy, I.B. Abdulkareem and N.A. Hussain, 2011. Nijerya Askeri Nüfusunda Obezite Prevalansı. [The prevalence of obesity in a Nigerian military population]. TAF Prev. Med. Bull., 10: 313-318 (in Turkish).
Naghii, M.R., 2006. The importance of body weight and weight management for military personnel. Mil. Med., 171: 550-555.
Academy of Medicine Malaysia, 2003. Clinical practice guidelines on management of obesity. http://www.acadmed.org.my/view_file.cfm?fileid=275.
Kushner, R.F. and D.J. Blatner, 2005. Risk assessment of the overweight and obese patient. J. Am. Diet. Assoc., 105: 53-62.
Nelson, M.E., M.A. Fiatarone, C.M. Morganti, I. Trice, R.A. Greenberg and W.J. Evans, 1994. Effects of high-intensity strength training on multiple risk factors for osteoporotic fractures. JAMA, 272: 1909-1914.
Drewnowski, A. and W.J. Evans, 2001. Nutrition, physical activity, and quality of life in older adults: Summary. J. Gerontology, 56: 89-94.
Bai, Y., 2012. Measuring General Activity Levels In Children and Adolescents Using Self-Report: Youth Activity Profile. Bachelor Thesis, Iowa State University,
Littman, A.J., E.J. Boyko, I.G. Jacobson, J. Horton and G.D. Gackstetter et al., 2010. Assessing nonresponse bias at follow-up in a large prospective cohort of relatively young and mobile military service members. BMC Med. Res. Method.
Littman, A.J., I.G. Jacobson, E.J. Boyko and T.C. Smith, 2015. Changes in meeting physical activity guidelines after discharge from the military. J. Phys. Act. Health, 12: 666-674.
Bijnen, F.C.H., E.J.M. Feskens, C.J. Caspersen, W.L. Mosterd and D. Kromhout, 1998. Age, period, and cohort effects on physical activity among elderly men during 10 years of follow-up: the zutphen elderly study. J. Gerontology, 53A: M235-M241.
Haibach, J.P., M.A. Haibach, K.S. Hall, R.M. Masheb and M.A. Little et al., 2017. Military and veteran health behavior research and practice: challenges and opportunities. J. Behav. Med., 40: 175-193.
Rogen, S., P. Hofmann, T. Bauernhofer and W. Müller, 2014. Evaluation of the physical activity biography: Sport and transport. J. Sports Sci. Med., 13: 338-348.
Ridhwan, M.S. and A.F. Haryani, 2010. Kesan Senaman Berjalan Pantas Terhadap Perubahan Komposisi Tubuh Badan. Universiti Teknologi Malaysia.
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