A Prediction Model for Health Promoting Behavior in Obese Middle-Aged Women
	    		
		   		
		   			
		   		
	    	
    	 
    	10.7739/jkafn.2022.29.1.84
   		
        
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Nohyun BAE
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Oksoo KIM
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. Assistant Professor, Department of Nursing, Seojeong University, Yangju, Korea
			        		
		        		
	        		
        		 
        	
        	
        	
        		- Publication Type:Original Article
 
        	
        	
            
            
            	- From:Journal of Korean Academy of Fundamental Nursing
	            		
	            		 2022;29(1):84-93
	            	
            	
 
            
            
            	- CountryRepublic of Korea
 
            
            
            	- Language:Korean
 
            
            
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		        	Abstract:
			       	
			       		
				        
				        	 Purpose:This study was conducted to identify influencing factors in a health promotion model that explains and predicts health promoting behavior in obese middle-aged women. 
				        	
				        
				        	Methods:Based on Pender’s health promotion model, a hypothetical model was constructed with nine factors (emotional eating, obesity stress, perceived benefits of action, perceived barriers to action, perceived self-efficacy, activity-related affect, social support, commitment to a plan of action, and health promoting behavior). The participants were 215 obese middle-aged women who visited one of three health check-up centers in Seoul, Incheon, or Gyeonggi Province to receive health check-ups through the National Health Insurance Corporation. Data were collected using a structured questionnaire. 
				        	
				        
				        	Results:In the final research model, the factors that had a direct impact on health promoting behavior of obese middle-aged women were obesity stress (β=-.17, p=.001), perceived self-efficacy (β=.34, p<.001), activity-related affect (β=.22, p<.001), commitment to a plan of action (β=.34, p<.001). The explanatory power was 51.3%. 
				        	
				        
				        	Conclusion:This study found that a higher level of engagement in health promoting behavior was associated with lower obesity stress, higher perceived self-efficacy, better activity-related affect, and a higher commitment to a plan of action. These results may be used as a basis for the development of a nursing intervention program to improve health promoting behavior in obese middle-aged women.