心跳率控制訓練對老年人心肺適能之影響

Effects Of Heart Rate Control Training On Cardiopulmonary Function In Elderly

高從耀(Kao, Tsungyao)

指導教授 ： 王順正

國立中正大學/教育學院/運動與休閒教育研究所/碩士(2012年)

摘要

目的：探討老年人在實驗室進行心跳率控制訓練與進行自主心跳率控制訓練對心肺適能之影響。方法：以30名健康老年人 (年齡70.40±4.92歲、身高160.38±7.43公分、體重61.16±11.35公斤) 為受試對象，隨機分為訓練組 20名 (實驗室訓練組及自主訓練組各10名) 及控制組10名。以60%保留心跳率 (heart rate reserve, HRR) 到60% HRR減5下為心跳區間，進行8週，每週3次，每次30分鐘之心跳率控制訓練。訓練前後進行心肺適能測驗之前後測，心肺適能測驗項目為：6分鐘走路測驗、橢圓機IVHRC測驗及8分鐘橢圓機標準測驗。以單因子共變數分析三組間前後測心肺適能變項之差異性，本研究顯著水準α訂為 .05。結果：實驗室訓練組在橢圓機IVHRC測驗中進步了74.65%，顯著大於其他組，在8分鐘橢圓機標準測驗當中的生理指標 (VO2、VCO2、HR) 分別下降14.90%、17.91%、15.93%，顯著低於其他組。自主訓練組在6分鐘走路測驗中進步了7.25%，顯著優於其他組。結論：經過8週心跳率控制訓練後，訓練組的老年人的心肺適能皆比控制組顯著進步，然而實驗室訓練組在兩種橢圓機心肺適能測驗成績顯著優於自主訓練組，而自主訓練組之6分鐘走路測驗成績顯著優於實驗室訓練組。

關鍵字

保留心跳率 ； 6分鐘走路 ； 橢圓機 ； 攝氧量

並列摘要

Purpose: To investigate the cardiopulmonary effects by using supervised heart rate control training and home-based heart rate control training in elderly. Methods: The participants were 30 healthy elderly (age: 70.40±4.92 yrs, height: 160.38±7.43 cm, weight: 61.16±11.35 kg), equally assigned into 2 training groups (supervised and home-based) and 1 control group. The training groups were trained for 8 weeks, 3 sessions a week, and 30 minutes per session, in a heart rate control region between 60%HRR to (60%HRR-5) bpm. Cardiopulmonary assessment tests were made before and after the training, including a 6-minute walk test, IVHRC test and an 8-minute criterion test on the elliptical trainer. Data progressed by one-way ANCOVA to compare the cardiopulmonary difference between 3 groups. The significant level is set at α= .05. Results: The supervised training group enhanced 74.65% in the IVHRC test on the elliptical trainer, which is significantly greater than other groups, and the physiological response (VO2, VCO2, HR) in the 8-minute elliptical criterion test decreased 14.90%, 17.91%, 15.93%, which is significantly lower than other groups. The home-based group enhanced 7.25% in the 6-minute walk test, which is significantly greater than other groups. Conclusion: After an 8-week heart rate control training program, the training groups enhanced their cardiopulmonary fitness significantly greater than the control group; the supervised training group had better improvements in the cardiopulmonary assessment tests using elliptical trainer, on the other hand, the home-based training group has better improvement in the cardiopulmonary assessment test using the 6-minute walk test.

並列關鍵字

Heart rate reserve ； 6 minute walk ； Elliptical trainer ； Oxygen uptake

參考文獻

李薇萱、羅于韵、杜俊毅 (2009)。老年人的運動處方。基層醫學，24(1)，8-13。

鄭景峰、林煉傑、黃憲鐘 (2002)。八週有氧或肌力訓練對身體組成的影響。大專體育學刊，4(2)，187-195。

何梅櫻、蔡淑真、王錠堯、王順正 (2010)。心跳率控制進行高強度間歇訓練的信、效度研究。運動教練科學，18，37-46。

呂盈賢、王錠堯、程文欣、蔡淑真、王順正 (2008)。不同強度心跳率控制1600公尺跑走評量高中男生心肺適能之研究。運動生理暨體能學報，7，83-90。

陳仲立、高從耀、王順正、陳志宏 (2011)。高爾夫運動與肌肉減少症之探討。大專高爾夫學刊，8，66-75。