運動介入對銀髮族代謝症候群的健康促進成效

Effectiveness of Exercise Intervention on Health Promotion for Elderly with Metabolic Syndrome

洪彰岑(Chang-Tsen Hong) ； 葉清華(Ching-Hua Yeh) ； 蔡國權(Kuo-Chuan Tsai) ； 莊瑞平(Rui-Ping Chuang) ； 謝錦城(City-C Hsieh) ； 甘能斌(Nean-Been Kan)

《大專體育學刊》 14卷1期 (2012/03) Pp. 125-133

https://doi.org/10.5297/ser.1401.014

摘要

本研究主要目的在比較結構式與生活型態式二種運動介入模式對銀髮族代謝症候群危險因子改善成效分析。方法是以51名年滿60歲，具有代謝症候群危險因子的女性為對象，實驗前將受試者分為二組，結構式組24名，進行24週，每週3天，每天60分鐘的運動（內容包括：暖身運動10分鐘、中等強度飛輪腳踏車40分鐘、緩和運動10分鐘）；生活型態式組27名，進行24週，每日平均12,757.29±1,745.66的步行數。同時為使研究能儘量達到一致性，兩組飲食熱量控制在每日1,200－1,500大卡之間。並觀察運動介入前後組內與組間之肥胖生理指標、血壓、空腹血糖及血脂的變化。以單因子共變數分析（one-way ANCOVA）考驗兩組測量值在前、後測之間是否有差異。研究結果顯示：結構式組在體重、身體質量指數、血糖、收縮壓、舒張壓、三酸甘油酯、高密度脂蛋白膽固醇有明顯改進；生活型態式組在血糖、收縮壓、舒張壓、三酸甘油酯、高密度脂蛋白膽固醇有明顯改進；比較二組間之體重、身體質量指數及三酸甘油酯，結構式組則優於生活型態式組。本研究之結論：無論是結構式或是生活型態式的運動介入模式對代謝症候群危險因子均有其改善效果，但整體而言，結構式運動介入模式是優於生活型態式運動介入模式。

關鍵字

血糖 ； 血壓 ； 血脂

並列摘要

The purpose of this study was to investigate the effectiveness of two exercise intervention modes, including structure and lifestyle modes on the senior citizens. Fifty-one females above 60 years old, with risk factors of metabolic syndrome (MS) were considered as subjects for this study. Prior to the experiment, subjects were divided into structural (SG) and lifestyle (LG) intervention groups. The SG consisted of 24 participants undertaking an exercise program of 60 minutes per day and 3 days per week for the 24 weeks. The program included a 10-minute warm-up, a 40-minute medium-intensity bike spinning, and a 10-minute cool-down. The LG consisted of 27 participants undertaking a daily walking program of 12,757.29 ± 1,745.66 steps in average for 24 weeks. In order to maintain the consistency of the research, all the participants had to keep on a limited daily calorie intake (1,200 ~ 1,500 Kcal). The physiological obesity indices, blood pressure, fasting blood glucose and lipoprotein levels were measured before and after exercise intervention in both groups. One-way ANCOVA was used to compare whether the differences between groups before and after intervention. The results were as follows: The bodyweight, BMI, fasting blood glucose levels, systolic pressure, diastolic pressure, triglyceride, and high-density lipoprotein cholesterol (HDL-C) level in the SG were significantly improved. While, the fasting blood glucose level, systolic pressure, diastolic pressure, triglyceride, and HDL-C levels in the LG were significantly decreased. However, the SG performed better than the LG in terms of bodyweight, BMI and triglyceride levels. In summary, exercise intervention modes have certain effectiveness on improving risk factors for MS either in the SG or LG; however, the SG is better than the LG.

並列關鍵字

fast blood glucose ； blood pressure ； blood lipid

參考文獻

王秀媛(2006)。正視健康殺手代謝症候群。台電月刊。527，43-45。

內政部(2008)。人口政策白皮書：少子女化、高齡化及移民。臺北市:內政部。

卓俊辰編(2007)。健康體適能理論與實務。臺中市:華格那。

甘能斌(2004)。十週減重計畫介入對中年肥胖婦女生理指標與血脂肪及健康體適能的影響。大專體育學刊。6(3)，179-188。

成大新聞中心(2010)。美國哈佛大學精神科專家John Ratey 在7 日成大談運動健康概念　他說：規律的運動讓人類的大腦變得更聰明。成大研發快訊。17(5)