- 學位論文
智能障礙學生肥胖相關因素之探討
Risk factors of obesity among students with intellectual disabilities
摘要
研究目的：本研究旨在探討智能障礙學生體位分佈狀況及其影響因素。 研究方法：本研究採次級資料分析法，以臺灣「特殊教育長期追蹤資料庫」（Special Needs Education Longitudinal Study, SNELS）中，97 學年度國中學生（包含國一及國三），其障礙類別為智能障礙的學生為研究對象，收集其學生、家長、教師三方面的問卷資料，並以SPSS17.0統計分析探討各變項與肥胖之相關性。 統計方法：以描述性統計法敘述智能障礙學生的人口學資料以及健康情形等，包含了肥胖的人數、百分比、BMI平均值、標準差等。另外推論性統計使用T檢定及單因子變異數分析(one-way ANOVA)探討智能障礙學生在個人及家庭因素與肥胖指數的相關性，所有統計方法之顯著水準皆訂於0.05。 研究結果：本研究之有效樣本為410人，分析結果顯示智能障礙學生過胖為113人(BMI大於22.9)，BMI平均值為20.96，最胖為39.18，標準差4.71。而此研究分析結果顯示出智能障礙學生的過胖人數佔總學生人數27.2％，超過1/4，其比例是高於過去所知的文獻資料。 此外，在探討各變項與肥胖指數之相關性方面，統計結果分析出共4個變項與智能障礙學生肥胖指數有顯著相關。分為個人及家庭因素，在個人因素方面有顯著差異的為智能障礙學生的年齡（t=-3.697，p=.000）及學生是否有長期用藥（t=2.202，p=.028）；而家庭因素為學生父母是否為親生父母（t=2.311，p=.024）以及學生在家主要的互動對象（t=2.392，p=.017）這兩項與學生的肥胖指數是有顯著差異的。 研究討論：智能障礙學生的活動量不多且偏靜態，可能造成體重過重，而家庭通常是會直接到影響他們體位狀況的。未來可參考此研究結果，進而改善學生的健康狀況。
並列摘要
Objective: The study is to investigate the distribution of weight and its affecting factors of the students with intellectual disabilities. Method：This research used the Secondary Qualitative Study method and targeted on the junior high students with intellectual disabilities of 2008 in the data base of Special Needs Education Longitudinal Study, SNELS. The study is based on the questionnaire survey from the students, parents and teachers and used SPSS 17.0 statistical to analyze the exploration of various variables associated with obesity Results：The amount of effective sample of this study is 410. The statistic shows that there are 133 students with intellectual disability who are also obese. And the average of BMI is 20.96, while the highest one reached 39.18 and the standard deviation is 4.71. The proportion of students with intellectual disability and obesity add up to 27.2% out of the total students, which is over a quarter. In addition, the statistical analysis shows that there are four factors affecting students with intellectual disability and body mass index.Personal factors as age and long-term medication，and family factors as whether the biological parents and home interactive object is Significant differences Discussion：There are not much activities yet mostly static ones for the students with intellectual disability, which can lead to obesity, and their family usually directly affect their body weight as well. In the future, we hope to take this research result as a reference to improve the health condition of students.