步行運動搭配計步器對體重過重及肥胖中年人的每日步數、生理指標及生活品質之影響

The Effects of Walking Exercise with Pedometer on Daily Steps, Physiological Parameters and Quality of Life Among Overweight and Obese Middle-Aged Adults

陳美淇(Mei-Chi Chen)

指導教授 ： 李碧霞

臺北醫學大學/護理學院/護理學研究所/碩士(2010年)

https://doi.org/10.6831/TMU.2010.00154

摘要

背景：上班族的中年人缺乏時間及動機運動，而且容易身材發福，成為代謝症候群的高危險群，因而提高罹患慢性病率及死亡率的風險。
目的：探討步行運動搭配計步器對體重過重及肥胖中年人的每日步數、生理指標及生活品質之影響。
方法：採前實驗性研究設計法，針對臺北市大安區某職場51位40-64歲的體重過重及肥胖員工，以每日步行運動搭配計步器進行為期12週的介入，以身體組成、血壓、空腹血糖及血脂等數值，以及體重對生活品質衝擊量表-簡明版為評值成效之指標，受試者分別於第1週及第12週接受前後測。研究資料以SPSS 15.0版統計軟體進行分析，統計方法有：描述性統計、成對樣本t檢定、卡方檢定及獨立樣本t檢定等。
結果：（1）每日平均步數由9,548步增加到11,937步。（2）體重、身體質量指數、腰圍、臀圍、平均舒張壓、總膽固醇及三酸甘油酯皆有顯著改善。（3）體重對生活品質衝擊量表-簡明版的身體功能、自尊等兩個次量表，以及總分有顯著改善。（4）達成每日一萬步者與未達成每日一萬步者在性別、身體質量指數、臀圍及體重對生活品質衝擊量表-簡明版得分上有顯著差異。
結論：步行運動搭配計步器可增加體重過重及肥胖中年人每日平均步數及改善身體組成、血壓及血脂等數值，且能提升生活品質。

關鍵字

步行運動 ； 計步器 ； 體重過重及肥胖中年人 ； 生理指標 ； 生活品質

並列摘要

Background: Middle-aged office workers lack the time and the motivation to exercise, and moreover, it’s easy to gain weight in stature, becomes the high dangerous group of metabolism syndrome, and enhances the risk of chronic disease rate and the mortality.
Purpose: The aim of this study was to investigate effects of walking exercise with a pedometer on daily steps, physiological parameters and quality of life among overweight and obese middle-aged adults.
Methods: Using pre-experimental design approachs, the data were collected by 51 40-64 year-old employers with overweight and obese who work in a certain unit of the Daan district in Taipei city, and adopted daily walking exercise with a pedometer to intervene for 12 weeks. Indexes of the evaluation result was according to body composition, blood pressure, fasting blood sugar, blood lipid profile and the impact of weight on quality of life-lite(IWQOL-Lite). Participants were measured respectively at the beginning and the end of the study. The collect data were analyzed by SPSS statistics software of version 15.0 with the following statistical methods: descriptive statistics, paired-t test, Chi-square test, and independent t-test.
Results: (1) The average daily step is from 9,548 steps increases to 11,937 steps. (2) There are significant improvements in body weight, BMI, waist circumference, hip circumference, average diastolic blood pressure, total cholesterol and triglycerides. (3) There were significant improvements in physical function, self-esteem and total score of the IWQOL-Lite. (4) The total score that among≧10,000 steps and<10,000 steps is with significant differences in gender, BMI, hip circumference, and IWQOL-Lite scales.
Conclusion: Walking exercise with a pedometer increases the average daily steps among overweight and obese middle-aged adults, and improves body composition, blood pressure, blood lipid profile, and to promote the quality of life .

並列關鍵字

walking exercise ； pedometer ； overweight and obese middle-aged adults ； physiological parameters ； quality of life

參考文獻

王助順、張曙笙（2008）•健走計畫介入對健康體能、血脂質及健康促進生活型態之影響•學校衛生，53，93-101。

王錦雲、陳保羅、高靖秋、楊素月、蔡仁貞（2005）•居家行走運動計畫對心血管疾病危險群婦女危險因子及情緒狀態之影響•實證護理，1（3），185-194。

王淑華、李建明（2006）•電子計步器之應用效益•大專體育，82，55-60。

方淑卿、林瑞興（2007）•步行運動對肥胖者體脂肪之影響•中華體育季刊，21（2），1-7。

甘能斌、劉介仲、葉清華、莊瑞平、曾明郎（2004）•十二週健走訓練對大專超重女學生身體組成及血脂濃度的影響•輔仁大學體育學刊，3，31-41。