五行健康操對第2型糖尿病病患血糖及血脂肪控制之成效

五行健康操是結合國術、香功、氣功及韻律操之精髓，配合五行原理，改編而成的中國傳統運動，因此適合糖尿病病患。本研究目的為探討五行健康操介入對糖尿病病患血糖及血脂肪控制之成效。採類實驗性研究設計（Quasi-experimental Design），以某地區醫院之第2型糖尿病病患為對象，採立意取樣，將週一日間門診病患分配至實驗組（n＝38），居家執行每日2次、每次15-20分鐘、持續16週的五行健康操。週三日間門診病患分配至控制組（n＝38），維持原來的日常活動。介入活動由同一位研究者執行，於介入前、介入後8週及16週分別測量兩組的血糖及血脂肪。運用混合線性模式（Mixed model）分析兩組在8週及16週時血糖及血脂肪與前測時的改變量之差異，並以α＝.05為統計顯著意義之判斷標準。研究結果發現：（一）在76位糖尿病病人當中，以女性居多（78.9%），平均年齡53.83± 8.62歲，有配偶者居多數（93.4%），學歷以國中以下為多數（59.2%），平均罹病史為6.15±2.84年。比較兩組病患的基本特性、生活習慣、運動情形、身體質量指數、血糖及血脂肪前測資料，皆無統計上顯著差異。（二）實驗組於五行健康操介入8週後，空腹血糖、糖化血色素、總膽固醇、三酸甘油酯及低密度脂蛋白膽固醇的降低量顯著高於控制組。實驗組在介入16週後，糖化血色素降低量與8週時降低量的差異顯著高於控制組，而空腹血糖、總膽固醇、三酸甘油酯及低密度脂蛋白膽固醇則無持續降低的效果。（三）實驗組及控制組在介入後8週及16週的高密度脂蛋白膽固醇並無明顯的改變。五行健康操在介入8週後對空腹血糖、糖化血色素、總膽固醇、三酸甘油酯及低密度脂蛋白膽固醇，即有降低的效果，建議可作為第2型糖尿病病患居家有氧運動的選擇。

關鍵字

糖尿病；五行健康操；血糖；血脂肪

並列摘要

Five Elements gymnastics is a Chinese traditional exercise, which integrates martial arts, china aura, Qigong and artistic gymnastics. The purpose of this study was to assess the effects of Five Elements gymnastics on glucose and lipid control in adults with type 2 diabetes. Patients treated by an endocrine physician of one regional hospital were selected for this quasi-experimental study. To prevent contamination, patients visiting Monday clinic were assigned to an experimental group (n＝38). Patients visiting Wednesday clinic were assigned to a control group (n＝38). Participants of the experimental group were asked to practice Five Elements gymnastics twice daily at home for 16 weeks with 15 to 20 minutes per session. Participants of the control group were asked to maintain their usual physical activity. Fasting plasma glucose, hemoglobin A1C, total cholesterol, triglyceride, low-density lipoprotein cholesterol and high-density lipoprotein cholesterol were measured at baseline, 8 weeks and 16 weeks after intervention in both groups. We used a mixed model to analyze the changes of blood glucose and lipids between baseline and 8 weeks and 16 weeks after intervention in the two groups. Among 76 participants, 78.9% were women, with mean age of 53.83yrs ± 8.62 , having duration of diabetes of 6.15±2.84 years. There were no significant differences in patient characteristics, exercise habit, body mass index, blood glucose and lipid profile between the two groups before intervention. Compared with the control group, participants of the experimental group demonstrated a significant decrease in fasting plasma glucose, A1C, total cholesterol, triglyceride and low-density lipoprotein cholesterol after an 8-week intervention. Additionally, participants of the experimental group showed exclusively significant greater decrease in A1C than the control group after a 16-week intervention. In both groups, there was no significant change in high-density lipoprotein cholesterol after intervention. Five Elements gymnastics could improve fasting plasma glucose, A1C, total cholesterol, triglyceride and low-density lipoprotein cholesterol control after an 8-week intervention; accordingly, Five Elements gymnastics could be an alternative aerobic exercise for patients with type 2 diabetes.