不同運動型式介入對醫護人員的健康促進成效

Health Promotion Effects of Different Exercise Intervention in Medical Staff and Nurse

林淑美(Shu-Mei Lin) ； 王錠堯(Ting-Yao Wang)

《健康促進研究與實務》 2卷1期 (2019/01) Pp. 54-61

https://doi.org/10.29442/HPRP.201901_2(1).0005

摘要

目的：比較結構式與生活型態式兩種不同運動對於醫護人員身體組成、心肺適能及代謝症候指標的影響。方法：20位年齡35至45歲的女性醫護人員隨機分配至結構式（飛輪運動）或生活型態式（高強度循環訓練）運動組。12週運動介入前、後，所有受試者須接受身體組成指標、心肺適能指標及代謝症候指標評估。結構式運動組：每週3次每次約50分鐘（暖身運動10分鐘，飛輪有氧腳踏車30分鐘及緩和運動10分鐘）。生活型態式運動組：每週6次每次約15分鐘（運動前需適度熱身5分鐘，每次進行10個動作，每個動作以最大努力進行30秒，間隔休息15秒，訓練時間約10分鐘）。結果：兩組的腰、臀圍皆有顯著下降（p＜.05），體脂肪百分比雖然都有下降趨勢但未達顯著差異（p＞.05）。TG、HDL及LDL都有改善趨勢，但未達顯著（p＞.05），高強度循環訓練可改善血糖、膽固醇及收縮壓（p＜.05）。結構式運動顯著改善最大攝氧峰值（26.1±6.2to 29.3±5.7 ml/kg/min）及非最大強度運動時的脂肪代謝比率（呼吸交換率0.98±0.06 to 0.92±0.06，p＜.05），高強度循環運動則對心肺適能改善的效果有限。結論：為期12週的結構式與生活型態式運動雖然對於體脂肪百分比的改善效果有限，但在腰臀圍有明顯的改善。高強度間歇循環運動可改善代謝症候指標比例較高，飛輪運動則對於改善心肺適能及提高運動時脂肪代謝比率較有效果。

關鍵字

高強度循環訓練 ； 飛輪運動 ； 心肺適能 ； 身體組成 ； 代謝症候

並列摘要

Purpose: To investigate the effects of structural and lifestyle exercise interventions on body composition, cardio-respiratory fitness and metabolic syndrome in nurses and medical staff. Method: Twenty participants who aged 35-45 years were randomly assigned to structural and lifestyle exercise group. Pre- and post 12 weeks exercise intervention, participant were assessed body composition, cardio-respiratory fitness and metabolic syndrome markers. Structural group used flywheel bicycle 3 times a week each time around 50 minutes (warm up 10 minutes, flywheel bicycle 30 minutes and cool down 10 minutes). Lifestyle group exercised 6 times a week each time around 15 minutes with the app 7 minutes workout (warm up 5 minutes, 10 movements with maximal effort for 30 seconds, rest interval 15 seconds). Results: The waist and hip circumference were significantly declined in both groups (p＜ .05), however body fat percentage were decline but not significant(p＞.05). TG, HDL and LDL were improved, but not significant (p＞.05). HICT could improved fasting blood glucose, cholesterol and systolic blood pressure (p＜.05). Structural training improved maximal aerobic capacity(26.1±6.2 to 29.3±5.7 ml/min/kg)and decreased respiratory exchange rate at sub-maximal exercise which showed more fat was burned (50W respiratory exchange rate 0.98±0.06 to 0.92±0.06). Cardio-respiratory fitness was no different after lifestyle exercise intervention. Conclusion: After 12-week structural and lifestyle exercise, although limited in the improvement of body fat percentage, has a significant improvement in waist and hip circumference. High-intensity circuit training could improve the proportion of metabolic syndrome, and flywheel exercise is more effective in improving cardio-respiratory fitness and increasing fat metabolism during exercise.

並列關鍵字

high-intensity circuit training ； flywheel bicycle ； cardiopulmonary fitness ； body composition ； metabolic syndrome