Author: |
張晉嘉 Chin-chia Chang |
---|---|
Thesis Title: |
有無規律步行運動老年人身體活動量與睡眠品質之比較研究 The Comparisons of Physical Activity Levels and Sleep Quality Between the Regular Walking Elderly and Sedentary Controls |
Advisor: |
方進隆
Fang, Chin-Lung |
Degree: |
碩士 Master |
Department: |
體育學系 Department of Physical Education |
Thesis Publication Year: | 2009 |
Academic Year: | 97 |
Language: | 中文 |
Number of pages: | 100 |
Keywords (in Chinese): | 老年人 、身體活動量 、睡眠品質 、步行運動 |
Keywords (in English): | the elderly, physical activity levels, sleep quality, walking |
Thesis Type: | Academic thesis/ dissertation |
Reference times: | Clicks: 238 Downloads: 24 |
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目的:本研究採橫斷式研究方法,比較有無規律步行運動對老年人身體活動量與睡眠品質之差異,並考驗「三日身體活動回憶記錄表」(3-d PAR)與「三軸向身體活動量測量器」(RT3 Tri-axial;RT3)所得身體活動量之相關性,且探討RT3與匹茲堡睡眠品質量表(PSQI)之相關。方法:本研究徵招66位老年人(年齡65歲以上)並分為規律步行組(n=34)和控制組(n=32),規律步行定義為每週三次、每次30分鐘以上中等強度、並持續六個月以上之步行。身體活動量以3-d PAR與RT3量測、睡眠品質以匹茲堡睡眠品質量表為調查工具。所有資料以描述性統計、獨立樣本t檢定與皮爾遜績差相關進行分析。結果:以RT3測得之規律步行組的身體活動量(29.25 kcal/kg/day)顯著高於無規律步行組(26.95 kcal/kg/day)(p< .05),以3-d PAR測量之規律步行組的身體活動量(42.87 kcal/kg/day)顯著高於無規律步行組老年人(35.31 kcal/kg/day)(p< .05)。3-d PAR與RT3所測得之身體活動量呈顯著正相關(r=.486, p< .05),且3-d PAR結果顯著高於「RT3 Tri-axial」(p< .05);老年人睡眠品質平均得分為8.05分,而規律步行組的睡眠品質(PSQI=4.18)顯著優於無規律步行組(PSQI=12.16)(p< .05);另外,RT3之身體活動量與睡眠品質總分呈顯著負相關(r=-.354, p< .01),睡眠品質總分與睡眠品質各構成要素則呈顯著正相關(p< .01)。結論:本研究結果顯示規律步行之老年人具有較佳的身體活動量和睡眠品質;而3-d PAR與RT3所測得之身體活動量具高度相關,但3-d PAR有高估身體活動量的現象。
Purposes: This study compared the difference of physical activity (PA) and sleep quality (SQ) between the elderly with and without regular walking using cross-sectional design and verified the correlations of PA measurements between three-day physical activity recall (3-d PAR) and Tri-axial accelerometer (RT3) as well as the correlation between RT3 and Pittsburgh Sleep Quality Index(PSQI). Methods: Sixty-six elderly (aged ≧65) were recruited and assigned to two groups including regular walking (RWE)(n=34) and sedentary (SG)(n=32). Regular walking defined as walking with moderate intensity, 3 days per week, more than 30 minute per day and continuously at least for 6 months. PA was assessed by 3-d PAR and RT3, and the PSQI was used to measure SQ. The collected data were analyzed by describing statistics, independent sample t test and Pearson’s product-moment correlation. Results: Significantly high RT3 PA level was noted in RWE (29.25 kcal/kg/day) comparing to SG (26.95 kcal/kg/day) (p< .05). Also, significantly high 3-d PAR PA level was noted in RWE (42.87 kcal/kg/day) comparing to SG (35.31 kcal/kg/day) (p< .05). Significant correlation was noted between 3-d PAR and RT3 PA (r=.486, p<.05), while the PA values from 3-d PAR were significantly higher than RT3. The average scores of PSQI of elders were 8.05 and RWE (PSQI=4.18) had significantly high SQ than SG (PSQI=12.16) (p< .05). The RT3 PA is negatively correlated to sleep quality (r=-.354, p<.05). The score of overall sleep quality was positively correlated to each component of sleep quality (p<.05). Conclusion: the research results indicated that the elderly with regular walking had greater PA and better SQ. Besides, PA measurements from 3-d PAR and RT3 had high correlation, and PA was overestimated by using 3-d PAR.
一、中文部份
內政部(2008)。九十七年第五週內政統計通報(96年底我國戶籍登記人
口結構分析)。2009年1月8日,取自網址:http://www.moi.gov.tw/publication_list.aspx
方進隆(1993)。健康體能的理論與實際。台北市:漢文書店。
甘能斌、劉介仲、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。
田楊橋(2005)。學校行政主管工作壓力、身體活動與睡眠品質之關係探討研究。未出版碩士論文,國立花蓮師範學院,花蓮縣。
付曉華、李鴻培(2003)。中國醫刊,8(38),25-26。
行政院衛生署(2005)。89、90、91、92、93年死因統計。衛生統計資訊
網。2009年1月9日,取自網址:http://www.doh.gov.tw/statistic/index.htm
朱嘉華、方進隆(1997)。運動與睡眠品質之探討。中華體育季刊,11(2),
59-68。
朱嘉華、方進隆(1998)。國小教師運動習慣對睡眠品質影響之研究。體
育學報,26,217-224。
吳一德(2006)。有氧運動與營養教育介入對高總膽固醇學生血脂質、健
康體適能及運動行為之影響。大專體育學刊,8(3),161-172。
呂昌明、林旭龍、黃奕清、李明憲、王淑芳(2000)。身體活動自我報告
量表之效度及信度的研究-以Polar、Vantage NV心搏率監測器為效
標。衛生教育學報,14,22-48。
呂昌明、林旭龍、黃奕清、李明憲、王淑芳(2001)。身體活動自我報告
量表之效度及信度的研究-以TriTrace-R3D三度空問加速器為效標。
衛生教育學報,17,99-113。
宋季玲(2007)。成年女學生運動行為與睡眠品質、生活品質相關性探討。未出版碩士論文,長榮大學,臺南市。
林旭龍(2000)。應用跨理論模式於大學女生身體活動之主客觀評價的研究。未出版碩士論文,國立臺灣師範大學,臺北市。
林孟輝(2004)。臺南市國小學童身體活動量與健康體適能相關之研究。未出版碩士論文,國立臺南大學,臺南市。
林嘉玲(2000)。自費安養機構老人睡眠品質及其相關因素之探討。未出版碩士論文,國立台灣大學,台北市。
李明憲(1998)。國小、國中學生身體活動、健康體適能相關影響因素之
調查研究~以花蓮縣宜昌國民小學、宜昌國民中學二所學校為例。未
出版博士論文,國立台灣師範大學衛生教育學系,台北市。
李建明、黃素妃、陳政友、羅應嘉、林昭光、游麗惠、潘佩君(2007)。
健走運動對改善更年期婦女骨密度與健康體適能之研究。北市醫學雜
誌,4(3),235-244。
哈佛醫生的優質睡眠全書(2007)(原著, Lawrence J. Epstein, Steven Mardon (2006). The Harvard Medical School guide to a good night’ sleep. McGraw-Hill Companies, Inc.)。台北市:城邦文化。
施嫈瑜(2005)。中醫兒科醫學雜誌,7(1),1-5。
何忠鋒(2001)。十二週健走運動與飲食控制計畫對停經婦女身體組成及
血脂肪的影響。體育學報,32,11-24。
徐嘉駿(2006)。睡眠重要嗎?讓科學證據告訴你。健康世界,250,78-80。
張宏亮(2005)。運動能提升睡眠品質的原因。健康世界,234。
郭明洲(2003)。有無規律登山老年人體適能與睡眠品質之比較研究。未出版碩士論文,國立台灣師範大學體育學系,台北市。
張美惠、葉翠雰、陳泰滄譯(1992)。睡眠管理手冊(Dale Hanson Bourke
原著)。台北市:月旦出版公司。
張素珠(2002)。不同身體活動量與靜坐者睡眠品質之比較研究。未出版
碩士論文,國立台灣師範大學體育學系,台北市。
張書森、李明濱(2003)。老年人之睡眠障礙。臺灣醫學,7(4),602-610。
陳清惠(1999)。老人與運動。榮總護理,16(1),7-11。
陳祈維(2004)。運動介入對更年期婦女生理症狀及睡眠品質之影響。未
出版碩士論文,國立台灣師範大學,台北市。
陳揚燕(1996)。大學新生睡眠品質與飲食因子之關係探討。未出版碩士論文,國防大學醫學院,台北市。
陳麗玉(2001)。運動介入及飲食教育對肥胖兒童健康體能與血脂質影響
之研究。體育學報,30,267-277。
曾齡慧(2002)。社區老人睡眠品質失眠類型與求助方式之探討-以台北
市基督長老教會松年大學為例。未出版碩士論文,國立台灣師範大學,台北市。
黎俊彥、吳家碧(2002)。本校89級大一女學生健康體適能與睡眠品質之
相關研究。育達研究叢刊,3,175-184。
黎俊彥、吳家碧、賴正全、林威秀(2002)。女大學生身體活動與睡眠品
質之相關研究。體育學報,32,59-68。
鄧錦榮(2003)。松年大學老人身體活動與睡眠品質之研究。未出版碩士
論文,國立台灣師範大學,台北市。
劉明賜(2004)。不同體型的五股國小學童之身體活動量與規律運動習慣之調查研究。未出版碩士論文,國立臺灣師範學院,臺北市。
盧 成(2001)。夜夜好眠創造優質的睡眠品質。衛生報導,103,40-41。
戴玉慈(1998)。老人護理學。台北市:國立空中大學。
藍 青(2002)。長壽的秘方一運動。健康世界,194,49-53。
二、英文部分
Alesi, C. A., Schnelle, J. F., Macrae, P. G., Quslander, J. G., Al-Samarrai, N., Simmons, S. F., & Traub, S. (1995). Does Physical activity improve sleep in impaired nursing home residents? Journal of american geriatrics society,43(10), 1098-1102.
Atkinson,G. & Davenne, D.(2007). Relationships between sleep, physical
activity and human health. Physiology & Behavior, 90(2-3), 229-35.
Barhr W, Wu SM, Bird AC, Palczewski K(2003). The retinoid cycle and retina disease. Vision Research 43(28): 2957-8.
Berger, G.B., & Sheppard, B.(1996). Psychological benefits of active life style:
What we know and we need to know. Quest, 48, 330-353.
Blanco-Centurion, C.A. & Shiromani, P.J.(2006). Beneficial effects of regular
exercise on sleep in old F344 rats. Neurobiol Aging, 27(12), 1859-1869.
Bouchard, C., Tremblay, A., Leblance, C., Lortie, G., Sauard, R., & Therialt,
G.(1983). A method to assess energy expenditure in children and adults. American Journal of Clinical Nutrition, 37, 461-467.
Buxton OM, Lee CW, L’ Hermite-Baleriaux, Turek FW, Van Cauter E(2003). Exercise elicits phase shifts and acute alterations of melatonin that vary with circadian phase. Am J Physical Inteqr Comp physical.284(3). R174-24.
Buysse, D.J., Reynolds, C.F. 3rd., Monk, T.H., Berman, S.R., & Kupfer, D.J.
(1989). The Pittsburgh Sleep Quality Index: a new instrument for
psychiatric practice and research. Psychiatry Research, 28(2), 193-213.
Caspersen, C.J., Powell, K.E., & Christenson, G.M.(1985). Physical activity,
exercise, and physical fitness: Definitions and distinctions for health-related research. Public Health Reports, 100(2), 126-131.
Causerta, M.S.(1995). Health promotion and the older population: Expending
our the Dretical horizons. Journal of Community Health, 20(3), 283-292.
Chu, E.Y., McManus, A.M., & Yu, C.C.(2007). Calibration of the RT3
accelerometer for ambulation and nonambulation in children. Medicine and Science in Sports and Exercise, 39(11), 2085-2091.
C. M. Morin (1993). Insomnia: Psychological Assessment and Management, p. 17. New York: Guilford Press. Reprinted with permission.
Corbin, D.E., & Metal-Corbin, J.(1997). Reach for it! A handbook of health,
exercise and dance activities for older adults. IA: Eddie Bowers.
Costa, D.D., Bernatsky, S., Dritsa, M., Clarke, A.E., Dasgupta, K., Keshani, A.,
& Pineau, C.(2005). Determinants of sleep quality in women with systemic lupus erythematosus. Arthritis Rheum, 53(2), 272-278.
Crocker, P. R. E., Holowachuk, D. R., & Kowalski, K. C. (2001). Feasibility of using the Tritrac motion sensor over a 7-day trial with older children. Pediatric Exercise Science, 13, 70-81.
Deng, HB., Macfarlane, DJ., Thomas, GN., Lao, XQ., Jiang, CQ., Cheng, KK., & Lam, TH. (2008). Reliability and validity of the IPAQ-Chinese: the Guangzhou Biobank Cohort study. Medicine and Science in Sports and Exercise, 40(2), 303-7.
Durante, R., & Ainsworth, B. E. (1996). The recall of physical activity: Using a
cognitive model of the question-answering process. Medicine and Science in Sports and Exercise, 28(10), 1282-1291.
Freedson, P. S., & Miller, K. (2000). Objective monitoring of physical activity using motion sensors and heart rate. Research Quarterly for Exercise and Sport, 71(2), 21-29.
Hughes RJ, Badia P (1997). Sleep-promoting and hypothermic effects of daytime melatonin administration in humans. Sleep 20(2): 124-31.
King, A.C., Oman, R.F., Brassington, G.S., Bliwise, D.L., & Haskell, W.L.
(1997). Moderate-intensity exercise and self-rated quality of sleep. A
randomized controlled trial. the journal of the American Medical Association, 277(1), 32-37.
King, G.A., Potter, C., & Torres, N.(2004). Comparison of Activity Monitors to
Estimate Energy Cost of Treadmill Exercise. Medicine and Science in
Sports and Exercise, 4244-1251.
Kriska, A. M., & Caspersen, C. (1997). Introduction to a collection of physical activity questionnaires. Medicine and Science in Sports and Exercise, 29(6), 5-9.
LaPorte, R.E., Montoye, H.J., & Caspersen., C.J.(1985). Assessment of
physical activity in epidemiologic research: Problems and prospects.
Public Health Reports, 100, 131-146.
Lee, A.J., Lin W.H.(2007). Association between sleep quality and physical
fitness in female young adults. The Journal of sports medicine and physical fitness, 47(4), 462-467.
Melzer, I., Benjuya, N., & Kaplanski, J.(2003). Effects of regular walking on
postural stability in the elderly. Gerontology, 49, 240-245.
Murphy, M., Nevill, A., Neville, C., Biddle, S., & Hardman, A.(2002).
Accumulating brisk walking for fitness, cardiovascular risk, and psychological health. Medcine and Science in Sports and Exercise, 34(9), 1468-74.
Nieman, D.C.(1997). The Exercise-Health Connection. United States:
Human Kinetics.
Nishikawa, H., Takahashi, K., Miyatake, N., Morishita, A., Suzuki, H., Tanaka,
T., et al. (2002). Evaluation of an exercise program for obese males. Japanese Journal of Public Health, 49(10), 1087-1096.
Payne, J.K., Held, J., Thorpe, J., & Shaw, H.(2008). Effect of exercise on
biomarkers, fatigue, sleep disturbances, and depressive symptoms in older
women with breast cancer receiving hormonal therapy. Oncol Nurs Forum, 35(4):635-642.
Puggaard, L, Larsen JB, Stovring H, Jeune B(2000). Maximal oxygen uptake, muscle strength and walking speed in 85-year-old women: effects of increased physical activity. Aging, 12(3):180-9
Rowlands, A. V., Ingledew, D. K., & Eston, R. G. (2000). The effect of type of physical activity measure on the relationship between body fatness and habitual physical activity in children: A meta-analysis. Annals of Human Biology, 27(5), 479-497.
Rowlands, A.V., Thomas, P.W.M., Eston, R.G. and Topping, R( 2004). Validation of the RT3 triaxial accelerometer for the assessment of physical activity. Medicine and Science in Sports and Exercise, 36(3):518-524.
Saris, W.H.M.(1985). The assessment and evaluation of daily physical activity
in children: a review. Acta Peditr Scand Suppl,318, 37-48.
Singh, N.A., Clements, K.M., & Fiatarone, M.A.(1997). A randomized
controlled trial of the effect of exercise on sleep. Sleep, 20(2), 95-101
Sirard, J.R., & Pate, R.R.(2001). Physical activity assessment in children and
adolescents. Sports Medicine, 31, 439-454.
Spirduso, W.W., & Cronin, D.L.(2001). Exercise dose-response effects on
quality of life and independent living in older adults. Medicine and Science in Sport and Exercise, 33(6), 598-608.
Stayhealthy, 2004.RT3 TM User Manual Version 1.1.
Stensel, D.J., Brooke-Wavell, K., Hardman, A.E., Jones, P.R.M., & Norgan,
N.G.(1994). The influence of a 1-year program of brisk walking on endurance fitness and body composition in previously sedentary men aged 42-59 years. European Journal of Applied Physiology, 68, 531-537.
Stewart, A. L. (2001). Community-based physical activity programs for adults aged 50 and older. Journal of Aging and Physical Activity, 9, 71-91.
Thompson, D.L., Rakow, J., & Perdue, S.M.(2004). Relationship between
accumulated walking and body composition in middle-aged women. Medicine and Science in Sport and Exercise, 36(5), 911-914.
Trinder, J., Paxton, S.J., Montgomery, I., & Fraser, G. (1985). Endurance as
opposed to power training: Their effect on sleep. Psychophysiology,
22(6):668-73.
Tworoger, S.S., Yasui, Y., Vitiello, M.V., Schwartz, R.S., Ulrich, C.M., Aiello,
E.J., Irwin, M.L., Bowen, D., Potter, J.D., & McTiernan. A.(2003). Effects
of a yearlong moderate-intensity exercise and a stretching intervention on sleep quality in postmenopausal women. Sleep, 26(7), 830-836.
Washburn, R.A., & Ficker, J.L.(1999). Physical Activity Scale for the Elderly
(PASE): The relationship with activity measured by a portable accelerometer. Journal of Sports and Physical Fitness, 39(4), 336-340.
Washburn, R. A., Zhu, W., McAuley, E., Frogley, M., & Figoni, S. F. (2002). The physical activity scale for individuals with physical disabilities: Development and evaluation. Archives of Physical and Medical Rehabilitation, 83, 193-200.
Welk, G. J., Blair, S. N., Wood, K., Jones, S., & Thompson, R. W. (2000). A comparative evaluation of three accelerometry-based physical activity monitors. Medicine and Science in Sports Medicine, 32(9), s489-s497.
Westerterp, K. R. (1999). Physical activity assessment with accelerometers. International Journal of Obesity, 23(Suppl 3), S45-S49.
Youngstedt, S.D., Perlis, M.L., O'Brien, P.M., Palmer, C.R., Smith, M.T., Orff,
H.J., & Kripke, D.F.(2003). No association of sleep with total daily physical activity in normal sleepers. Physiology & Behavior, 78(3), 395-401.
Zanocchi, M., Ponzetto, M., Spada, S., Risso, R., Aimar, T., Maero, B.,
Giona, E., & Fabris, F.(1999). Sleep disorders in the aged. Minerva Med, 90(11-12), 421-427.