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研究生: 黃冠捷
Huang, Kuan-Chieh
論文名稱: 智能障礙學生身體活動之現況—以桃園市某國中集中式特教班為例
Physical Activity Levels of Intellectual Disability Students—A Case of a Special Self-Contained Class in a Junior High School of Taoyuan City
指導教授: 廖邕
Liao, Yung
口試委員: 王文宜 薛名淳 廖邕
口試日期: 2022/01/03
學位類別: 碩士
Master
系所名稱: 健康促進與衛生教育學系健康促進與衛生教育碩士在職專班
Department of Health Promotion and Health Education_Continuing Education Master's Program of Health Promotion and Health Education
論文出版年: 2022
畢業學年度: 110
語文別: 中文
論文頁數: 57
中文關鍵詞: 智能障礙學生身體活動三軸加速規
英文關鍵詞: intellectual disability student, physical activity, triaxial accelerometer
DOI URL: http://doi.org/10.6345/NTNU202200129
論文種類: 學術論文
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  • 智能障礙者先天生理狀況及體耐力不如一般同儕,身體活動的規劃也需要他人協助,造成智能障礙者身體活動量低於一般人,其肥胖比率亦高於一般族群。據此,本研究之研究目的為 ( 一 ) 瞭解智能障礙學生之身體活動總量。( 二 ) 探討智能障礙學生身體活動總量與國際間身體活動建議量之差異。( 三 ) 探討智能障礙學生「在校期間」與「非在校期間」身體活動總量之差異。
    本論文以三軸加速規 ( GT3X+ActiGraph, Pensacola, Florida ) 測量智能障礙學生之身體活動量,配合七日身體活動紀錄表紀錄研究對象佩帶加速規的時間點。研究對象為桃園市某國中集中式特教班三名智能障礙學生。研究對象須連續七日將加速規佩帶於腰部,並由家長或主要照顧者協助填寫七日身體活動紀錄表,記錄其身體活動量。
    研究結果如下:( 一 ) 三位研究對象之每日身體活動總量現況分別為平均:353.4分鐘;78.4分鐘;175.4分鐘。 ( 二 ) 三位研究對象之每日中高強度身體活動量平均分別為:32.6分鐘,1.6分鐘,12.8分鐘,低於國際間身體活動建議量。 ( 三 ) 三位研究對象每日「在校期間」身體活動總量平均數為131.6分鐘,標準差為56.3分鐘;每日「非在校期間」身體活動總量平均數為70.8分鐘,標準差為61.9分鐘。由此得知,研究對象「非在校期間」身體活動總量低於「在校期間」身體活動總量。建議教育單位和學校教師與專業團隊共同合作,例如:職能治療師和物理治療師,評估智能障礙學生身體動作機能狀況,規劃適合的身體活動內容,使學生於「在校」和「非在校期間」進行,以培養其規律運動習慣,並增進身體活動量。建議未來研究可針對一般學生身體活動量進行研究,以瞭解智能障礙學生與一般學生在身體活動量上之實際差距情形。

    The congenital physiological status of people with intellectual disability is not as good as that of ordinary peers, and the planning of physical activities also requires the assistance form others. As a result, people with intellectual disability may have less physical activity than the general population, and their obesity rate could be also higher than the general population. The aims of this study are ( 1 ) to understand the total amount of physical activity of the subjects, ( 2 ) to explore the difference between the total amount of physical activity of the subjects and the recommended amount of physical activity, ( 3 ) to explore the difference between the total amount of physical activity between the subjects during school and non-school period.
    In this study, the measurements include: ( 1 ) triaxial accelerometers ( GT3X+ActiGraph, Pensacola, Florida ) to measure the physical activity of students with intellectual disabilities, and ( 2 ) seven-day physical activity record form t was also used. The subjects of the study are three intellectual disability students in a special self-contained class in a junior high school in Taoyuan City. The subjects were required to wear the accelerometer on their waists for seven consecutive days, and their parents or main caregivers were required to fill in a seven-day physical activity record form to record their physical activity.
    The results showed that ( 1 ) the total amount of physical activity of the study subjects was : 353.4 minutes/day, 78.4 minutes/day, 175.4 minutes/day. ( 2 ) The moderate and vigorous physical activity of study subjects was : 32.6 minutes/day, 1.6 minutes/day, 12.8 minutes/day. Therefore, the total amount of physical activity of the study subjects is lower than the international recommended amount of physical activity. ( 3 ) the average physical activity of the three subjects during school period was : 131.6 minutes, with a standard deviation of 56.3 minutes; the average daily physical activity during non-school period was : 70.8 minutes, with a standard deviation of 61.9 minutes. Therefore, the total amount of physical activity of the study subjects during non-school period is lower than the total amount of physical activity during school period. It is recommended that education institution and school teachers to cooperate with disciplinary team, such as occupational therapist and physical therapist, to evaluate the physical function of students with intellectual disabilities. Plan the appropriate physical activity content so that students can do it during school period and non-school period, and cultivate their exercise habits, increase their physical activity. It is suggested that future studies can be conducted on the physical activity of general students to understand the actual difference between intellectual disabilities students and the general students.

    第壹章 緒論 1 第一節 研究動機與重要性 1 第二節 研究目的 4 第三節 研究問題 5 第四節 名詞操作型定義 6 第五節 研究限制 7 第貳章 文獻探討 8 第一節 身體活動的意涵 8 第二節 國際間青少年身體活動建議量 11 第三節 針對智能障礙者身體活動現況 15 第參章 研究方法 21 第一節 研究設計與研究架構 21 第二節 研究假設 22 第三節 研究對象 23 第三節 研究工具 27 第四節 研究流程 28 第五節 資料處理與分析 29 第肆章 研究結果 30 第一節 基本資料分析 30 第二節 身體活動量與國際間建議量之差異 31 第三節 在校期間之身體活動量 33 第四節 非在校期間之身體活動量 35 第五節 在校期間與非在校期間身體活動總量之差異 37 第六節 綜合討論 38 第伍章 結論與建議 42 第一節 結論 42 第二節 建議 43 參考文獻 44 附錄 51 附錄一 家長同意書 51 附錄二 研究對象基本資料調查及加速規使用注意事項 52 附錄三 七日身體活動紀錄表 54 附錄四 教師觀察紀錄表 56

    王建楠、李璧伊 ( 2015 )。缺乏身體活動之不良健康效應:系統性回顧及統合分析。中華職業醫學雜誌,22 ( 1 ),9-19。
    古博文、陳俐蓉 ( 2013 )。2013年國際身體活動與運動科學研討會專題演講客觀測量身體活動量: 當前議題與未來方向。身體活動與運動科學學刊,2 ( 1 ),31-36。
    邱志暉、劉佳鎮、李柏甫、何健章 ( 2016 )。臺灣民眾休閒性身體活動的現況及對健康的影響。運動管理,( 31 ),17-31。
    林博軒、陳湘嵐、林金定 ( 2017 )。接受機構式照顧之智能障礙者體適能狀況與相關因素分析。身心障礙研究季刊,15 ( 3 ),182-197。
    吳明隆 ( 2001 )。教育行動硏究導論:理論與實務。五南圖書出版股份有限公司。
    柯斐馨 ( 2013 )。智能障礙因身體活動不足所引發的健康堪慮。臺中科大體育學刊,( 9 ),49-56。
    徐金鋒、陳麗華、鍾福啟、趙高政、曾明郎 ( 2011 )。高科技男性工程師身體活動測量工具效度探討。Journal of Health Management,9 ( 1 ),75-81。
    張萬烽、林胤均、黃于哲 ( 2017 )。小時候胖不是胖?高雄市智能障礙學生身體組成之調查研究。中華民國特殊教育學會年刊,203-223。
    張云婷、馬生霞、陳暢、劉世建、張崇凡、曹振波、江帆 ( 2017 )。中國兒童青少年身體活動指南。中國循證兒科雜誌,12 ( 6 ),401-409。
    陳優環、蔣立琦 ( 2006 )。評價兒童身體活動量評估工具。學校衛生, 48,117-129。
    陳嘉偉、方進隆 ( 2011 )。加速規在身體活動及能量消耗之應用及其信效度之探討。交大體育學刊,( 1 ),101-111。
    陳世昌、余思賢、陳奕良、廖進安 ( 2015 )。智能與學習障礙學童之肥胖與身體活動特性。大專體育學刊,17 ( 1 ),87-95。
    陳妮葦、林藍萍、林金定 ( 2015 )。智能障礙者老化對健康與未來照護需求之影響。身心障礙研究季刊,13 ( 1 ),26-34。
    陳信宏 ( 2016 )。以加速規探討SH150方案推動下新北市某國中生每週身體活動之現況。臺北市立大學運動教育研究所碩士在職專班碩士論文,臺北市。取自https://hdl.handle.net/11296/3jy8th
    陳依塏、張瑞泰 ( 2018 )。身體活動量的重要性探討-以計步器為研究工具。高師大體育,( 16 ),54-73。
    陳昱如、張淳皓、王敏憲、呂莉婷 ( 2019 )。體感遊戲應用於身體活動量之文獻探討。中原體育學報,( 13 ),17-27。
    陳羿揚、莎麗娃、邱文信 ( 2020 )。三軸加速規用於評估身體活動量的方法與應用。華人運動生物力學期刊,17 ( 1 ),45-53。
    教育部體育署 ( 2013 )。SH150方案。取自https://www.sa.gov.tw/Resource/Attachment/f1468805221426.pdf
    教育部體育署 ( 2019 )。106學年度各級學校學生運動參與情形調查報告。 臺北市:教育部體育署。
    教育部體育署 ( 2020 )。107學年度各級學校學生運動參與情形調查報告。 臺北市:教育部體育署。
    黃韻潔、潘正宸 ( 2020 )。運動處方與運動介入對智能障礙者健康體適能的影響。大專體育,( 153 ),24-36。
    潘倩玉 ( 2007 )。失能者身體活動的測量方法與策略。中華體育季刊,21 ( 3 ),10-19。
    蔡清田 ( 2000 )。教育行動研究。五南圖書出版股份有限公司。
    蔡清田 ( 2013 )。教育行動研究新論。台北市:五南。
    衛生福利部健康署 ( 2013 )。國民營養健康狀況變遷調查。臺北市:行政院衛生福利部國民健康署。
    衛生福利部國民健康署 ( 2018 )。全民身體活動指引 Physical Activity Guidelines for Taiwanese。臺北市:行政院衛生福利部國民健康署。
    衛生福利部國民健康署 ( 2019 )。107年國中學生健康行為調查報告。2019年10月14日,取自:https://www.hpa.gov.tw/Pages/Detail.aspx?nodeid=257&pid=11582
    劉俊佑 ( 2010 )。高職學生與輕度智能障礙學生身體活動量與運動強度之比較研究-以國立秀水高工為例 ( 碩士論文 )。取自華藝線上圖書館系統。( 系統編號U0021-1610201315194679 )
    劉欽文 ( 2012 )。國中資源班、特教班智能障礙學生與一般學生上學時間身體活動型態之差異性研究 ( 未出版 )。國立高雄師範大學體育學系碩士論文,高雄市。
    劉文瑜、王鐘賢、何靖雯 ( 2013 )。應用ICF架構探討智能障礙者的老化。物理治療。38,126-136。
    厚生労働省 ( 2013 )。運動基準・運動指針の改定に関する検討会報告書。2013年,3。
    Biddle, S. J., & Asare, M. ( 2011 ) . Physical activity and mental health in children and adolescents: a review of reviews. British journal of sports medicine, 45 ( 11 ) , 886-895.
    McBride, B.A. & Dev, D.A. ( 2014 )。Preventing Childhood Obesity: Strategies to Help Preschoolers Develop Healthy Eating Habits.
    Chen, K., & Bassett, D.R. ( 2005 ) . The technology of accelerometry-based activity monitors: Current and future. Medicine and Science in Sports and Exercise, 37, 490–500.
    Centers for Disease Control and Prevention ( 2015 ) . Childhood obesity facts. Updated August 27. Retrieved from http://www.cdc.gov/healthyschools/obesity/facts.htm
    Case, L., Ross, S., & Yun, J. ( 2020 ) . Physical activity guideline compliance among a national sample of children with various developmental disabilities. Disability and Health Journal, 13 ( 2 ) , 100881.
    Einarsson, I. O., Olafsson, A., Hinriksdóttir, G., Jóhannsson, E., Daly, D., & Arngrímsson, S. A. ( 2015 ) . Differences in physical activity among youth with and without intellectual disability. Med Sci Sports Exerc, 47 ( 2 ) , 411-418.
    Janssen, I., & LeBlanc, A. G. ( 2010 ) . Systematic review of the health benefits of physical activity and fitness in school-aged children and youth. International journal of behavioral nutrition and physical activity, 7 ( 1 ) , 40.
    Korthagen, F. A. ( 2001 ) . Linking practice and theory: The pedagogy of realistic teacher education. Lawrence Erlbaum Associates Publishers.
    Lante, K. A., Walkley, J. W., Gamble, M., & Vassos, M. V. ( 2011 ) . An initial evaluation of a long-term, sustainable, integrated community-based physical activity program for adults with intellectual disability. Journal of Intellectual and Developmental Disability, 36 ( 3 ) , 197-206.
    McDonough, D. J., Pope, Z. C., Zeng, N., Lee, J. E., & Gao, Z. ( 2018 ) . Comparison of College Students’ Energy Expenditure, Physical Activity, and Enjoyment during Exergaming and Traditional Exercise. Journal of Clinical Medicine, 7 ( 11 ) , E433.
    Nelson, T. F., Gortmaker, S. L., Subramanian, S. V., Cheung, L., & Wechsler, H. ( 2007 ) . Disparities in overweight and obesity among US college students. American journal of health behavior, 31 ( 4 ) , 363-373.
    Nejat, E. J., Polotsky, A. J., & Pal, L. ( 2010 ) . Predictors of chronic disease at midlife and beyond -- The health risks of obesity. Maturitas, 65 ( 2 ) , 106-111.
    Phillips, K. L., Schieve, L. A., Visser, S., Boulet, S., Sharma, A. J., Kogan, M. D., et al. ( 2014 ) . Prevalence and impact of unhealthy weight in a national sample of US adolescents with autism and other learning and behavioral disabilities. Maternal and Child Health Journal, 18 ( 8 ) , 19641975.
    Pan, C. Y., Liu, C. W., Chung, I. C., & Hsu, P. J. ( 2015 ) . Physical activity levels of adolescents with and without intellectual disabilities during physical education and recess. Research in Developmental Disabilities, 36, 579-586.
    Physical Activity Guidelines Advisory Committee ( 2018 ) , Physical Activity Guidelines for Americans 2nd edition,2018. Washington, DC : United States Department of Health and Human Services,2018.
    Wang W-Y, Hsieh Y-L, Hsueh M-C, Liu Y, Liao Y. Accelerometer-Measured Physical Activity and Sedentary Behavior Patterns in Taiwanese Adolescents. International Journal of Environmental Research and Public Health. 2019; 16(22):4392. https://doi.org/10.3390/ijerph16224392
    Ward, D. S., Evenson, K. R., Vaughn, A., Rodgers, A. B., & Troiano, R. P. ( 2005 ) .Accelerometer use in physical activity: Best practices and research recommendations. Medicine and Science in Sports and Exercise,37 ( 11 ) ,582-8.
    World Health Organization. ( 2010 ) . Set of recommendations on the marketing of foods and non-alcoholic beverages to children. Geneva: World Health Organization;2010 http://www.who.int/dietphysicalactivity/publications/recsmarketing/en/
    World Health Organization. ( 2010 ) . Global recommendations on physical activity for health. World Health Organization.
    Wright, N. D., Groisman-Perelstein, A. E., Wylie-Rosett, J., Vernon, N., Diamantis, P. M., & Isasi, C. R. ( 2011 ) . A life-style assessment and intervention tool for pediatric weight management: The HABITS questionnaire. Journal of Hu-man Nutrition and Dietetics, 24 ( 1 ) , 96-100. doi: 10.1111/ j.1365-277X.2010.01126.x
    World Health Organization. ( 2019 ) . Global action plan on physical activity 2018-2030: more active people for a healthier world. World Health Organization.

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