快走運動對肥胖學童體位及心肺適能的影響
研 究 生：蕭玉真
2006年1月 指導教授：方進隆
摘 要
目的：本研究的目的主要是十二週探討快走運動對肥胖學童體位和心肺適能的影響。方法：以平均年齡為10.9±0.81歲之國小四～六年級肥胖學童共50名為受試對象，隨機分成實驗組25名及控制組25名。實驗組除了每週兩節的體育課外，需額外進行每週五天，每次3公里，運動強度介於最大心跳率60%～70%之間，為期十二週的快走運動訓練。控制組除了每週兩節的體育課外，不施予任何的實驗處理。實驗組及控制組於訓練前後均需接受體位測量（身高、體重、ＢＭＩ、體脂肪百分比、腰臀圍比）及心肺適能（安靜心跳率、血壓值、800公尺跑走）等的檢測。所得資料，以相依樣本、獨立樣本t考驗分別檢定各組前後測及各組間的差異，結果如下：
一、實驗組在身高、腰臀圍比的前後測值有達到顯著差異(p＜.05)，其餘三項前後測成績，雖沒有顯著差異，但均有進步。
二、實驗組與控制組之間，除了腰臀圍比有達到顯著差異(p＜.05)之外，其餘身高、體重、BMI、體脂肪百分比皆沒有達到顯著差異(p＞.05)。
三、實驗組在800公尺跑走、安靜心跳率的前後測值及和控制組之間均有達到顯著差異(p＜.05)，實驗組收縮壓、舒張壓的前後測值及和控制組之間，並沒有達到顯著差異。
結論：十二週快走運動對於肥胖兒童的腰臀圍和心肺適能具顯著改善
的效果。
關鍵詞：快走運動、肥胖學童、體位、心肺適能

The Effects of Brisk Walking program on the Anthropometry and Cardiopulmonary Fitness of Obese Schoolchild

January, 2006 Student: Jane Shaw
Advisor: Frank Fang
Abstract
Purpose: The purpose of this study was to investigate the effects of 12-week brisk walking on the anthropometry and cardiopulmonary fitness of obese schoolchild. Methods: Fifty 4th to 6th grade obese students(age 10±0.8 years old) were randomly divided into two groups: Brisk walkers and Control group, each group included 25 subjects. The experimental group trained with brisk walking 5 days a week, 3km/d, with intensity of 60%~70% HR max for 12 weeks; the control group maintained the normal daily life schedule without taking any training courses. All of the subjects had received all the testing variables before and after the training. Testing events contained anthropometry, including height, weight, body mass index (BMI), body fat percentage, and waist to hip ratio (WHR) and cardiopulmonary fitness, including 800m run-walk test, resting heart rate and blood pressure. Data were analyzed by dependent and independent T-test testing within-subjects and between-subjects for differences.
Results: 1. The experimental subjects showed significant differences in height, WHR (p＜.05), after training the other anthropometry testing events showed no significant difference, although had some improvements. 2. Between experimental and control group, the results showed significant difference (p＜.05) in WHR, and others were not significant (p＞.05). 3. The experimental subjects showed significant improvement (p＜.05) in 800m run-walk and resting heart rate, while blood pressure was not significantly different.
Conclusions: The 12-week brisk walking program significantly improve the WHR and cardiopulmonary fitness.
Key words：brisk walking, obese schoolchild, anthropometry, cardiopulmonary fitness

引用文獻

中文部分

BBC中文網（2001）。兒童肥胖症以成全球流行病。2005年2月2日取自： http://news.bbc.co.uk/chinese/trad/hi/newsid_1610000/newsid_1615400/1615482.stm

丁予安（2003）。血脂異常之運動處理。高血脂防治手冊，行政院衛生署國民健康局。

方進隆（1997）。健康體適能的理論與實際。頁171。台北：漢文書店。

方進隆（1997）。有氧運動。教師體適能指導手冊，國立台灣師範大學學校體育研究與發展中心主編。

王錦雲（2004）。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。台北醫學大學碩士論文，全國博碩士論文資訊網，系統編號：92TMC00563022。

王順正（1999）。運動與心臟跳動。運動生理週訊。2005年5月2日取自：
http://www.epsport.idv.tw/epsport/week_1_april30.htm

王順正（2005）。走路與跑部的能量消耗差異。運動生理週訊電子報，192。2005年5月12日，取自：
http://140.123.226.100/epsport/week/show.asp?repno=192&page=1

行政院衛生署（2002）。兒童與青少年肥胖與過瘦定義。台北：作者。

曲俊雅（2004）。肥胖兒童最小七歲起動脈就已開始硬化。新華網，2005年5月23日取自：http://big5.xinhuanet.com/gate/big5/news.xinhuanet.com/
world/2004-09/28/content_2032996.htm

李名揚（2005）。小一19％肥胖26％近視68％蛀牙。聯合報教育文化版，第八版。http://www.appledaily.com.tw/template/twapple/art_main.cfm?loc=TP&s
howdate=20041024&sec_
林貴福（1996）。中年男子走路運動訓練強度的研究。未出版博士論文，國立師範大學，台北市。

林瑞興（2000）。十二週不同形式快走訓練對血壓偏高青少年血壓值及血液分析值的效果探討。體育學報，29，115～125。

林宜昭（2000）。大家來Walking（電子版）。康健雜誌，22。

林瑞興（2003）。運動訓練及飲食教育計畫介入對體重過重大學生的效果探討。 （博士論文，台灣師範大學，2003）。國立台灣師範大學博碩士論文系統，91NTNU0567063。

亞洲營養新聞（2004）。兒童過重有沒有關係？亞洲營養新聞雙月刊，8。取自：http://www.eatbeef.com.tw/modules/xfsection/article.php?articleid=24

沈樹林（2000）。跳繩教學活動對國小學童體適能影響之研究。（碩士論文，國立台北師範學院，2000）摘要。全國博碩士論文資訊網，系統編號：88NTPTC0576041。

林秋霞（2001）。新式健身操對國小肥胖學童健康體適能與身體自我概念影響之研究。全國博碩士論文摘要檢索系統，89NCPES419041。

胡政宏（2004）。運動與飲食教育介入對肥胖學童健康體適能之影響。（碩士論文，國立體育學院，2004）。全國博碩士論文資訊網，92NCPE5419010。

徐竹思（2004）。肥胖青少年容易被欺和欺人。大紀元，2005年3月2日取自：
http://broadhealth.com/3newsDisply.asp?newsID=55

莊燕山（2004）。健走運動對國小高年級肥胖學童健康體適能及身體自我概念之影響研究。（碩士論文，國立體育學院，2004）。全國博碩士論文資訊網，系統編號：92NCPE5567015。

陳仲義（2001）。運動時數對國民小學學童健康體適能的影響。（碩士論文，台北市立師範學院，2001）。全國博碩士論文摘要檢索系統，系統編號：89TMTC0576033。

許月娥（2004）。跑走教學活動對國小學童健康體適能的影響。（碩士論文，台北市立師範學院，2001）。全國博碩士論文資訊網，系統編號：92TMTC0576041。

黃文俊（1998）。八週間斷性步行運動對國小學童健康體適能之影響。體育學報，26，161-168。

國家衛生研究院（2000）。兒童體位之評定及影響因素。台北市：作者。

國家衛生研究院（2001）。身體活動與兒童青少年肥胖。台北市：作者。

國民健康局（2004）。高血壓防治手冊。台北市：作者。

謝伸裕（2002）。ACSM 體適能手冊。台北：九州圖書文物有限公司。

劉偉瑩（2004）。提升學生體適能教育部斥巨資。國語日報，2004年6月8日，取自：
http://203.77.6.141/info/news/adv_listdetail.asp?serial=31393

鍾曉雲（2002）。心事健身操對肥胖學童身體組成、健康體適能及血脂肪的影響。
（碩士論文，國立體育學院，2002）。全國博碩士論文資訊網，90NCPES419039

西文部分
American College of Sports Medicine. (2003, January 22). Calculate your exercise heart rate range. Retrieved January 22, 2006, from http://www.acsm.org/pdf/Calculate.pdf

Ann M. Swartz, Scott J. Strath, David R. Bassett, J. Brian Moore B. S., Beth A. Redwine M. S., and Maureen Groer R.N. et al. (2003). Increasing daily walking improves glucose tolerance in overweight women. Preventive Medicine 37(4), 356-362.

Buemann, B., & Tremblay, A. (1996). Effect of exercise training on abdominal obesity and related metabolic complications. Sports Medicine, 21(3), 191-212.

Claremont, A. D., & Hall, S. J. (1988). Effects of extremity loading upon energy
expenditure and running mechanics. Medicine and Science in Sports and Exercise, 20, 167-171.

Catrine Tudor-Locke , Robert P. Pangrazi, Charles B. Corbin, William J. Rutherford,
Susan D. Vincent, Anders Raustorp, et al. (2004) . BMI-referenced standards for recommended pedometer-determined steps/day in children. Science Direct Preventive Medicine. Retrieved February 24, 2005, from http://www.sciencedirect..com/science?_ob=ArticleURL&_udi=B6WPG-4BRP4RP-1 &_user=10&_hand...

Cris A. Slentz, Brain D. Duscha, MS, Johanna L. Johnson, MS, Kevin Ketchum, et al. (2004). Effects of the amount of exercise on body weight, body composition,
and Measures of central obesity. Archives of Internal Medicine, 164 (1), 31-39.

Duncan, J.J., Gordon N. F., & Scott, C. B. (1991). Women walking for health and fitness. How much is enough? The Journal of the American Medical Association, 266 (23), 3295.

Downing, Heather L, Mcinnis, Kyle FACSM (2004). Self-selected walking pace elicits a moderate-to-vigorous exercise intensity in obese adults. Medicine & Science in Sports & Exercise, 36(5), p S4.

Epstein LH, Wing RR, Koeske R, et al. (1982). A comparison of lifestyle change and
programmed aerobic exercise on weight and fitness change in obese children. Behavior Ther, 13, 651-665.

Epstein LH, Wing RR, Koeske R, et al. (1985). A comparison of lifestyle exercise, aerobic exercise, and calisthenics on weight loss in obese children. Behavior Ther,16, 345-356.

Epstein, L. H. & Goldfield, G. S. (1999). Physical activity in the treatment of childhood over-weight and obesity: current evidence and re-search issues. Medicine and Science in Sports and Exercise, 31(11), 553-559.

Frank B. Hu, Meir J. Stampfer, Graham A. Colditz, Alberto Ascherio, et al. (2000). Physical Activity and Risk of Stroke in Women. The Journal of the American Medical Association, 283, 2961-2967.
Goldfine, H., Ward, A., Taylor, P., Carlucci, C., & Rippe, J. M. (1991). Exercising to health. The Physician and Sportsmedicine, 19 (6), 81-91.

Gutin B., Owens S., Slavens G., Riggs, S. Treiber, F. (1997). Effect of physical training on heart-period variability in obese children. The Journal of Pediatrics Online, 130 (6),938-943.

Hardman, AE and Hudson, A. (1994). Brisk walking and serum lipid and lipoprotein variables in previously sedentary women-effect of 12 weeks of regular walking followed by 12 weeks of detraining. British Journal of Sports Medicine, 28(4), 261-266.

Hall, Cameron, Figueroa, Arturo, Fernhall, Bo, et al (2004). Energy Expenditure of Walking and Running: Comparison with Prediction Equations. Medicine & Science in Sports & Exercise, 36(12): 2128-2134.

Hultquist, Cherilyn N., Albright, Carolyn, Thompson, Dixie L. (2005). Comparison of Walking Recommendations in Previously Inactive Women. Medicine & Science in Sports & Exercise, 37(4), 676-683.

Israel, R.G., M.J. Sullivan, R. H. L. Marks, R. S. Cayton & T.C. Chenier (1994).
Relationship between Cardiorespiratory fitness and lipoprotein (a) in men and women[Electronic version]. Medicine and Science in Sports and Exercise, 26, 425-431.

JoAnn E. Manson, Frank B. Hu, Janet W. Rich-Edwards, Graham A. Colditz, Meir J. Stampfer, Walter C. Willett, et al. (1999). A prospective study of walking as compared with vigorous exercise in prevention of coronary heart disease in women. The New England Journal of Medicine, 341 (9), 650-658.

John M. Jakicic, ; Bess H. Marcus, ; Kara I. Gallagher, et al. (2003). Effect of Exercise Duration and Intensity on Weight Loss in Overweight, Sedentary Women. The Journal of the American Medical Association, 290, 1323-1330.

John Acquaviva. (2004). How many calories does speed walking burn? Fitness Center. Retrieved June 10, 2005, from http://atoz.iqhealth.com/Atoz/Fitness/CardioCraze/speedwalking.html

John Acquaviva (2004). Speed walking-Disadvantages. Retrieved June, 10, 2005, from http://atoz.iqhealth.com/Atoz/Fitnes/CardioCraze/speedwalking.html

K S Woo, P Chook, C W Yu, R Y T Sung, M Qiao, S S F Leung et al. (2004). Overweight in children is associated with arterial endothelial dysfunction and intima-media thickening. International Journal of Obesity, 28, 852-857.

Laura Lane (1999). Walking reduces women's heart-attack risk. Retrieved October 13, 2005, from http://www.cnn.com/HEALTH/heart/9908/25/heart.exercise/

Len Kravitz, Ph.D. & Chantal A. Vella, M.S. (2002). Energy expenditure in different
modes of exercise. American College of Sports Medicine. Current Comment.

Miller, J. F., & Stamford, B. A. (1987). Intensity and energy cost of weighted walking vs.
running for men and women. Journal of Applied Physiology, 62, 1479-1510.

McArdle, W. D., Katch, F. I., & Katch, V. L. (1994). Essentials of Exercise Physiology. Lea & Febiger. P104.

Motoyama, M., Sunami, Y., Kinoshita, F., Kiyonaga, A., Tanaka, H., Shindo, M., et al. (1998) . Blood pressure lowering effect of low intensity aerobic training in elderly hypertensive patients. Medicine and Science in Sports and Exercise, 30(6), 818-823.

Moreau, K. L., Degarmo, J. Langley, C. Mcmahon, E. T. Howley, D. R. Bassett, JR. et al. (2001). Increasing daily walking lowers blood pressure in postmenpausal women. Medicine & Science in Sports & Exercise, 33(11), 1825-1831.

Moreau, K. L., R. Degarmo, J. Langley, C. Mcmahon, E. T. Howley, D. R. Bassett, JR., et al. (2001). Increasing daily walking lowers blood pressure in postmenopausal women. Medicine &Science in Sports & Exercise, 33(11), 1825-1831.

Murtagh E. M., Boreham C. A. G., Murphy M.H.(2002). Speed and Exercise Intensity of
Recreational Walkers. Preventive Medicine, 35(4), 397-400.

Melinda L. Irwin, Yutaka Yasui, Cornelia M. Ulrich, Deborah, Bowen, et al (2003). Effect of exercise on total and intra-abdominal body fat in postmenopausal women. The Journal of the American Medical Association, 289 (3) , 323-330.
Melinda L. Irwin, Yutaka Yasui, Cornelia M. Ulrich, Deborah Bowen, Rebecca E. Rudolph, Robert S. Schwartz, et al. (2003). Effect of exercise on total and intra-abdominal body fat in postmenopausal women. The Journal of Clinical Endocrinology & Metabolism, 289 (3) , 323-330.

Masurier, L. (2004). Walk which way ? American College of Sports Medicine's Health& Fitness Journal. 8(1), 7-10.

Maffeis C., Zaffanello M., Pellegrino M., Banzato C., Bogoni G., Viviani E. et al. (2005). Nutrient oxidation during moderately intense exercise in obese prepubertal boys . The Journal of Clinical Endocrinology & Metabolism, 90 (1) , 231-236.

Nakamura, E. Moritani, T., & Kanetaka, A. (1989). Biological Age Versus Physical
Fitness Age[Electronic version]. European Journal of Applied Physiology and Occupational Physiology, 58(7), 778-785.

Owens S, Gutin B, Allison J, et al. (1999). Effect of physical training on total and visceral
fat in obese children. Medicine Science Sports Exercise, 31, 143-148.

Rocchini AP, Katch V, Anderson J, Becque, D, Martin M, Marks C（1988）. Blood
pressure in obese adolescent: effect of weight loss. Pediatrics, 82, 16-23.

Robert D. Abbott, Lon R. White, G. Webster Ross, Kamal H. Masaki, et al. (2004). Walking and Dementia in Physically Capable Elderly Men. The Journal of the American Medical, 292, 447-1453.

Volpe ayub, B., and O. Bar-or. (2003). Energy cost of walking in boys who differ in adiposity but are matched for body mass. Medicine & Science in Sports & Exercise. 35(4), 669-674.

Wing, R. R. (1999). Physical activity in the treatment of the adulthood overweight and obesity: current evidence and research issues. Medicine and Science in Sports and Exercise, 31(11), S547-S552.

Walker, John L., Murray, Tinker D., Jackson, Andrew S., Morrow, James R. JR., Michaud,
Thomas J. (1999). The energy cost of horizontal walking and running in adolescents. Medicine & Science in Sports & Exercise. 31(2), 311-322.

Y. Shoenfeld, G. Keren, T. shimoni, C. Birnfeld and E. Sohar (1980).Walking. A method
for rapid improvement of physical fitness. The Journal of the American Medical, 243 (20).

Y K Wing, S H Hui, W M Pak, C K Ho, A Cheung, A M Li and F Fok ( 2003). A controlled study of sleep related disordered breathing in obese children. Archives of Disease in Childhood, 88 (12), 1403-1407.