研究生: |
劉瓊尹 Chiung-Yi Liu |
---|---|
論文名稱: |
停經後有無規律運動婦女之健康概念與體適能的比較研究 A Comparison of Health Conception and Physical Fitness between Regular and Non-regular Exercising Postmenopausal Women |
指導教授: |
方進隆
Fang, Chin-Lung |
學位類別: |
碩士 Master |
系所名稱: |
體育學系 Department of Physical Education |
論文出版年: | 2004 |
畢業學年度: | 92 |
語文別: | 中文 |
論文頁數: | 77頁 |
中文關鍵詞: | 停經 、規律運動婦女 、健康概念 、體適能 |
英文關鍵詞: | post-menopause, regular exercise, health conception, physical fitness |
論文種類: | 學術論文 |
相關次數: | 點閱:255 下載:20 |
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停經後有無規律運動婦女之健康概念與體適能的比較研究
摘要
本研究目的在比較停經後有無規律運動婦女在「健康概念」得分情形與「體適能」測驗的差異。受試者為停經後之78名婦女,其中39名為每週至少運動三次,每次至少30分鐘之規律運動婦女組(regular exercising postmenopausal women, REG)與39名無規律運動婦女組(non-regular exercising postmenopausal women, NREG),平均年齡為61.47±8.63歲、平均身高為155.71±4.01公分、平均體重為56.77±7.56公斤),分別進行:(1)健康概念問卷調查;(2)體適能測驗(30秒坐站、手舉啞鈴、二分鐘原地踏步、坐姿柔軟度與手臂背後互拉測驗)。將健康概念與體適能測驗所得資料,以描述統計、獨立樣本t-test和皮爾遜積差相關進行統計分析處理,結果如下:
一、在REG婦女之健康概念量表的調適、角色與安寧幸福方面,顯著優於NREG婦女(p<.05),然而在臨床方面兩組之間則無顯著差異。
二、在REG婦女與NREG婦女之身體質量指數(22.76±2.76與24.64±3.71)、30秒坐站(20.95±3.88個與17.13±3.37個)、二分鐘原地踏步(104.97±11.52個與95.95±17.97個)、坐姿柔軟度(9.71±9.81cm與3.87±8.05cm)測驗,達到顯著差異(p<.05),而且REG婦女之成績優於NREG婦女。
三、在REG婦女與NREG婦女之手舉啞鈴測驗與手臂背後互拉測驗,沒有達到顯著差異。
四、在REG婦女之健康概念與30秒坐站(r=0.708)、手舉啞鈴(r=0.607)、二分鐘原地踏步(r=0.820)、坐姿柔軟度(r=-0.911)、手臂背後互拉(r=-0.897)有顯著相關;然而,在NREG婦女之健康概念和各項體適能項目的相關較低。
有規律運動之停經婦女其健康概念和下肢有關之體適能比無規律運動婦女為佳,宜鼓勵老年婦女從事規律運動。
關鍵詞:停經、規律運動婦女、健康概念、體適能
A Comparison of Health Conception and Physical Fitness between Regular and Non-regular Exercising Postmenopausal Women
January, 2004 Student: Chiung-Yi Liu
Advisor: Chin-Lung Fang
Abstract
The purpose of this study was to compare the differences of health conception and physical fitness between regular and non-regular exercise postmenopausal women. Thirty nine subjects of regular exercise group (REG, exercise at least 3 days a week and 30 minutes each time) and another 39 subjects of non-regular exercise group (NREG) were recruited and asked to perform the physical fitness test and conduct the health perception questionnaire. The physical fitness test included 30-second Chair Stand, Arm Curl, 2 Minute Step-in Place, Chair Sit and Reach Test and Back Scratch. The average age, height and weight of REG and NREG subjects was 61.47±8.63 yr; 155.71±4.01 cm; 56.77±7.56 Kg; respectively. The collected data were analyzed with descriptive statistics, t-test and Pearson Product-Moment Correction and the results were followed:
1. The functional, adaptive, and eudaimonistic aspects of health conception of REG were significantly better than that of NREG (P<.05); however, the clinical aspect was not different between two groups.
2. The body mass Index (22.76±2.76 vs.24.64±3.71 ), 30-Second Chair Stand (20.95±3.88 vs. 17.13±3.37), 2 Minute Step-in-Place (104.97±11.52 vs. 95.95±17.97), and Chair Sit and Reach (9.71±9.81 vs. 3.87±8.05)Test of REG and NREG showed the significant difference (P<.05); however, the Chair Sit and Reach and Back Scratch had no difference between two groups.
3. The correlations between the health concept and 30-Second Chair Stand (r=0.708), Arm Curl (r=0.607), 2 Minutes Step-in-Place (r=0.820), Chair Sit and Reach (r=0.911), Back Scratch (r=0.911) of REG reached the significant level (P<.05); however, there were no significant correlations existed between the health concept and physical fitness of NREG.
The regular exercise postmenopausal women had better health conception and lower-extremity related physical fitness than that of non-regular exercise ones; therefore, the older women were encouraged to engage in regular exercise.
Key words: post-menopause, regular exercise, health conception, physical fitness.
參 考 文 獻
中文部分:
方進隆。(1993)。健康體能的理論與實務。台北:漢文書店。
王學中。(1996)。不同年齡層級慢跑者與無規律運動者體適能之比較研究。未發表碩士論文,國立台灣師範大學體育研究所。台北:國立台灣師範大學。
行政院內政部。(2001)。網路資料。http://www.moi.gov.tw/。
行政院衛生署。(2001)。網路資料。http://www.doh.gov.tw/。
行政院衛生署。(2001)。國人運動習慣調查。台北:行政院衛生署。
行政院體育委員會。(1999)。台灣地區運動參與人口調查。台北:行政院體育委員會。
行政院衛生署家庭計畫研究所。(1999)。民國85年台灣地區中老年保健與生涯規劃調查報告。台北:行政院衛生署。
王瑞霞、邱啟潤。(1996)。老年人體能活動參與及其相關因素探討。高雄醫學科學雜誌,12(6),348-358。
林世昌。(1999)。不同太極拳齡中老年人健康狀況之比較研究。未發表碩士論文,國立台灣師範大學體育研究所。台北:國立台灣師範大學。
林麗娟。(1993)。運動與老化。中華體育,7(3),120-125。
林瑞雄。(1991)。國民健康調查之規劃與試驗。台北:行政院衛生署。
苗迺芳。(1998)。健康促進.於陳靜敏編著,社區衛生護理學,(頁125-150)。台北:偉華。
張玨、周松男、陳芬苓、張菊惠。(1995)。一般經期與更年期自述症狀的研究。中華衛誌,14(2),191-200。
張玨、陳芬苓。(1993)。女性更年期研究的回顧與展望。婦女與兩性學刊,4,263-294。
張玨、陳芬苓、胡幼慧。(1993)。中老年婦女更年期態度的研究。中華衛誌,12(1),26-39。
張媚、陳季員、陳彰惠、葉莉莉、劉向援、黃秀華、許瑛真、劉雅瑛、楊玉娥、周汎澔。(1992)。人類發展概論,(頁399-402)。台北市:華杏書局。
張彩秀、姜逸群。(1995)。國人運動行為、體適能及主觀健康狀況之研究。學校衛生,26,2-10。
張聖如。(2002)。更年期婦女健康促進生活方式及其相關因素之探討。未發表碩士論文,國立台灣大學護理學研究所。台北:國立台灣大學。
曹麗英。(1998)。台灣婦女更年期經驗之探討-處於健康多變化時期。護理研究,6(6),448-459。
斐馬勻。(1995)。脂蛋白元與冠狀動脈疾病。國防醫學,20,368-370。
陳俊忠。(1993)。中年就業人口運動量及健康體能常模之測定,行政院衛生署八十二年度委託研究計畫。台北:行政院衛生署。
陳俊忠。(1999)。身體活動量與老化的關係。未發表碩士論文,國立體育學院運動教練研究所。桃園:國立體育學院。
郭俞良、李成業。(1999)。女性賀爾蒙對停經婦女的心血管保護。國防醫學,29,174-177。
楊宜川。(1995)。社區民眾從事體能活動的情形及其認知之研究,行政院衛生署八十四年度委託研究計畫。台北:行政院衛生署。
黃敏華、邱啟潤。(1997)。高雄地區大學生健康促進生活形態之預測因子,中華衛誌,16(1),24-35。
姜慧嵐。(1994)。體適能指導手冊。台北:中華民國有氧體能運動協會。
黃永任。(1997)。柔軟度與伸展操,教師體適能指導手冊,(頁141-153)。台北市:教育部。
楊錫讓。(1997)。運動生理學原理及應用,(頁307-313)。台北市:中國文化大學出版社。
蔡欣玲、毛家舟令、蔡娟秀、廖天麟、曾櫻花、楊麗燕、康百淑、雷諾莉。(1998)。當代人類發展學,(頁370-375)。台北市:匯華。
蔡克嵩。(1996)。停經前後婦女骨代謝速度與骨骼密度關係之探討。留學繼續教育,5(5),707-708。
蔡碧女。(2001)。老人休閒運動之研究—以元極舞為例。未發表碩士論文,國立台灣體育學院體育研究所。台中:國立台灣體育學院。。
謝伸裕。(1997)。規律運動的生理適應,教師體適能指導手冊,(頁61-65)。台北市:教育部。
蘇忠信。(1997)。高齡者身體活動狀況與身體體能的相關研究。未發表碩士論文,國立體育學院運動科學研究所。桃園:國立體育學院。
英文部分:
American College of Sports Medicine. (2000).ACSM’s guidelines for exercise testing and prescription(6th Ed.). Philadelphia:Lippincott Williams & Wilkins.
Avlund, K., Schroll, M., Davidsen, M., Levborg, B. & Rantanen, T.
(1994).Maximalisometric muscle strength and functional ability in daily activities among 75-year-old men and women. Scandinavian Journal of Medicine and Science in Sports , 4:32-40.
Blair, S.N., Kohl, H.W., Barlow, C.E., Paffenbarger, R.S., Gibbons,
L.W., & Macera, C.A. (1995).Changes in physical fitness and
all cause mortality—A prospective study of healthy and un-
healthy men. Journal of the American Medical Association,
273,1093-1098.
Blair, S.N., Kohlll, H.W., Paffenbarger, R.S., Clark, D.G., Copper,
K.H. (1989).Physical fitness and all-cause mortality: a
prospective study of healthy men and women. Journal of American
Medicine Association, 262(17), 2395-2401.
Brokan, G.A., Huits, D.E., Gerzof, S.G., Robbins, A.H., & Silbert, C.K. (1993).Age changes in body composition revealed by computed tomography. Journal of Gerontology, 38(6),673-677.
Brown, A.B., Mccaryney, N., Sale, D.G. (1990). Positive adaptation
to weight-Lifing training in the elderly. The American
Physiology Society, 1725-1733.
Castelli, W.P. (1984).Epidemiology of coronary heart disease: the
Framingham study. American of Journal Medicine, 76, 4-12.
Charette, S.L., Gisela, Mcevoy, L., Pyka, G., Sonw-Harter, C.,Guido,
D., Wiswell, R.A., & ,Marcus, R (1991).Muscle hypertrophy
response to resistance training in older women.The American
Physiological Society,1912-1916.
Driinkwater, B.L., Horvath, S.M., & Wells, C.L. (1975).Aerobic power
of females ages 10 to 68 .Journal of Gerontology ,30,385-394.
Fishbein, E.G. (1992).Women at midlife: The transition to menopause.
Nursing Clinics of North America, 27(4), 951-957.
Frontera, W.R., Hughes, V.A., Lutz, K.J., Evans, W.J. (1991).A cross-sectional study of muscle strength and mass in 45 to 78 year-old men and women. Journal of Applied Physiology, 71, 644-650.
Goto,S.,Shigeta,H.,Hyakutake,S., &Yamagata, M. (1996).Comparison between menopause-related changes in bone meneral density of the lumber spine and the proximal femur in Japanese female athletes: A long-term longitudinal study using dual-energy x-ray absorptiometry. Calcified Tissue International, 59(6), 461-465.
Giroudard, C.K., & Hurley, B.F. (1995).Does strength training inhibit gains in range of motion from flexibility training in order adults? Medicine and Science in Sports and Exercise, 27(10), 1444-1449.
Hagberg, J.M., Graves, J.E.,Limacher, M., D.R., Leggett, S.H., CononIe,C.,Gruber, J.J., & Pollock, M.L. (1989).Cardiovascular responses of 70-79 year old men and women to exercise training. Journal of Applied Physiology, 66, 2589-2594.
Jackson, R.S., Creemers, J.W., Ohagi, S. et al. (1997).Obesity and
impaired prohormone processing associated with mutations in the
human prohormone convertase 1 gene. Nature Genetics, 16,303-306.
Hammar, M., Brynhildsen, J., Wyon, Y., Nedstrand, E., & Notelovitz, M. (1995).The effects of physical activity on menopausal symptoms and metabolic change around menopause Menopause. The Journal of the North American Menopause Society, 1(2), 201-209.
Hammar, M., Berg, G., & Lindgren, R. (1990).Does physical exercise
influence the frequency of postmenpausal hot flushes? Acta
Obstetricia et Gynecologica Scandinavica, 69, 409-412.
Heinonen, A., Oja, P., Sievanen, H., Pasanen, M., & Vuori, I. (1998).Effect of two training regimens on bone meneral density in health perimenopausal women: A randomized controlled rail.Journal of Bone and Mineral Research, 13(3), 483-490.
Hibbard, J.H., & Pope, C.R. (1983).Women’s role interest in health
behavior. Women & Health, 12(2), 67-84.
Johnston, C.C., & Slemenda, C.W. (1994).Peak bone mass, bone lose
and risk of fracture. Osteoporosis International, 4(supply1),
S43-45.
Kannus, P., Haapasalo, H., Sankelo, M., Sievanen, H., Pasanen, M., Heinonen, A., Oja, P., & Vuori, I. (1995).Effect of starting age of physical activity on bone mass in the dominant arm of the tennis and squash players. Annals of Internal Medicine, 123,27-31.
Knapik, J., & Zoltick, J. (1993).Relationships between self-reported physical active men. American Journal of Preventive medicine, 9(4), 203-208.
Krolner, B., Toft, B., Nielsen, S.P., & Tondevold, E. (1983).Physical exercise as pryphylaxis against involutional vertebral bone loss. A controlled trail Clinical Science, 64, 541-546.
Laffrey, S.C. (1986).Development of health concept scale. Research in Nursing & Health, 9, 107-113.
Laffrey, S.C. (2000).Physical activity among older Mexican. American women Research in Nursing & Health, 23, 383-392.
Lane , N.E., Hochberg, M.C., Pressmen, A., Scott, J.C., & Nevitt, M.C. (1999).Recreational physical activity and the risk of osteoarthritis of the hip in elder women. The Journal of Rheumatology, 26, 849-854.
Lan, C., Jin-Shin, L., Ssu-Yuan, C., & May-Kuen, W. (1997).12-Month Tai Chi training in the elderly: its effect on health fitness. Medicine and Science in Sports and Exercise, 345-349.
Lexell, J., Taylor, C.C. & Sjostrom, M. (1988).What is the cause of different fibber types studied in whole vastus lateralis muscle from 15-to 83-year-old men. Journal of Neurological Science, 84, 275-294.
Lemaitre, R.N., Heckbert, S.R., Psaty, B.M., & Siscovick, D.S.(1995).Leisure-time physical activity and the risk nonfatal myocardial infarction in postmenopausal women. Archives of Internal Medicine, 155, 2302-2308.
Lukkanen, P.P., Era, R.L., Heikkinen, T.S., Kauppiene, M. & Heikkinen, E.M. (1994).Factors related to carrying out everyday activities among elderly people aged 80 Aging, (Milano)6, 433-435.
Mazzeo, R.S., Cavanagh, P., Evans, W.J., Fiatarone, M., Hagberg, J., McAuley, E., & Startzell, J. (1998).American College of Sports Medicineposition stand: exercise and physical activity for older adults. Medicine and Science in Sports and Exercise,30(6), 992-1008.
Mcginnis, J.M. (1992).The public health burden of a sedentary lifestyle. Medicine and science in sports and exercise, 24, 196-200.
Messier, S.P., Royer, T., Craven, T.E., Toole, M.L., Burns, R., Ettinger, W.H. (2000).Long-Term Exercise and its Effect on Balance Older, Osteo-Arthritic Adults: Reults from the Fitness, Arthritis, and Seniors Trial(FAST). JAMS, 48(1).
Pender, N.J. (1982).Health Promotion in Nursing Practice. East Norwalk, CT: Applenton-Century-Corfts.
Peter, H.W., Westendorp, I.C.D., Hak, A.E., Grobbee, D.E., Stehouwer, C.D.A., Hofman, A. & Witteman, J.C.M. (1999).Menopausal status and risk factors cardiovascular disease. Journal of Internal Medicine, 246, 521-528.
Powers, S.K., Howly, E.T. (2001).Exercise Physiology (4th Ed),New
York:McGraw-Hill.
Pyka, G., Lindenberger, E., Charette, S., Marcus, R. (1994).Muscle strength and fiber adaptations to a year-long ristance training program in elderly, men and women. Journal of Gerontology:Science,49(1), M22-M27.
Ransdell, L.B., & Wells, C. (1998).Physical activity in urban white, Aricanamerican, and mexican-american women. Medicine &Science in Sport & Exercise, 30, 1608-1615.
Rantanen, T., Era, P., & Heikkinen, E. (1994).Maximal isomatic strength and mobility among 75-year-old men and women. Age and Ageing, 23, 132-137.
Rikli, R.E., & McManis, B.G. (1990).Effects of exercise on bone mineral content in postmenopausal women. Research Quarterly for Exercise and Sport, 61, 243-249.
Roberta, E., R. & Jones, C.J. (2001).Senior Fitness Test Manual. Human Kinetics.
Ruuskanen, J.M., & Ruoqqila, I. (1995).Physical activity and qsychological Well-being among qeoqle aged 65 to 84 years. Age and Ageing, 24, 292-296.
Sallis, J.F., & Owen, N. (1999).Physical Activity and Behavioral Medicine. Thousands Oaks, CA: Sage Publication.
Sallis, J.F., Haskell, W.L., Fortmann, S.P., Vranizan, K.M., Taylor, C.B., & Solomon, D.S. (1986).Prediction of adoption and maintenance of physical activity in a community sample. Preventive Medicine, 15, 331-341.
Schlenger, W.E. (1976).A new framwork for health. Inquiry, 13, 207-214.
Shangold, M.M. & Mirkin, G. (1994).Women and Exercise: Physiology and Sports Medicine (2nd Ed.). Philadelphia: F. A. Davis Company.
Simon, H., Cannistra, S.A., Etkin, M., Godine, J.E., Heller, D., Shellito, P.C., & Stern, T.A. (2000).CBS Health Watch「On-line」,Available: http//www.medscape.com.
Skelton, D.A., Greig, C.A., & Malbut, K.E. (1995).Effects of resistance training, power, and selected functional abilities of women aged 75 and older. Journal of American Geriatrics Society, 43, 1081-1087.
Smith, J.A. (1981).The idea of health: A philosophical inquiry. Advances in Nursing Science, 3, 43-50.
Snow-Harter, C., Chay, C., & Marcus, R. (1994).Exercise and its relationship to bone mass and cardiovascular function. In J. Lorrain, L. Plouffe, V.A., Ranikar, L., Speroff, N.B., Watts, & I.Schiff(Eds.). Comprehensive management of menopause (pp.159-170). New York: Springer-Verlag.
U.S.Department of Health & Human Services.(1996).Physical activity and health:A report of the Surgeon General. Atlanta, GA: author.
Wallance, E.S. & White, J.A. et al. (1993).Influence of exercise adherence level on moditable coronary heart disease risk factor and functional-fitness level in middle-aged men. British Journal of Sports Medicine, 27(2), 101-106.
Waller, P., Crow, C., Sands, D., & Beker, H. (1988).Health related attitudes and health promoting behavior: differences between health fair attenders and a community comparison group. American Journal of Health Promotion,3(1),17-32.
Walter, R., Frontera. Carol N., Meredith,Kevin P.O relly, Howard,William J,Evans.(1990).Strangth training and determinants of VO2max in older men.The American Physiological Society,329-333.
Winters, K.M. & Snow, C.M. (2000).Detraining reverses positive effect of exercise on musculoskeletal system in premenopausal women. Journal of Bone and Mineral Research, 15(12), 2495-2503.
Wilmore, J.H. & Costill, D.L. (1994).Physiology of Sports and Exercise, Indiana: Human Kinetic, 422-441.
Winters, K.M. & Snow, C.M. (2000).Effect of plyometric jump training on bone mass in adolescent girls. Medicine and Science in Sports and Exercise, 32(6), 1051-1057.
Wood, R.H., Reyes, R., Welsch, M.A., Favaloro-sabatier, J., Sabatier, M., Lee, C.M., Johnson, L.G., & Hooper, P.F.(2001).Concurrent cardiovascular and resistance training in health older adults. Medicine and Science in Sports and Exercise,1751-1758.
World Health Organization. (1996).Research on the menopause in the 1990s: Report of a WHO scientific group. Geneva, Switzerland: WHO.
World Health Organization. (1996).Research on the menopause in the 1990s.Technical Report Series, 886.Geneva:Author.
World Health Organization.(1981).http://www.who.com/
World Health Organization.(1997).http://www.who.com/