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研究生: 許素馨
Hsu, Su-Hsing
論文名稱: 久坐傷身: 高齡者不同主客觀靜態時間與功能性體適能之差異研究
Sitting is bad for your health: Differences of objective and subjective sedentary time with functional fitness in older adults
指導教授: 廖邕
Liao, Yung
口試委員: 陳伯儀
Chen, Bo-I
薛名淳
Hsueh, Ming-Chun
廖邕
Liao, Yung
口試日期: 2023/07/31
學位類別: 碩士
Master
系所名稱: 樂活產業高階經理人企業管理碩士在職專班
Executive Master of Business Administration Program in Lifestyles of Health and Sustainability
論文出版年: 2023
畢業學年度: 112
語文別: 中文
論文頁數: 47
中文關鍵詞: 久坐行為身體功能三軸加速規
英文關鍵詞: Sedentary behavior, functional fitness, accelerometer
研究方法: 次級資料分析
DOI URL: http://doi.org/10.6345/NTNU202301747
論文種類: 學術論文
相關次數: 點閱:159下載:13
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  • 臺灣推估將於2025年邁入超高齡社會,隨著年齡老化,高齡者會面臨到肌力衰退、平衡能力下降、行走速度變慢等身體功能退化的情形。由於科技的進步,高齡者在日常生活中從事靜態及久坐行為的時間逐漸增加,但較少有研究同時運用主觀及客觀工具,針對高齡者靜態時間與功能性體適能議題進行探討,據此,本研究之主要研究目的為瞭解研究對象不同主觀、客觀測量靜態時間與功能性體適能之差異。本研究為橫斷性研究設計,以便利取樣招募121位社區高齡者參與(平均年齡69.97± 5.04歲)。研究工具包括客觀儀器三軸加速規 (ActiGraph)、主觀靜態行為問卷及功能性體適能測驗,統計方法包括描述性統計分析、獨立樣本t檢定及單因子變異數分析。研究結果發現研究對象主觀靜態時間平均為7.72小時,客觀靜態時間平均為10.09小時,客觀總靜態時間高於主觀總久坐時間。此外,研究對象主觀靜態行為之多寡與體適能表現均無顯差異,而客觀靜態行為部分,高靜態行為者相較於中、低靜態行為者,有較差的上肢肌力、動態平衡能力。根據本研究之結果,建議未來研究需針對高齡族群進行客觀的靜態行為測量,並針對高靜態行為者發展介入策略,以達到維持高齡者身體功能之目標。

    It is estimated that Taiwan will become a super-aged society in 2025. With aging, older adults are facing the condition of functional fitness decline, including reduced muscular strength, poor balance ability and lower gait speed. In addition, older adults are engaging in more sedentary time in daily life due to technology advances. However, limited studies have used both objective and subjective measurement to examine the association between sedentary time and physical function. Thus, the purposes of this study are to examine differences of objective and subjective-measured sedentary time with physical function in older adults. This cross-sectional study recruited 121 community-dwelling older adults (average age: 69.97± 5.04 years) using convenience sampling. Sedentary time was assessed using an accelerometer (Actigraph) and a subjective questionnaire, as well as physical function was measured by 5 tests. Descriptive statistics, independent t test and ANOVA were performed. The results showed that the participants had an average of 7.72 objective sedentary time and 10.09 subjective sedentary time. For subjective sedentary time, no significant differences were observed between different sedentary time and physical performance. For objective sedentary time, older adults with high sedentary time had significant worse performance of upper muscle strength and dynamic balance ability. It is suggested the importance of objectively measuring older adults' sedentary time and developing intervention strategies for those with high sedentary time, for achieving the goal of maintaining older adults' functional fitness.

    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 操作型名詞定義 6 第五節 研究限制 7 第貳章 文獻探討 8 第一節 靜態行為概念之演變 8 第二節 高齡者靜態行為之建議 10 第三節 久坐行為流行病學架構 12 第四節 高齡者久坐行為與疾病之關係 14 第參章 研究方法 16 第一節 研究架構 16 第二節 研究假設 17 第三節 研究對象 18 第四節 研究工具 19 第五節 研究流程 21 第六節 資料處理 22 第肆章 結果與討論 23 第一節 高齡者靜態行為與體適能現況 23 第二節 社會人口學變項與主客觀靜態行為及體適能之關聯性 26 第三節 高齡者靜態行為與體適能之差異性 32 第四節 綜合討論 35 第伍章 結論與建議 37 第一節 結論 37 第二節 建議 38 引用文獻 39 附件:社區老人調查問卷 42

    Bey, L., & Hamilton, M. (2003). Suppression of skeletal muscle lipoprotein lipase activity during physical inactivity: a molecular reason to maintain daily low-intensity activity. The Journal Of Physiology, 551(2), 673-682. doi:10.1113/jphysiol.2003.045591

    Fleig, L., McAllister, M. M., Brasher, P., Cook, W. L., Guy, P., Puyat, J. H., ... & Ashe, M. C. (2016). Sedentary behavior and physical activity patterns in older adults after hip fracture: a call to action. Journal of aging and physical activity, 24(1), 79-84.

    Hamilton, M., Hamilton, D., & Zderic, T. (2004). Exercise Physiology versus Inactivity Physiology: An Essential Concept for Understanding Lipoprotein Lipase Regulation. Exercise And Sport Sciences Reviews, 161-166. doi:10.1097/00003677-200410000-00007

    Hamilton, M., Hamilton, D., & Zderic, T. (2007). Role of Low Energy Expenditure and Sitting in Obesity, Metabolic Syndrome, Type 2 Diabetes, and Cardiovascular Disease. Diabetes, 56(11), 2655-2667. doi:10.2337/db07-0882

    Liao, Y., Hsu, H. H., Shibata, A., Ishii, K., Koohsari, M. J., & Oka, K. (2018). Associations of total amount and patterns of objectively measured sedentary behavior with performance-based physical function. Preventive medicine reports, 12, 128-134.

    Owen, N., Sugiyama, T., Eakin, E. E., Gardiner, P. A., Tremblay, M. S., & Sallis, J. F. (2011). Adults' sedentary behavior: determinants and interventions. American journal of preventive medicine, 41(2), 189-196.

    Owen, N., Healy, G. N., Matthews, C. E., & Dunstan, D. W. (2010). Too much sitting: the population-health science of sedentary behavior. Exercise and sport sciences reviews, 38(3), 105.

    Reuter, C., Bellettiere, J., Liles, S., Di, C., Sears, D. D., LaMonte, M. J., ... & Natarajan, L. (2020). Diurnal patterns of sedentary behavior and changes in physical function over time among older women: a prospective cohort study. International Journal of Behavioral Nutrition and Physical Activity, 17(1), 1-11.

    Lee, J., Chang, R. W., Ehrlich-Jones, L., Kwoh, C. K., Nevitt, M., Semanik, P. A., Sharma, L., Sohn, M. W., Song, J., & Dunlop, D. D. (2015). Sedentary behavior and physical function: objective evidence from the Osteoarthritis Initiative. Arthritis care & research, 67(3), 366–373. https://doi.org/10.1002/acr.22432

    Walker, R. L., Greenwood-Hickman, M. A., Bellettiere, J., LaCroix, A. Z., Wing, D., Higgins, M., ... & Rosenberg, D. E. (2021). Associations between physical function and device-based measures of physical activity and sedentary behavior patterns in older adults: moving beyond moderate-to-vigorous intensity physical activity. BMC geriatrics, 21(1), 1-12.

    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 Suppl), S582-8.

    Garcia Meneguci, C. A., Meneguci, J., Sasaki, J. E., Tribess, S., & Júnior, J. S. V. (2021). Physical activity, sedentary behavior and functionality in older adults: A cross-sectional path analysis. PLoS one, 16(1), e0246275.

    Ramsey, K. A., Rojer, A. G. M., D'Andrea, L., Otten, R. H. J., Heymans, M. W., Trappenburg, M. C., Verlaan, S., Whittaker, A. C., Meskers, C. G. M., & Maier, A. B. (2021). The association of objectively measured physical activity and sedentary behavior with skeletal muscle strength and muscle power in older adults: A systematic review and meta-analysis. Ageing research reviews, 67, 101266. https://doi.org/10.1016/j.arr.2021.101266.

    Jiang, Y., Wang, M., Liu, S., Ya, X., Duan, G., & Wang, Z. (2022). The association between sedentary behavior and falls in older adults: A systematic review and meta-analysis. Frontiers in public health, 10, 1019551. https://doi.org/10.3389/fpubh.2022.1019551

    古博文、孫文榮、陳俐蓉(2016)。老年人靜態行為問卷之發展。大專體育學刊,18(1),41-55。https://doi.org/10.5297/ser.1801.004

    國家發展委員會. (2023). 高齡化時程. 取自https://www.ndc.gov.tw/Content_List.aspx?n=D527207EEEF59B9B

    連又旻, 林倩宇, & 廖邕. (2022). 從建議到指引: 世界衛生組織 2010 年與 2020 年身體活動與靜態行為版本之比較. 台灣公共衛生雜誌, 41(3), 258-264.

    楊雅如, 羅鴻基, 黃維貞, 吳泓熠, & 王瑞瑤. (2017). 不同運動模式介入對於高齡者身體功能和活動之影響. 物理治療, 42(4), 257-267.

    鄭聖儒, 薛名淳, 黃品瑄, & 廖邕. (2016). 久坐行為概念之演變與發展. 休閒與社會研究, (14), 29-40.

    薛名淳, 黃品瑄, & 廖邕. (2017). 久坐行為流行病學之研究架構. 大專體育, (142), 65-74.

    薛名淳, 廖邕, 黃品瑄, & 張少熙. (2017). 高齡者久坐行為與健康之文獻回顧. 台灣公共衛生雜誌, 36(4), 337-349.

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