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研究生: 陳國生
Kuo-Sheng Chen
論文名稱: 不同強度阻力訓練對代謝症候群危險因子大學男性相關健康變項之影響
The Effects of Different Intensity Resistance Training on Related Health Variables of Male University Students with Risk Factors of Metabolic Syndrome
指導教授: 方進隆
Fang, Chin-Lung
學位類別: 博士
Doctor
系所名稱: 體育學系
Department of Physical Education
論文出版年: 2012
畢業學年度: 100
語文別: 中文
論文頁數: 112
中文關鍵詞: 阻力訓練代謝症候群身體組成血脂肪脂肪代謝激素
英文關鍵詞: resistance training, metabolic syndrome, body composition, blood lipids, fat metabolic hormones
論文種類: 學術論文
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  • 本研究主要目的探討不同強度阻力訓練對代謝症候群危險因子大學男性血脂肪、身體組成與脂肪代謝激素之影響。本研究招募30位大學(18-22歲)具有代謝症侯群危險因子且無規律運動之男性,隨機分成高阻力訓練組、中阻力訓練組和控制組三組,每組10位。高阻力強度為4-8 RM (Repetition Maximum,最大反覆次數);中阻力強度為8-12 RM,訓練組受試者接受每週3天,回合數 (set) 3次,全身8-9個主要肌肉群,維持10週的漸增式阻力訓練;每週總訓練量相同 (總訓練量 = 每週訓練組數 × 個體相對負荷 ( %1RM ) × 每組反覆次數)。所有受試者於訓練前後檢測代謝症候群相關變項,包含腰圍、血壓、血脂、空腹血糖,身體組成包含脂肪及肌肉量、脂肪及肌肉百分比、去脂體重及脂肪代謝相關激素包含胰島素、脂聯素、瘦體素。所得資料以混合設計單因子共變數分析 ( onw-way ANCOVA,mixed design) 處理。結果顯示在代謝症候群因子變項主要效果比較,在腰圍方面,高強度組顯著比控制組與中強度組低 ( p < .05);在三酸甘油脂與高密度脂蛋白膽固醇,高強度組與中強度組皆顯著優於控制組 (p < .05);在低密度脂蛋白膽固醇,高強度組與中強度組顯著比控制組高 (p < .05);在舒張壓,高強度組顯著比控制組低 (p < .05)。在身體組成變項主要效果比較,在脂肪量,高強度組與中強度組顯著比控制組低 (p < .05);在肌肉量、去脂體重和肌肉百分比,高強度組與中強度組皆顯著比控制組高 (p < .05);在脂肪百分比,高強度組顯著比控制組低;在腰臀圍比,高強度組顯著比控制組低 (p < .05)。在脂肪代謝激素變項主要效果比較,在胰島素,高強度組與中強度組顯著比控制組低 (p < .05);在脂聯素方面,高強度組顯著比控制組低 (p < .05)。結論:十週中強度與高強度相同總訓練量的阻力訓練對於代謝症候群危險因子大學男性的大部分相關健康變項 (血脂肪,身體組成與脂肪代謝激素)皆有正面的助益,高強度阻力訓練對於腰圍、脂肪百分比、舒張壓和脂聯素的影響較大。

    Purpose :The purposes of this study were to investigate the effects of different intensity resistance training of male university students with risk factors of metabolic syndrome on blood lipids, body composition and the hormones related to fat metabolism. Subjects :Thirty male university students (aged from 18-22 years) with risk factors of metabolic syndrome and non-regular exercise habits were recruited as the subjects of this study. Method : The subjects were randomly assigned into high intensity group (H), medium intensity group (M) of resistance training and control group (C), each group comprised of 10 subjects. The high intensity and medium intensity of resistance training were 4-8 RM (repetition maximum) and 8-12 RM, respectively. The training subjects had received 3 days per week, 1-3 sets, 9 major muscle groups of progressive resistance training for 10 weeks, with the same total amount of training volume ( frequency * load * sets ). All the subjects had received the related health variables tests, including waist circumference, fasting blood glucose, blood pressure, body composition and hormones of fat metabolism (Insulin, Leptin, and Adiponectin) before and after 10 weeks of training. All the collected data were analyzed with mixed design one way ANCOVA. Results : The results of this study were followed: 1, main effects of metabolic syndrome: the waist circumference of H was significantly lower than that of M and C (p<.05). The HDL-C of H and M were significantly better than that of C (p <.05). The DBP of H was significantly lower than that of C (p <.05). 2, main effects of body composition: the fat mass of H and M subjects were significantly lower than that of C (p <.05). The muscle mass, % muscle mass, and fat-free mass of H and M were significantly higher than that of C (p<.05). 3, main effects of hormones of fat metabolism: the insulin of H and M were significantly lower than that of C (p <.05). The adiponectin of H was significantly lower than that of CG (p<.05). Conclusion: The high and medium intensity of 10-week resistance training with same amount of training volume both have produced favorable health effects of male university students with risk factors of metabolic syndrome. The high-intensity has greater effects on waist circumference, % body fat, DBP and adiponectin.

    Key words: resistance training, metabolic syndrome, body composition, blood lipids, fat metabolic hormones

    目 錄 授權書………………………………………………………………………………………i 中文摘要…………………………………………………………………………………ii 英文摘要 ………………………………………………………………………………iii 謝誌………………………………………………………………………………………iv 第一章 緒 論 一、研究背景………………………………………………………………………………1 二、研究問題………………………………………………………………………………7 三、研究目的………………………………………………………………………………7 四、研究假設………………………………………………………………………………8 五、名詞操作性定義………………………………………………………………………8 六、研究範圍與限制……………………………………………………………………10 七、研究的重要性………………………………………………………………………10 第二章 文獻探討 一、代謝症候群群與身體活動…………………………………………………………13 二、阻力訓練對體重管理與身體組成的改善…………………………………………21 三、阻力訓練改善心血管疾病與代謝症候群因子的效果……………………………26 四、阻力訓練改善代謝症候群因子需有的劑量………………………………………31 五、阻力訓練與其變項參數對代謝症候群危險因子效果最近的結論………………40 六、本章總結……………………………………………………………………………44 第三章 研究方法與步驟 一、受試者………………………………………………………………………………46 二、實驗時間與地點……………………………………………………………………47 三、測驗方法與儀器……………………………………………………………………47 四、實驗流程及步驟……………………………………………………………………58 五、統計分析……………………………………………………………………………64 第四章 結果 一、受試者基本資料……………………………………………………………………66 二、不同強度阻力訓練對代謝症候群因子的效果……………………………………69 三、不同強度阻力訓練對身體組成的效果……………………………………………73 四、不同強度阻力訓練對血液及代謝激素指標的效果………………………………76 第五章 討論與結論 一、不同強度阻力訓練對代謝症候群因子的效果探討………………………………78 二、不同強度阻力訓練對身體組成的效果探討………………………………………82 三、不同強度阻力訓練對脂肪代謝激素的效果探討…………………………………84 四、結論與建議…………………………………………………………………………86 引用文獻…………………………………………………………………………………89 圖一 實驗概念流程圖………………………………………………………………100 附表一 運動訓練各項介入之進一步說明……………………………………………101 附錄一 受試者須知……………………………………………………………………102 附錄二 告知同意書……………………………………………………………………103 附錄三 健康情況調查表 (PAR-Q Form)…………………………………………104 附錄四 受試者健康資料調查表………………………………………………………105 附錄五 受試者間效應項檢定結果 (代謝症候群因子部分) ………………………106 附錄六 不同組別主要效果成對比較 (代謝症候群因子部分) ……………………108 附錄七 受試者間效應檢定結果 (身體組成部分) …………………………………109 附錄八 不同組別主要效果成對比較 (身體組成部分) ……………………………110 附錄九 受試者間效應檢定結果 (脂肪代謝激素部分) ……………………………111 附錄十 不同組別主要效果成對比較 (脂肪代謝激素部分) ………………………112 個人小傳 ………………………………………………………………………………113 圖 次 圖2-2-1 運用阻力運動進行體重控制的理想模式 …………………………………21 圖2-2-2 運動中最大脂耗量和LBM關係 ……………………………………………23 圖3-1-1受試者篩選流程………………………………………………………………46 圖3-4-1 受試者訓練分組 ……………………………………………………………54 圖3-4-2 阻力訓練執行動作 …………………………………………………………58 表 次 表1-1-1 有氧及阻力訓練在健康及體能變項效果之比較……………………………5 表1-1-2 國民健康局2006年公佈代謝症候群定義及其因子 ………………………9 表2-1-1 行政院國民健康局所提出之代謝症候群防治策略 ………………………20 表2-4-1 阻力訓練對代謝症候群因子等相關變項之研究探討 ……………………34 表3-4-1 實驗三大階段 ………………………………………………………………55 表3-4-2 阻力訓練漸進式處方內容及說明 …………………………………………57 表4-1-1 受試者基本資料 ……………………………………………………………67 表4-1-2 受試者阻力訓練之前後測資料 ……………………………………………67 表 4-2-1調整後各組平均數及組間比較 ……………………………………………71 表4-2-2 各變項之組別顯著效果 ……………………………………………………72 表 4-3-1調整後各組平均數及組間比較 ……………………………………………74 表4-3-2 各變項之組別顯著效果 ……………………………………………………75

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