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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 吳英黛(Ying-Tai Wu) | |
| dc.contributor.author | Chiao-Nan Chen | en |
| dc.contributor.author | 陳喬男 | zh_TW |
| dc.date.accessioned | 2021-06-13T17:26:54Z | - |
| dc.date.available | 2005-02-03 | |
| dc.date.copyright | 2005-02-03 | |
| dc.date.issued | 2005 | |
| dc.date.submitted | 2005-01-11 | |
| dc.identifier.citation | 1. King H, Aubert RE, Herman WH. Global burden of diabetes, 1995-2025: prevalence, numerical estimates, and projections. Diabetes Care 1998;21:1414-31.
2. Sheard NF. Moderate changes in weight and physical activity can prevent or delay the development of type 2 diabetes mellitus in susceptible individuals. Nutr Rev 2003;61:76-9. 3. Steinberger J, Daniels SR. Obesity, insulin resistance, diabetes, and cardiovascular risk in children: an American Heart Association scientific statement from the Atherosclerosis, Hypertension, and Obesity in the Young Committee (Council on Cardiovascular Disease in the Young) and the Diabetes Committee (Council on Nutrition, Physical Activity, and Metabolism). Circulation 2003;107:1448-53. 4. Helmrich SP, Ragland DR, Paffenbarger RS Jr. Prevention of non-insulin-dependent diabetes mellitus with physical activity. Med Sci Sports Exerc 1994;26:824-30. 5. Economic consequences of diabetes mellitus in the U.S. in 1997. American Diabetes Association. Diabetes Care 1998;21:296-309. 6. 蔡世澤。台灣糖尿病照護現況與省思。臨床醫學2000；45：316-20。 7. Report of the expert committee on the diagnosis and classification of diabetes mellitus. Diabetes Care 2003;26 Suppl 1:S5-20. 8. 論壇健康促進與疾病預防委員會。身體活動與第二型糖尿病。台北：國家衛生研究院，2001。 9. King H, Kriska AM. Prevention of type II diabetes by physical training. Epidemiological considerations and study methods. Diabetes Care 1992;15:1794-9. 10. 鍾志強。自我效能與運動行為的關係。國民體育季刊 1999；28：47-55。 11. 鍾志強。運動自我效能對大學生運動行為的影響。科技學刊 2000；9：59-80。 12. 周碧瑟，董道興，李佳琳，莊紹源，林敬恆，楊南屏。台灣地區糖尿病流行病學。台灣公共衛生雜誌 2002；21：83-9。 13. Williams R, Herman W, Kinmonth AL, Wareham NJ. The Evidence Base for Diabetes Care, 1st Edn. London: John Wiley & Sons, 2002. 14. Helmrich SP, Ragland DR, Leung RW, Paffenbarger RS Jr. Physical activity and reduced occurrence of non-insulin-dependent diabetes mellitus. N Engl J Med 1991;325:147-52. 15. Paffenbarger RS Jr, Lee IM, Kampert JB. Physical activity in the prevention of non-insulin-dependent diabetes mellitus. World Rev Nutr Diet 1997;82:210-8. 16. Manson JE, Rimm EB, Stampfer MJ, et al. Physical activity and incidence of non-insulin-dependent diabetes mellitus in women. Lancet 1991;338:774-8. 17. Manson JE, Nathan DM, Krolewski AS, Stampfer MJ, Willett WC, Hennekens CH. A prospective study of exercise and incidence of diabetes among US male physicians. JAMA 1992;268:63-7. 18. Wallace TM, Matthews DR. The assessment of insulin resistance in man. Diabet Med 2002;19:527-34. 19. Kern PA, Di Gregorio GB, Lu T, Rassouli N, Ranganathan G. Adiponectin expression from human adipose tissue. Diabetes 2003;52:1779-85. 20. Lorenzo C, Stern MP, Okoloise M, Haffner SM, Williams K. The metabolic syndrome as predictor of type 2 diabetes. Diabetes Care 2003;26:3153-9. 21. Ivy JL. Muscle insulin resistance amended with exercise training: role of GLUT4 expression. Med Sci Sports Exerc 2004;36:1207-11. 22. Goodyear LJ, Kahn BB. Exercise, glucose transport, and insulin sensitivity. Annu Rev Med 1998;49:235-61. 23. Brozinick JT, Jr., Etgen GJ, Jr., Yaspelkis BB, III, Ivy JL. The effects of muscle contraction and insulin on glucose-transporter translocation in rat skeletal muscle. Biochem J 1994;297 ( Pt 3):539-45. 24. Marchand-Brustel Y. Molecular mechanisms of insulin action in normal and insulin-resistant states. Exp Clin Endocrinol Diabetes 1999;107:126-32. 25. Kahn CR. Insulin resistance, insulin insensitivity, and insulin unresponsiveness: a necessary distinction. Metabolism 1978;27:1893-902. 26. Dela F, Handberg A, Mikines KJ, Vinten J, Galbo H. GLUT 4 and insulin receptor binding and kinase activity in trained human muscle. J Physiol 1993;469:615-24. 27. Youngren JF, Keen S, Kulp JL, Tanner CJ, Houmard JA, Goldfine ID. Enhanced muscle insulin receptor autophosphorylation with short-term aerobic exercise training. Am J Physiol Endocrinol Metab 2001;280:E528-E533. 28. Hawley JA. Exercise as a therapeutic intervention for the prevention and treatment of insulin resistance. Diabetes Metab Res Rev 2004;20:383-93. 29. Knowler WC, Barrett-Connor E, Fowler SE, et al. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med 2002;346:393-403. 30. Tuomilehto J, Lindstrom J, Eriksson JG, et al. Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N Engl J Med 2001;344:1343-50. 31. Pan XR, Li GW, Hu YH, et al. Effects of diet and exercise in preventing NIDDM in people with impaired glucose tolerance. The Da Qing IGT and Diabetes Study. Diabetes Care 1997;20:537-44. 32. Eriksson J, Lindstrom J, Valle T, et al. Prevention of Type II diabetes in subjects with impaired glucose tolerance: the Diabetes Prevention Study (DPS) in Finland. Study design and 1-year interim report on the feasibility of the lifestyle intervention programme. Diabetologia 1999;42:793-801. 33. Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev 1977;84:191-215. 34. Lewis FM, Rimer BK, Glanz K. Health Behavior and Health Education: Theory, Research, and Practice, 3 Edn. San Francisco, CA: Jossey-Bass, Inc, 2002. 35. Methods for changing exercising behaviors. In: American College of Sports Medicine, ed. ACSM's Guidelines for Exercise Testing and Prescription, 6 Edn. Philadelphia: Lippincott Williams & Wilkins, 2000. 36. Sallis JF, Haskell WL, Wood PD, et al. Physical activity assessment methodology in the Five-City Project. Am J Epidemiol 1985;121:91-106. 37. Taylor CB, Coffey T, Berra K, Iaffaldano R, Casey K, Haskell WL. Seven-day activity and self-report compared to a direct measure of physical activity. Am J Epidemiol 1984;120:818-24. 38. Miller DJ, Freedson PS, Kline GM. Comparison of activity levels using the Caltrac accelerometer and five questionnaires. Med Sci Sports Exerc 1994;26:376-82. 39. Grundy SM, Brewer HB, Jr., Cleeman JI, Smith SC, Jr., Lenfant C. Definition of metabolic syndrome: report of the National Heart, Lung, and Blood Institute/American Heart Association conference on scientific issues related to definition. Arterioscler Thromb Vasc Biol 2004;24:e13-e18. 40. Block G. A review of validations of dietary assessment methods. Am J Epidemiol 1982;115:492-505. 41. Lee-Han H, McGuire V, Boyd NF. A review of the methods used by studies of dietary measurement. J Clin Epidemiol 1989;42:269-79. 42. Karvetti RL, Knuts LR. Validity of the 24-hour dietary recall. J Am Diet Assoc 1985;85:1437-42. 43. Bonora E, Targher G, Alberiche M, et al. Homeostasis model assessment closely mirrors the glucose clamp technique in the assessment of insulin sensitivity: studies in subjects with various degrees of glucose tolerance and insulin sensitivity. Diabetes Care 2000;23:57-63. 44. Matthews DR, Hosker JP, Rudenski AS, Naylor BA, Treacher DF, Turner RC. Homeostasis model assessment: insulin resistance and beta-cell function from fasting plasma glucose and insulin concentrations in man. Diabetologia 1985;28:412-9. 45. Marcus BH, Selby VC, Niaura RS, Rossi JS. Self-efficacy and the stages of exercise behavior change. Res Q Exerc Sport 1992;63:60-6. 46. Swinburn BA, Walter LG, Arroll B, Tilyard MW, Russell DG. The green prescription study: a randomized controlled trial of written exercise advice provided by general practitioners. Am J Public Health 1998;88:288-91. 47. Burton LC, Paglia MJ, German PS, Shapiro S, Damiano AM. The effect among older persons of a general preventive visit on three health behaviors: smoking, excessive alcohol drinking, and sedentary lifestyle. The Medicare Preventive Services Research Team. Prev Med 1995;24:492-7. 48. Reid EL, Morgan RW. Exercise prescription: a clinical trial. Am J Public Health 1979;69:591-5. 49. Di Loreto C, Fanelli C, Lucidi P, et al. Validation of a counseling strategy to promote the adoption and the maintenance of physical activity by type 2 diabetic subjects. Diabetes Care 2003;26:404-8. 50. Kirk A, Mutrie N, MacIntyre P, Fisher M. Effects of a 12-month physical activity counselling intervention on glycaemic control and on the status of cardiovascular risk factors in people with Type 2 diabetes. Diabetologia 2004;47:821-32. 51. Writing Group for the Activity Counseling Trial Research Group: Effects of physical activity counseling in primary care: the Activity Counseling Trial: a randomized controlled trial. JAMA 2001;286:677-87. 52. Bertoli A, Di DN, Ceccobelli M, Ficara A, Girasoli C, De LA. Lipid profile, BMI, body fat distribution, and aerobic fitness in men with metabolic syndrome. Acta Diabetol 2003;40 Suppl 1:S130-S133. 53. Bruce CR, Kriketos AD, Cooney GJ, Hawley JA. Disassociation of muscle triglyceride content and insulin sensitivity after exercise training in patients with Type 2 diabetes. Diabetologia 2004;47:23-30. 54. Boule NG, Kenny GP, Haddad E, Wells GA, Sigal RJ. Meta-analysis of the effect of structured exercise training on cardiorespiratory fitness in Type 2 diabetes mellitus. Diabetologia 2003;46:1071-81. 55. Poehlman ET, Dvorak RV, DeNino WF, Brochu M, Ades PA. Effects of resistance training and endurance training on insulin sensitivity in nonobese, young women: a controlled randomized trial. J Clin Endocrinol Metab 2000;85:2463-8. 56. Short KR, Vittone JL, Bigelow ML, et al. Impact of aerobic exercise training on age-related changes in insulin sensitivity and muscle oxidative capacity. Diabetes 2003;52:1888-96. 57. Leibson CL, Williamson DF, Melton LJ, III, et al. Temporal trends in BMI among adults with diabetes. Diabetes Care 2001;24:1584-9. 58. Uusitupa M, Lindi V, Louheranta A, Salopuro T, Lindstrom J, Tuomilehto J. Long-term improvement in insulin sensitivity by changing lifestyles of people with impaired glucose tolerance: 4-year results from the Finnish Diabetes Prevention Study. Diabetes 2003;52:2532-8. 59. Kriska AM, Hanley AJ, Harris SB, Zinman B. Physical activity, physical fitness, and insulin and glucose concentrations in an isolated Native Canadian population experiencing rapid lifestyle change. Diabetes Care 2001;24:1787-92. 60. Yoshida Y, Hashimoto N, Tokuyama Y, et al. Effects of weight loss in obese subjects with normal fasting plasma glucose or impaired glucose tolerance on insulin release and insulin resistance according to a minimal model analysis. Metabolism 2004;53:1095-100. 61. Miyatake N, Nishikawa H, Morishita A, et al. Daily walking reduces visceral adipose tissue areas and improves insulin resistance in Japanese obese subjects. Diabetes Res Clin Pract 2002;58:101-7. 62. Halbert JA, Silagy CA, Finucane P, Withers RT, Hamdorf PA. Exercise training and blood lipids in hyperlipidemic and normolipidemic adults: a meta-analysis of randomized, controlled trials. Eur J Clin Nutr 1999;53:514-22. 63. Kahle EB, Zipf WB, Lamb DR, Horswill CA, Ward KM. Association between mild, routine exercise and improved insulin dynamics and glucose control in obese adolescents. Int J Sports Med 1996;17:1-6. 64. Eriksson J, Tuominen J, Valle T, et al. Aerobic endurance exercise or circuit-type resistance training for individuals with impaired glucose tolerance? Horm Metab Res 1998;30:37-41. 65. Feigenbaum MS, Pollock ML. Prescription of resistance training for health and disease. Med Sci Sports Exerc 1999;31:38-45. 66. Miller WJ, Sherman WM, Ivy JL. Effect of strength training on glucose tolerance and post-glucose insulin response. Med Sci Sports Exerc 1984;16:539-43. 67. Andersen JL, Schjerling P, Andersen LL, Dela F. Resistance training and insulin action in humans: effects of de-training. J Physiol 2003;551:1049-58. 68. Holloszy JO, Schultz J, Kusnierkiewicz J, Hagberg JM, Ehsani AA. Effects of exercise on glucose tolerance and insulin resistance. Brief review and some preliminary results. Acta Med Scand Suppl 1986;711:55-65. 69. Li G, Hu Y, Yang W, et al. Effects of insulin resistance and insulin secretion on the efficacy of interventions to retard development of type 2 diabetes mellitus: the DA Qing IGT and Diabetes Study. Diabetes Res Clin Pract 2002;58:193-200. 70. Nishida Y, Suzuki H, Wang DH, Kira S. Psychological determinants of physical activity in Japanese female employees. J Occup Health 2003;45:15-22. 71. Oman RF, King AC. Predicting the adoption and maintenance of exercise participation using self-efficacy and previous exercise participation rates. Am J Health Promot 1998;12:154-61. 72. McAuley E, Courneya KS, Rudolph DL, Lox CL. Enhancing exercise adherence in middle-aged males and females. Prev Med 1994;23:498-506. 73. Desharnais R, Bouillon J, Godin G. Self-efficacy and outcome expectations as determinants of exercise adherence. Psychol Rep 1986;59:1155-9. 74. Delahanty LM, Meigs JB, Hayden D, Williamson DA, Nathan DM. Psychological and behavioral correlates of baseline BMI in the diabetes prevention program (DPP). Diabetes Care 2002;25:1992-8. | |
| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/39366 | - |
| dc.description.abstract | 研究背景與目的：已有文獻指出增加活動量、改變生活型態可延緩或預防第2型糖尿病的發生，然而運動為一耗時、費力且需自發性的活動。本研究的目的是比較一般的運動提倡，與以行為改變策略促進運動的介入，對具第2型糖尿病危險因子者的影響。
研究方法：共有108名22~70歲，平日無規律運動且具糖尿病危險因子之受試者完成三個月前後的兩次測試。受試者被以隨機分配的方式分至一般運動提倡組（控制組），與以行為改變策略促進運動組（介入組）。控制組受試者（54人）皆可獲得介紹正確飲食與有效運動方法之衛教單張。介入組受試者（54人）則在測試後接受會談，研究者以健康信念模式與跨理論模式為基礎，說服受試者進行其個人化之運動計畫。所有受試者皆在第一次評估的三個月後，進行第二次評估。觀測因子為運動行為、運動自我效能、糖尿病危險因子與胰島素阻抗指數。 結果：具有顯著組別效應（p < 0.05）的參數有規律運動者的比例（控制組18%，介入組51%）、每日能量消耗（控制組減少0.4%，介入組增加0.3%）、柔軟度（控制組增加1.0%，介入組增加8.9%）、心肺耐力（控制組增加3.9%，介入組增加11.2%）、身體質量指數（控制組減少0.3%，介入組減少1.8%）與運動自我效能（控制組增加12%，介入組增加44%）。其它參數則無顯著的組別效應。 結論：三個月以行為改變策略促進運動的介入，能較一般的運動提倡有效減少具糖尿病危險因子者的身體質量指數，增加其規律運動的比例、每日能量消耗、柔軟度、心肺適能與運動自我效能。至於對糖尿病其他危險因子與胰島素阻抗的影響，可能仍須更長時間的觀察。 | zh_TW |
| dc.description.abstract | Background and purpose: Recent studies indicate that changes in the lifestyle with increased physical activity can prevent type 2 diabetes in high-risk subjects. However, many individuals drop out from structured exercise programs even before any health benefits can be seen. The purpose of this study was to investigate the effects of changing exercise behavior on diabetic risk factors.
Methods: A total of 108 subjects (age range from 22 to 70 years old) who have had at least one risk factor of type 2 diabetes were randomized into control or intervention group. Subjects in the control group received general information about the proper diet and exercise, while subjects in the intervention group were interviewed providing an individualized exercise program and follow-ups based on Health Belief Model and Transtheoretical Model to promote their exercise behaviors. All the subjects received assessment of exercise behavior, exercise self-efficacy, physical fitness, diabetic risk factors, and insulin resistance at baseline and three months after. Result: Significant differences (p < 0.05) between groups were found in the percentage of regular exerciser (control: 18%; intervention: 51%), daily energy expenditure (control: 0.4% decrease; intervention: 0.3% increase), flexibility (control: 1.0% increase; intervention: 8.9% increase), cardiorespiratory endurance (control: 3.9% increase; intervention: 11.2% increase), body mass index (control: 0.3% decrease; intervention: 1.8% decrease) and exercise self-efficacy (control: 12% increase; intervention: 44% increase). No beneficial effects on insulin resistance were noted. Conclusions: This randomized controlled study demonstrates that 3-month individualized exercise program enhanced by behavior change strategies can decrease body mass index, and improve daily energy expenditure, flexibility, cardiorespiratory endurance, and exercise self-efficacy in persons who had at least one of the diabetic risk factors. | en |
| dc.description.provenance | Made available in DSpace on 2021-06-13T17:26:54Z (GMT). No. of bitstreams: 1 ntu-94-R91428013-1.pdf: 648225 bytes, checksum: 311def52a0eaad9e78ac8ef54949629f (MD5) Previous issue date: 2005 | en |
| dc.description.tableofcontents | 圖表目錄 I
附件 II 中文摘要 1 英文摘要 3 第一章、前言 5 第一節、研究背景 5 第二節、研究目的 7 第三節、研究假說 7 第四節、名詞及變項定義 8 第五節、研究的重要性 9 第二章、文獻回顧 10 第一節、第2型糖尿病的危險因子 10 第二節、體能活動與胰島素阻抗的關係 12 第三節、健康促進與行為改變理論 18 第三章、研究方法 24 第一節、受試者 24 第二節、測量工具與測試方法 25 第三節、介入方式 31 第四節、研究進行步驟 35 第五節、資料處理與統計分析 35 第四章、結果 37 第一節、受試者資料 37 第二節、三個月後受試者測量參數的改變 41 第五章、討論 45 第一節、運動行為與體適能 45 第二節、糖尿病危險因子 49 第三節、胰島素阻抗 51 第四節、運動自我效能 54 第六章、結論 55 第七章、參考文獻 56 圖表目錄 表1. 受試者基本資料 66 表2. 活動量與體適能之測量結果 67 表3. 糖尿病危險因子之測量結果 68 表4. 胰島素阻抗指數之測量結果 69 表5. 運動自我效能之測量結果 70 表6. 組別對活動量與體適能的影響 71 表7. 組別對糖尿病危險因子的影響 72 表8. 組別對胰島素阻抗的影響 73 表9. 組別對運動自我效能的影響 74 表10. 以促進體能活動為介入方式的研究 75 表11. 以體能活動介入探討胰島素阻抗的研究 77 圖1. 初次會談的模式 80 圖2. 電話訪談的模式 81 圖3. 受試者分組概況 82 附件 附件一、受試者同意書 83 附件二、七日回憶活動量問卷 88 附件三、飲食評估量表 90 附件四、運動自我效能評估量表 91 附件五、衛教單張 92 附件六、衛教手冊 94 | |
| dc.language.iso | zh-TW | |
| dc.subject | 運動 | zh_TW |
| dc.subject | 糖尿病 | zh_TW |
| dc.subject | 初級預防 | zh_TW |
| dc.subject | exercise | en |
| dc.subject | diabetes mellitus | en |
| dc.subject | primary prevention | en |
| dc.title | 以行為改變策略促進運動對糖尿病危險因子的影響 | zh_TW |
| dc.title | Effect of changing exercise behavior on diabetic risk factors | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 93-1 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 姚開屏(Kai-Ping Yao),顏崇仁(Chung-Jen Yen),林茂榮(Mau-Roung Lin),莊立民(Lee-Ming Chuang) | |
| dc.subject.keyword | 糖尿病,初級預防,運動, | zh_TW |
| dc.subject.keyword | diabetes mellitus,primary prevention,exercise, | en |
| dc.relation.page | 93 | |
| dc.rights.note | 有償授權 | |
| dc.date.accepted | 2005-01-11 | |
| dc.contributor.author-college | 醫學院 | zh_TW |
| dc.contributor.author-dept | 物理治療學研究所 | zh_TW |
| 顯示於系所單位： | 物理治療學系所 | |
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