請用此 Handle URI 來引用此文件:
http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/69274
完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 郭育良(Yue-Liang Guo) | |
dc.contributor.author | Che-Fu Chang | en |
dc.contributor.author | 張哲輔 | zh_TW |
dc.date.accessioned | 2021-06-17T03:11:52Z | - |
dc.date.available | 2019-08-30 | |
dc.date.copyright | 2018-08-30 | |
dc.date.issued | 2018 | |
dc.date.submitted | 2018-07-16 | |
dc.identifier.citation | 1.Reaven, G. M. (1988). Role of insulin resistance in human disease. Diabetes, 37(12), 1595-1607.
2.Alberti, K. G. M. M., & Zimmet, P. F. (1998). Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: diagnosis and classification of diabetes mellitus. Provisional report of a WHO consultation. Diabetic medicine, 15(7), 539-553. 3.Expert Panel on Detection, E. (2001). Executive summary of the Third Report of the National Cholesterol Education Program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III). Jama, 285(19), 2486. 4.Eriksson, K. F., & Lindgärde, F. (1991). Prevention of Type 2 (non-insulin-dependent) diabetes mellitus by diet and physical exercise The 6-year Malmö feasibility study. Diabetologia, 34(12), 891-898. 5.Kaplan, Norman M. 'The deadly quartet: upper-body obesity, glucose intolerance, hypertriglyceridemia, and hypertension.' Archives of internal medicine 149.7 (1989): 1514-1520. 6.Grundy, S. M., Brewer, H. B., Cleeman, J. I., Smith, S. C., & Lenfant, C. (2004). Definition of metabolic syndrome report of the National Heart, Lung, and Blood Institute/American Heart Association Conference on scientific issues related to definition. Circulation, 109(3), 433-438. 7.Eriksson, J., Taimela, S., & Koivisto, V. A. (1997). Exercise and the metabolic syndrome. Diabetologia, 40(2), 125-135. 8.Centers for Disease Control and Prevention (CDC. (1997). Prevalence of cardiovascular disease risk-factor clustering among persons aged> or= 45 years--Louisiana, 1991-1995. MMWR. Morbidity and mortality weekly report, 46(25), 585. 9.Lai, S. W., Liao, K. F., Li, T. C., Lin, H. F., Lin, W. Y., & Lin, C. H. (2006). Metabolic syndrome in older people in Taiwan: a hospital-based study. Internal Medicine Journal, 36(10), 648-651. 10.Helmrich, S. P., Ragland, D. R., Leung, R. W., & Paffenbarger Jr, R. S. (1991). Physical activity and reduced occurrence of non-insulin-dependent diabetes mellitus. New England Journal of Medicine, 325(3), 147-152. 11.Manson, J. E., Stampfer, M. J., Colditz, G. A., Willett, W. C., Rosner, B., Hennekens, C. H., ... & Krolewski, A. S. (1991). Physical activity and incidence of non-insulin-dependent diabetes mellitus in women. The Lancet, 338(8770), 774-778. 12.DeFronzo, R. A., Sherwin, R. S., & Kraemer, N. (1987). Effect of physical training on insulin action in obesity. Diabetes, 36(12), 1379-1385. 13.Kyröläinen, H., Häkkinen, K., Kautiainen, H., Santtila, M., Pihlainen, K., & Häkkinen, A. (2008). Physical fitness, BMI and sickness absence in male military personnel. Occupational Medicine, 58(4), 251-256. 14.Thompson, W. R., Gordon, N. F., & Pescatello, L. S. (2009). American College of Sport Medicine. ACSM’s Guidelines for exercise testing and prescription. 8. painos. 15.Rapaport, E., Bilheimer, D. W., Chobanian, A. V., Hajjar, D. P., Hawkins, C. M., Hutchins, G. M., ... & Pettinger, W. A. (1993). Triglyceride, high-density lipoprotein, and coronary heart disease. JAMA, 269(4), 505-510. 16.Patel, S., Puranik, R., Nakhla, S., Lundman, P., Stocker, R., Wang, X. S., ... & Celermajer, D. S. (2009). Acute hypertriglyceridemia in humans increases the triglyceride content and decreases the anti-inflammatory capacity of high density lipoproteins. Atherosclerosis, 204(2), 424-428. 17.Holmes, D. T., Frohlich, J., & Buhr, K. A. (2008). The concept of precision extended to the atherogenic index of plasma. Clinical biochemistry, 41(7), 631-635. 18.Dobiasova M. (2004). Atherogenic index of plasma [log (triglycerides / HDL-cholesterol)]: theoretical and practical implications. Clin Chem; 50:1113–5. 19.Lai, S. W., Liao, K. F., Li, T. C., Lin, H. F., Lin, W. Y., & Lin, C. H. (2006). Metabolic syndrome in older people in Taiwan: a hospital-based study. Internal Medicine Journal, 36(10), 648-651. 20.Yeh, C. J., Chang, H. Y., & Pan, W. H. (2011). Time Trend of obesity, the metabolic syndrome and related dietary pattern in Taiwan: From NAHSIT 1993-1996 to NAHSIT 2005-2008. Asia Pacific Journal of Clinical Nutrition, 20(2), 292-300. 21.Pate, R. R., Pratt, M., Blair, S. N., Haskell, W. L., Macera, C. A., Bouchard, C., Kriska, A. (1995). Physical activity and public health: a recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. Jama, 273(5), 402-407. 22.Lakka, H. M., Laaksonen, D. E., Lakka, T. A., Niskanen, L. K., Kumpusalo, E., Tuomilehto, J., & Salonen, J. T. (2002). The metabolic syndrome and total and cardiovascular disease mortality in middle-aged men. Jama, 288(21), 2709-2716. 23.Hu, G., Qiao, Q., Tuomilehto, J., Balkau, B., Borch-Johnsen, K., & Pyorala, K. (2004). Prevalence of the metabolic syndrome and its relation to all-cause and cardiovascular mortality in nondiabetic European men and women. Archives of internal medicine, 164(10), 1066-1076. 24.Marroquin, O. C., Kip, K. E., Kelley, D. E., Johnson, B. D., Shaw, L. J., Merz, C. N. B., ... & Reis, S. E. (2004). Metabolic syndrome modifies the cardiovascular risk associated with angiographic coronary artery disease in women a report from the women’s ischemia syndrome evaluation. Circulation, 109(6), 714-721. 25.Lorenzo, C., Okoloise, M., Williams, K., Stern, M. P., & Haffner, S. M. (2003). The metabolic syndrome as predictor of type 2 diabetes the San Antonio heart study. Diabetes care, 26(11), 3153-3159. 26.Grundy, S. M. (2005). Metabolic syndrome scientific statement by the american heart association and the national heart, lung, and blood institute. 27.Laaksonen, D. E., Lakka, H. M., Niskanen, L. K., Kaplan, G. A., Salonen, J. T., & Lakka, T. A. (2002). Metabolic syndrome and development of diabetes mellitus: application and validation of recently suggested definitions of the metabolic syndrome in a prospective cohort study. American journal of epidemiology, 156(11), 1070-1077. 28.Paffenbarger Jr, R. S., Hyde, R., Wing, A. L., & Hsieh, C. C. (1986). Physical activity, all-cause mortality, and longevity of college alumni. New England journal of medicine, 314(10), 605-613. 29.Hwang, L. C., Bai, C. H., & Chen, C. J. (2006). Prevalence of obesity and metabolic syndrome in Taiwan. Journal of the Formosan Medical Association, 105(8), 626-635. 30.Jia, W. P., Xiang, K. S., Chen, L., Lu, J. X., & Wu, Y. M. (2002). Epidemiological study on obesity and its comorbidities in urban Chinese older than 20 years of age in Shanghai, China. Obesity reviews, 3(3), 157-165. 31.Heng, D., Ma, S., Lee, J. J., Tai, B. C., Mak, K. H., Hughes, K., ... & Tai, E. S. (2006). Modification of the NCEP ATP III definitions of the metabolic syndrome for use in Asians identifies individuals at risk of ischemic heart disease. Atherosclerosis, 186(2), 367-373. 32.Yoon, Y. S., Oh, S. W., Baik, H. W., Park, H. S., & Kim, W. Y. (2004). Alcohol consumption and the metabolic syndrome in Korean adults: the 1998 Korean National Health and Nutrition Examination Survey. The American journal of clinical nutrition, 80(1), 217-224. 33.Kraus, W. E., Houmard, J. A., Duscha, B. D…& Kulkarni, K. R. (2002). Effects of the amount and intensity of exercise on plasma lipoproteins. New England Journal of Medicine, 347(19), 1483-1492. 34.Laaksonen, D. E., Lakka, H. M., Niskanen, L. K., Kaplan, G. A., Salonen, J. T., & Lakka, T. A. (2002). Metabolic syndrome and development of diabetes mellitus: application and validation of recently suggested definitions of the metabolic syndrome in a prospective cohort study. American journal of epidemiology, 156(11), 1070-1077. 35.Paffenbarger Jr, R. S., Hyde, R., Wing, A. L., & Hsieh, C. C. (1986). Physical activity, all-cause mortality, and longevity of college alumni. New England journal of medicine, 314(10), 605-613. 36.Pate, R. R., Pratt, M., Blair, S. N., Haskell, W. L., Macera, C. A., Bouchard, C., Kriska, A. (1995). Physical activity and public health: a recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. Jama, 273(5), 402-407. 37.Kelley, D. E., & Goodpaster, B. H. (2001). Effects of exercise on glucose homeostasis in Type 2 diabetes mellitus. Medicine and Science in Sports and Exercise, 33(6 Suppl), S495-501. 38.Leon, A. S., & Sanchez, O. A. (2001). Response of blood lipids to exercise training alone or combined with dietary intervention. Medicine and science in sports and exercise, 33(6; SUPP), S502-S515. 39.Fagard, R. H. (2001). Exercise characteristics and the blood pressure response to dynamic physical training. Medicine and science in sports and exercise, 33(6; SUPP), S484-S492. 40.Irwin, M. L., Ainsworth, B. E., Mayer‐Davis, E. J., Addy, C. L., Pate, R. R., & Durstine, J. L. (2002). Physical Activity and the Metabolic Syndrome in a Tri‐ethnic Sample of Women. Obesity research, 10(10), 1030-1037. 41.Lakka, T. A., Laaksonen, D. E., Lakka, H. M., Männikkö, N. I. K. O., Niskanen, L. K., Rauramaa, R. A. I. N. E. R., & Salonen, J. T. (2003). Sedentary lifestyle, poor cardiorespiratory fitness, and the metabolic syndrome. Medicine and science in sports and exercise, 35(8), 1279-1286. 42.Jurca, R. A. D. I. M., Lamonte, M. J., Church, T. S., Earnest, C. P., Fitzgerald, S. J., Barlow, C. E., ... & Blair, S. N. (2004). Associations of muscle strength and aerobic fitness with metabolic syndrome in men. Medicine and science in sports and exercise, 36, 1301-1307. 43.Farrell, S. W., Cheng, Y. J., & Blair, S. N. (2004). Prevalence of the metabolic syndrome across cardiorespiratory fitness levels in women. Obesity, 12(5), 824-830. 44.Blair, S. N., Cheng, Y., & Holder, J. S. (2001). Is physical activity or physical fitness more important in defining health benefits?. Medicine & Science in Sports & Exercise, 33(6), S379-S399. 45.Katzmarzyk, P. T., Leon, A. S., Wilmore, J. H., Skinner, J. S., Rao, D. C., Rankinen, T., & Bouchard, C. (2003). Targeting the metabolic syndrome with exercise: evidence from the HERITAGE Family Study. Medicine and science in sports and exercise, 35(10), 1703-1709. 46.Van den Heuvel, S. G., Boshuizen, H. C., Hildebrandt, V. H., Blatter, B. M., Ariëns, G. A., & Bongers, P. M. (2005). Effect of sporting activity on absenteeism in a working population. British journal of sports medicine, 39(3), e15-e15. 47.Carnethon, M. R., Gidding, S. S., Nehgme, R., Sidney, S., Jacobs Jr, D. R., & Liu, K. (2003). Cardiorespiratory fitness in young adulthood and the development of cardiovascular disease risk factors. Jama, 290(23), 3092-3100. 48.Laaksonen, D. E., Lakka, H. M., Salonen, J. T., Niskanen, L. K., Rauramaa, R., & Lakka, T. A. (2002). Low levels of leisure-time physical activity and cardiorespiratory fitness predict development of the metabolic syndrome. Diabetes care, 25(9), 1612-1618. 49.Palaniappan, L., Carnethon, M. R., Wang, Y., Hanley, A. J., Fortmann, S. P., Haffner, S. M., & Wagenknecht, L. (2004). Predictors of the incident metabolic syndrome in adults. Diabetes Care, 27(3), 788-793. 50.Kraus, W. E., Houmard, J. A., Duscha, B. D…& Kulkarni, K. R. (2002). Effects of the amount and intensity of exercise on plasma lipoproteins. New England Journal of Medicine, 347(19), 1483-1492. 51.Morris, J. N., Pollard, R., Everitt, M. G., Chave, S. P. W., & Semmence, A. M. (1980). Vigorous exercise in leisure-time: protection against coronary heart disease. The Lancet, 316(8206), 1207-1210. 52.Garber, C. E., Blissmer, B., Deschenes, M. R., Franklin, B. A., Lamonte, M. J., Lee, I. M., ... & Swain, D. P. (2011). American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Medicine and science in sports and exercise, 43(7), 1334-1359. 53.Burger, S. C., Bertram, S. R., & Stewart, R. I. (1990). Assessment of the 2, 4 km run as a predictor of aerobic capacity. 54.Williams, P. T. (2008). Effects of diet, physical activity and performance, and body weight on incident gout in ostensibly healthy, vigorously active men. The American journal of clinical nutrition, 87(5), 1480-1487. 55.Williams, P. T., & Franklin, B. (2007). Vigorous exercise and diabetic, hypertensive, and hypercholesterolemia medication use. Medicine and science in sports and exercise, 39(11), 1933. | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/69274 | - |
dc.description.abstract | 研究背景
體力即是國力,體能及泳技為軍人必備之要件,是戰技與戰鬥之基礎,為完善軍人體能及泳技要求,國防部於2011年修正體能鑑測方式及標準,期望藉由新的體能鑑測標準能提升國軍官兵的體能狀況。另外,為了增加體能鑑測及訓練的安全性,規定各受測人員須於接受測驗前須有該年度國軍人員健檢結果報告以確認官兵身體健康狀況;同時,並於軍事網路上建置「體能鑑測系統」管理個人體能鑑測成績,國軍人員可從此系統登錄時間並查詢近5年體能鑑測結果,此系統對國軍人員在體能訓練及管理上有不少的幫助。此研究目的為了解修正後的體能鑑測是否對國軍人員健康狀況有所幫助。 研究方法 研究設計採縱貫式研究法,以100年至103年連續4年期間於國軍桃園總醫院接受國軍人員年度健康檢查之志願役軍人為研究族群。所建立的資料庫內容依據代謝症候群指標規定且包含目前國軍人員健康檢查服務項目。資料庫中的項目包括:既往病史、生活習慣及自覺症狀之調查;理學檢查有身高、體重、腰圍、BMI及血壓;另外,實驗室檢查則有膽固醇、三酸甘油酯、高密度脂蛋白(HDLc)、低密度脂蛋白(LDLc)之檢查。而代謝症候群定義則是採用國際糖尿病聯合會(International Diabetes Federation)所定義的標準。同時並連結體能鑑測系統中目標族群相同年度三項體測(3公里跑步、2分鐘伏地挺身、2分鐘仰臥起坐)的結果做研究分析。研究對象之各項特性分佈以人數、百分比以描述性統計表示,而探討重複測量相關之連續型健康效應與體能鑑測結果等變項之相關分析則是使用混合效果模型(mixed effect model)及廣義估計方程式(GEE, Generalize Estimated Equation)分析,同時校正可能的干擾因子如年齡、吸菸、喝酒和過去疾病史。資料收集後使用SPSS 23.0以及SAS 9.4進行資料整理以及分析。 研究結果 連續4年期間於本院接受國軍人員年度健康檢查之志願役軍人總共1720位志願役軍人。其中,246位軍人為代謝症候群患者(佔收案人數14.3%);在代謝症候群的相關指標異常比率中,此兩族群的異常項目前三名依次為:血壓(36.7%;88.6%)、腰圍(16.8%;80.5%)、三酸甘油脂(11.6%;76.8%)。研究顯示體能測驗對血壓、空腹血糖及AIP有下降及維持有關,對高密度脂蛋白有提升的效果;另外使用混合效果模型(mixed effect model)及廣義估計方程式(GEE, Generalize Estimated Equation)分析發現,三項體能訓練中以跑步對代謝症候群中的腰圍、空腹血糖、三酸甘油脂有顯著負相關;對高密度脂蛋白有顯著相關;針對代謝症候群的預防上,分析也發現跑步可降低代謝症候群的風險(OR= 0.63, p=<0.001)。 結論 由上述結果可知,體能鑑測對國軍人員的血壓、高密度脂蛋白(HDLc)、空腹血糖有改善的效果;此外,在三項的體能訓練中,跑步及仰臥起坐對代謝症候群及其因子的改變有顯著意義。 | zh_TW |
dc.description.abstract | Background
Regular physical activity is associated with a lower risk of coronary diseases, hypertension, osteoporosis, diabetes, metabolic syndrome. Thus, physical activity has positive effects on blood lipid profile, glucose metabolism and insulin sensitivity, hypertension, cardiovascular functions and metabolic syndrome. It is important that the physical test during the military service is of such standard that the soldiers become qualified for tasks that demand good physical fitness. In Taiwan, physical fitness test forms an integral part of military life and the result is taken into account for career promotion purposes and Taiwan army force started to use the new physical fitness test standard in 2011. The purpose of this study was to understand whether the physical fitness test can improve the physical status in military personnel and whether the new physical fitness test result can reflect the physical status in military personnel. Method This retrospective study include 1720 army volunteer military (age>30) of the North Combat Zone and these case all received annual health checkup and physical fitness test between 2012 and 2014. Analyses were conducted using mixed effect model and Generalized Estimating Equation (GEE) adjusting for gender, age and habits. Result A total of 1720 volunteer service accept the annual health examination from 2011-2014. Among them, 246 soldiers with metabolic syndrome (accounting for 14.3% of all cases); among the abnormal indexes of metabolic syndrome, the abnormal items of the two groups were: blood pressure (36.7%; 88.6%), waist (16.8%; 80.5%) and triglycerides (11.6%; 76.8%). After introduction of physical fitness training, blood pressure decreased and the effect maintain. HDL-C was increased significantly and the effects sustained. Fasting glucose decreased after introduction of physical fitness test. The mixed effect model and generalized estimation equation (GEE, Generalize Estimated Equation) analysis found that the running has significant effect in improvement of triglyceride, fasting glucose, waist circumference and high-density lipoprotein (HDL) cholesterol. In addition, we also found that physical fitness test can be reduced metabolic syndrome (OR = 0.63, p = <0.001). Besides, the physical fitness test performance may reflect the health status in army military personnel. Conclusion. The physical training program should be considered as the benefits in improvement of metabolic syndrome in army military personnel and better physical fitness performance can improve metabolic syndrome and its components. | en |
dc.description.provenance | Made available in DSpace on 2021-06-17T03:11:52Z (GMT). No. of bitstreams: 1 ntu-107-R03841019-1.pdf: 1598011 bytes, checksum: 21f6cbf91f581337e6de27e7942e8e24 (MD5) Previous issue date: 2018 | en |
dc.description.tableofcontents | 口試委員會審定書………………………………………………….……. i
誌謝………………………………...……………………………...….….. ii 中文摘要……………...………………………………………….…….….iii Abstract…………………………………..………………….………..…...v Table of contents……………..……………………………………….…. vii List of tables…………………………..………………………………….. ix List of figures…………………………………………………………....... x Chapter 1 Introduction……………………………..…………………......01 1.1 Background………..……………………………..………………01 1.2 Objective…………………………………..……………………. 02 Chapter 2 Literature Review………………………………..…………… 03 Chapter 3 Materials and Methods………………………..…..………….. 05 3.1 Study population…………………………..…………………… 05 3.2 Standard Military Physical Tests and training protocol……...… 06 3.3 Measurement of Metabolic Syndrome……………………...….. 07 3.4 Measurement of Atherogenic index of plasma (AIP)……….…..07 3.5 Covariates and statistical analysis……………………………….08 Chapter 4 Result………………………………..………….…………….. 10 4.1 Characteristics of the study population………………………… 10 4.2 Prevalence of the metabolic syndrome and its components……. 11 4.3 The association with physical fitness training and military health status…………………………………………………………………11 4.4 The association with physical fitness test performance and military health status………………………………………………………….12 Chapter 5 Discussion………………………………….…………………. 13 5.1 Prevalence of the metabolic syndrome………………………..... 13 5.2 The association with physical fitness training and military health status………………………………………………………………... 15 5.3 The association with physical fitness test performance and military health status………………………………………………….………17 5.4 Strength and limitation…………………………….…………….18 Chapter 6 Conclusion…………………………………………...……….. 19 Reference………………………………………………………………… 20 Appendix……………………………………………………………….…40 | |
dc.language.iso | en | |
dc.title | 體適能訓練對台灣陸軍人員的健康效應 | zh_TW |
dc.title | The effect of physical fitness test on personnel health in Taiwan Armed Force | en |
dc.type | Thesis | |
dc.date.schoolyear | 106-2 | |
dc.description.degree | 碩士 | |
dc.contributor.coadvisor | 鄭尊仁(Tsun-Jen Cheng) | |
dc.contributor.oralexamcommittee | 吳怡昌(Yi-Chang Wu),賴錦皇(Ching-Huang Lai),楊孝友(Hsiao-Yu Yang) | |
dc.subject.keyword | 體能鑑測,代謝症候群,跑步, | zh_TW |
dc.subject.keyword | physical fitness test,metabolic syndrome,running, | en |
dc.relation.page | 40 | |
dc.identifier.doi | 10.6342/NTU201704174 | |
dc.rights.note | 有償授權 | |
dc.date.accepted | 2018-07-17 | |
dc.contributor.author-college | 公共衛生學院 | zh_TW |
dc.contributor.author-dept | 職業醫學與工業衛生研究所 | zh_TW |
顯示於系所單位: | 職業醫學與工業衛生研究所 |
文件中的檔案:
檔案 | 大小 | 格式 | |
---|---|---|---|
ntu-107-1.pdf 目前未授權公開取用 | 1.56 MB | Adobe PDF |
系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。