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  1. NTU Theses and Dissertations Repository
  2. 公共衛生學院
  3. 健康政策與管理研究所
請用此 Handle URI 來引用此文件: http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/23586
完整後設資料紀錄
DC 欄位值語言
dc.contributor.advisor蘇喜
dc.contributor.authorYu-Min Laien
dc.contributor.author賴毓敏zh_TW
dc.date.accessioned2021-06-08T05:04:19Z-
dc.date.copyright2011-10-03
dc.date.issued2011
dc.date.submitted2011-08-19
dc.identifier.citation1. Amir Shlomai, Yosef Shaul. The ‘‘metabolovirus’’ model of hepatitis B virus suggests nutritional therapy as an effective anti-viral weapon. Medical Hypotheses 2008; 71: 53–57.
2. Babyak M, Blumenthal JA, Herman S, Khatri P, Doraiswamy M, Moore K, et al. Exercise treatment for major depression: maintenance of therapeutic benefit at 10 months. Psychosom Med 2000 ; 62:633-8.
3. Blair, S. N. How to assess exercise habits and physical fitness. New York: John Wiley and Sons. 1984.
4. Calfas, K. J., Sallis, J. F., Oldenburg, B., & Ffrench, M.Mediators of change in physical activity following an intervention in primary care:PACE. Prev Med, 1997 ; 26, 297-304.
5. Carlson, J. J., Eisenmann, J. C., Pfeiffer, K. A., Jager, K. B., Sehnert, S. T., Yee, K. E., Klavinski, R. A., Feltz, D. L., Bmc Public Health. (S)Partners for Heart Health: a school-based program for enhancing physical activity and nutrition to promote cardiovascular health in 5th grade students. BMC Public Health, 2008 Dec 22; 8: 420.
6. Chien YC, Jan CF, Kuo HS, Chen CJ. Nationwide hepatitis B vaccination program in Taiwan: effectiveness in the 20 years after it was launched. Epidemiol Rev 2006; 28: 126–35.
7. Dunn, A., Marcus, B., Kampert, J., & et al. Reduction in cardiovascular disease risk factors:6-month results from Project Active. Prev Med, 1997; 26, 883-892.
8. Fattovich G. Natural history of hepatitis B. J Hepatol 2003;39(Suppl 1): S50–8.
9. George AS, Bauman A, Johnston A, Farrell G, Chey T, George J. Effect of a lifestyle intervention in patients with abnormal liver enzymes and metabolic risk factors. J Gastroenterol and Hepatol 2009; 24: 399-407.
10. Gionet, N. J., & Godin, G. Self-reported exercise behavior of employees: a validity study. Journal of Occupational Medicine, 1989 ; 31(12), 969-973.
11. G L-H Wong, V W-S Wong, P C-L Choi, A W-H Chan, A M-L Chim, K K-L Yiu, H-Y Chan, F K-L Chan, J J-Y Sung and H L-Y Chan. Metabolic syndrome increases the risk of liver cirrhosis in chronic hepatitis B. Gut 2009; 58: 111–117.
12. Godin, G., & Shephard, R. J. A simple method to assess exercise behavior in the community canadian. Journal of Applied Sport Sciences 1985; 10, 141-146.
13. Gold, B. C., Burke, S., Pintauro, S., Buzzell, P., Harvey-Berino, J. Weight loss on the web: A pilot study comparing a structured behavioral intervention to a commercial program. Obesity (Silver Spring). 2007 Jan; 15(1): 155-64.
14. Guida B, Perrino NR, Laccetti R, Trio R, Nastasi A, Pesola D, Maiello C, Marra C, De Santo LS, Cotrufo M. Role of dietary intervention and nutritional follow-up in heart transplant recipients. Clin Transplant 2009; 23: 101-107.
15. Haskell WL, Lee IM, Pate RR, et al: Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation 2007; 116: 1081-93.
16. Huang MA, Greenson JK, Chao C, Anderson L, Peterman D, Jacobson J, Emick D, Lok AS, Conjeevaram HS. One-year nutritional counseling results in histological improvement in patietns with nonalcoholic steatohepatitis: A pilot study. Am J Gastroenterol 2005; 100: 1072-1081.
17. King, C. N., & Senn, M. D. Exercise testing and prescription:Practical recommendations for the sedentary. Sports Medicine, 1996 ; 21(5), 326-336.
18. Lamonte, M. J., & Ainsworth, B. E. Quantifying energy expenditure and physical activity in the context of dose response. Med Sci Sports Exerc, 2001; 33(6), 370-378.
19. LaPorte, R. E., Montoye, H. J., & Caspersen, C. J. Assessment of physical activity in epidemiologic research:problem and prospects. Public Health Reports, 1985 ; 100(2), 131-146.
20. Marcus, B. H., Owen, N., Forsyth, L. H., Cavill, N. A., & Fridinger, F. Physical activity intervention using mass media,print media,and information technology. American Journal of Preventive Medicine, 1998 ; 15(4), 362-378.
21. Ni YH, Huang LM, Chang MH, et al. Two decades of universal hepatitis B vaccination in Taiwan: impact and implication for future strategies. Gastroenterology 2007; 132: 1287–93.
22. Pate, P. R., Pratt, M., Blair, S. N., & al., e. Physical activity and public health recommendation from the centers for disease control and prevention and the American college of sports medicine. Journal of American Medicine Association, 1995 ; 273, 402-407.
23. Paffenbarger, R. S., Steven, J. R., Lee, B. I.-M., & Hyde, R. T. Measurement of physical activity to assess health effects in free-living populations. Medicine and Science in Sports and Exercise, 1993 ; 25(1), 60-70.
24. Penninx BW, Rejeski WJ, Pandya J, Miller ME, Di Bari M, Applegate WB, et al. Exercise and depressive symptoms: a comparison of aerobic and resistance exercise effects on emotional and physical function in older persons with high and low depressive symptomatology. J Gerontol B Psychol Sci Soc Sci, 2002 ; 57:P124-32.
25. Peterson, T. R., & Aldana, S. G. Improving Exercise Behavior:An Application of the Stages of Change Model in a Worksite Setting. American Journal of Health Promotion, 1999 ; 13(4), 229-232.
26. Petosa, P. S. Use of social cognitive theory to explain exercise behavior among adults.1993.
27. Richardson, C. R., Brown, B. B., Foley, S., Dial, K. S., Lowery, J. C. Feasibility of adding enhanced pedometer feedback to nutritional counseling for weight loss. Journal of Medical Internet Research 7(5): 62-70.
28. Singh NA, Clements KM, Singh MAF. The efficacy of exercise as a long-term antidepressant in elderly subjects: a randomized, controlled trial. J Gerontol A Biol Sci Med Sci, 2001 ; 56:M497-504.
29. Singh NA, Stavrinos TM, Scarbek Y, Galambos G, Liber C, Singh MAF. A randomized controlled trial of high versus low intensity weight training versus general practitioner care for clinical depression in older adults. J Gerontol A Biol Sci Med Sci 2005;60:M768-76.
30. S-L Yen, T-Y Chiu, Y-C Lin, Y-C Lee, L-T Lee1 and K-C Huang. Obesity and hepatitis B infection are associated with increased risk of metabolic syndrome in university freshmen. International Journal of Obesity 2008; 32: 474–480.
31. Tran TT, Martin P. Hepatitis B: epidemiology and natural history. Clin Liver Dis 2004;8:255–66.
32. Victor J Stevens, Kristine L Funk, Phillip J Brantley, Thomas P Erlinger, Valerie H Myers, Catherine M Champagne, Alan Bauck, Carmen D Samuel-Hodge, and Jack F Hollis. Design and Implementation of an Interactive Website to Support Long-Term Maintenance of Weight Loss. J Med Internet Res. 2008 Jan 25;10(1):e1
33. WHO. World Health Report 2002: reducing risks, promoting healthy life: Geneva. World Health Organization; 2002.
34. Warburton DE, Katzmarzyk PT, Rhodes RE, Shephard RJ: Evidence-informed physical activity guidelines for Canadian adults. Can J Public Health 2007; 98 Suppl 2: S16-68.
35. Yun-Fan Liaw, Chia-Ming Chu. Hepatitis B virus infection. Lancet 2009; 373: 582–92.
36. 王蕙雯,應用跨理論模式於工作場所員工運動介入措施之成效探討-以某公司為例,臺灣大學醫學院護理學研究所碩士論文,2004
37. 甘能斌:八週不同的減重計畫介入對大專肥胖女學生身體質量指數及血脂肪的影響。中華民國體育學會體育學報,2005;38:27-40。
38. 江建勰、黃國晉:門診服務時體能健康促進之諮商。台北市醫師公會會刊學術專論2009; 53(5): 9-11.
39. 李明憲、林旭龍、呂昌明,四種簡易身體活動測量問卷效度、信度之探討-以RT3 Tri-axial三度空間加速器為效標,衛生教育學報,2002,7,1-14
40. 呂昌明、林旭龍、黃奕清、李明憲、王淑芳,身體活動自我報告量表之效度及信度的研究-以Tritrac-R3D 三度空間加速器為效標,衛生教育學報,2001,15,99-114
41. 呂昌明、林旭龍、黃奕清、李明憲、王淑芳,體能活動自我報告量表之效度及信度的研究-以Polar Vantage NV心搏率監測器為效標,衛生教育學報,2000,14,33-48
42. 林麗鳳,社區民眾參與健康體能活動後的效益評估,中台醫專學報,1994,8,125-146
43. 林薇、劉貴雲、陳聖惠、劉怡君。成人降低脂肪攝取營養教育課程-「減脂之旅」成效評估研究。中華民國營養學會雜誌,2001;26:181-192。
44. 溫啟邦、衛沛文、詹惠婷等:從分析運動熱量談當前台灣全民運動政策-比較台灣與美國民眾的運動習慣、強度與頻率。台灣衛誌2007: 386-99.
45. 楊宜青:全國醫療衛生人員從事運動處方及諮詢調查研究。國民健康局2004.
46. 劉影梅、陳俊忠、林宜洵等:國人規律活動的阻力及助力分析與活動諮詢時的應用。國民體育季刊2004; 33: 69-76.
47. 劉影梅:國際身體活動量表台灣中文版之發展與信效度驗證。未出版博士論文,台北市,國立台灣大學2004.
48. 劉翠薇,北縣某商專學生運動行為及其影響因素之研究。國立台灣師範大學衛生教育研究所碩士論文,1995
49. 蔡昀萍,運動訓練對矯治後先天性心臟病兒童在運動能力、身體活動、健康相關生活品質的效果臺灣大學醫學院物理治療學研究所碩士論文,2008
50. 賴忠駿,任務導向有氧運動訓練對慢性中風患者心肺適能及腦血流之效果,臺灣大學醫學院物理治療學研究所碩士論文,2008
51. 陳慈安,運動訓練對老年人憂鬱症狀、生活功能、生活品質及自我效能的效果,臺灣大學醫學院物理治療學研究所碩士論文,2006
52. 彭仁奎、黃國晉、陳慶餘。肥胖與代謝症候群。基礎醫學,2006;21:367-371。
53. 謝丞韋,身體活動能量自我評估法之效度研究,國立台灣師範大學體育研究所碩士論文,1997
【網站】
54. Physical activity and health: a report of the surgeon general 1999. (Accessed March 18, 2009, at http://www.cdc.gov/nccdphp/sgr/sgr.htm)
國民健康局(2007).2007年代謝症候群臨床診斷準則.2009年6月30日取自http://www.bhp.doh.gov.tw
dc.identifier.urihttp://tdr.lib.ntu.edu.tw/jspui/handle/123456789/23586-
dc.description.abstract本校健康科學與生活研究中心提出跨科技整合之預防醫學研究計畫,並配合台灣本土之特色,將研究對象定為慢性B型肝炎病毒感染者(B型肝炎帶原者),且體重過重或中心肥胖的臺灣大學教職員生及校友,研究目的為針對以上族群進行多重介入實驗,包含講座課程、運動課程、飲食營養介入以及資訊平台介入,經介入結束後評估效果,期望給予身體心理及社會層面的健康促進。收集介入前後的測量數據,經初步的統計分析後,顯示體重、BMI、體脂率、總膽固醇、脂肪肝Fatty score等項目的改善,具有統計顯著性。
同時為了研究需求,本研究開發了一套多功能健康管理平台,來作為衛教資訊的傳播工具、學員與醫療團隊間的社群互動工具、學員的自我健康管理工具,以及研究資料的收集、記錄、計算處理、與呈現工具,並實踐了許多健康管理的理念。本資訊平台的開發是一個探索學習的過程,此資訊平台深具進一步發展的潛力,功能將陸續擴充,逐漸符合國民日常生活的健康管理需求。
本研究的成果除了作為瞭解教職員生及校友健康狀況之前期研究,未來亦可作為本中心促進社會大眾健康狀況並提昇產業發展的前哨站。
zh_TW
dc.description.abstractThe Health Science and Wellness Center of National Taiwan University (NTU) propose a cross-integration prevention medicine research plan. The target group of study are overweight NTU staff, students and alumni with chronic Hepatitis B infectors. The purpose of this study is to learn and evaluate the outcome of intervention by providing seminars, exercise programs, health nutrition and informatics platform intervention. From the data collection and analysis, it shows the body weight control, BMI, total cholesterol and liver fatty score are improved significantly.
For research requirement, we developed a versatile web-based health management informatics plateform as a health education tool, a communication tool for members, an experiment data collecting tool, and a health state presentation tool. After practical usage, we found this plateform is competent for our purpose and it realize some good health management idea. Web-based health management informatics plateform has a promising potential in medical industry.
en
dc.description.provenanceMade available in DSpace on 2021-06-08T05:04:19Z (GMT). No. of bitstreams: 1
ntu-100-P97843013-1.pdf: 3069110 bytes, checksum: 245760fa65442701bd21683b430477c8 (MD5)
Previous issue date: 2011
en
dc.description.tableofcontents誌 謝 II
論 文 摘 要 III
圖 目 錄 VI
表 目 錄 VII
問 卷 目 錄 VIII
第壹章 緒論 1
第一節 研究背景 1
第二節 研究目的 1
第三節 研究重要性 2
第貳章 文獻探討 3
第一節 身體活動不足 3
第二節 運動行為的定義與測量方法 5
第三節 營養教育介入對健康的促進 8
第四節 慢性B型肝炎及代謝症候群之關係 9
第五節 資訊平台在減重方面的應用 10
第參章 研究架構 13
第一節 研究設計與研究方法 13
第二節 研究對象 14
第三節 介入活動 16
第四節 資料收集 21
第五節 資料分析 25
第六節 研究限制 26
第肆章 研究結果 27
第一節 健康管理資訊平台的設計開發 27
第二節 介入效果的分析 43
第伍章 結論與建議 51
第陸章 參考文獻 53
附件:本研究所使用問卷 59
dc.language.isozh-TW
dc.title臺大校園內體重過重之B肝帶原者之健康促進計畫—資訊平台之開發及介入效果之分析zh_TW
dc.titleThe Informatics Platform Design and Effectiveness Analysis of Multi-Dimensional Interventions on Overweighted Hepatitis B Carriers: A Campus-Based Studyen
dc.typeThesis
dc.date.schoolyear99-2
dc.description.degree碩士
dc.contributor.oralexamcommittee陳恆順,黃松共
dc.subject.keyword健康促進,健康管理資訊平台,雲端運算,多層次介入,B型肝炎,代謝症候群,體重過重,中心肥胖,zh_TW
dc.subject.keywordHealth Promotion,Health management Informatics,Cloud computing,Multi-Dimensional Interventions,Hepatitis B,Metabolic syndrome,Overweight,Central obesity,en
dc.relation.page76
dc.rights.note未授權
dc.date.accepted2011-08-19
dc.contributor.author-college公共衛生學院zh_TW
dc.contributor.author-dept健康政策與管理研究所zh_TW
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