臺灣博碩士論文加值系統

本研究之主要目的，在探討無規律運動之停經後婦女之身體活動經驗。研究設計為質性研究法，採質性研究之深度訪談及內容分析，輔以問卷調查進行研究資料之收集。個案之收集採方便取樣法，以臺灣南部地區11位無規律運動之停經後婦女為對象進行研究。所收集之資料包括個案之身體活動經驗、平常日及假日之身體活動情形。所得之資料，採內容分析法發展各類屬間的共同主題；問卷調查所得資料採SPSS電腦統計軟體分析，以百分比及平均數對資料做描述分析。
研究結果顯示個案之身體活動經驗，包含「習慣性生活型態」、「負面的思維」、及「規律運動障礙因子」三個主題。其中，研究個案的身體活動主要為「為家人忙」、「休閒緩解症狀」、以及「循環於家務/職業/休閒之間」之習慣性生活型態。
於生活中，個案對規律運動易產生「負面的思維」。因其認為運動是一種可能「會受傷」的活動；且由於需要照顧家庭無法按時參加運動團體，因而視規律運動為會「妨礙家庭正規運作」的活動；且，於工作及料理家務之餘，個案常會覺得已經很累了，沒有體力再去運動，因此個案認為規律運動會造成「體力負擔加重」；另，有些個案透過別人的運動經驗，發現並不是運動的人都比較健康、沒運動的人都比較不健康，因此也對規律運動產生「健康效益不彰」的不肯定感。
且當其從事規律運動時，易面臨「時間不允許」、「支援系統不足」、及「缺乏動機」等「規律運動障礙因子」。在「時間不允許」的因素中，主要有「沒有時間」及「時間無法配合」；此外，「支援系統不足」，例如，「缺乏親友支持」以及本身「缺乏運動知識」，也常使得停經後婦女對從事規律運動缺乏信心；加上停經後婦女本身對規律運動「缺乏動機」，包括對規律運動「缺乏興趣」，以及當個案身體有不適時，會嚐試採取其他自己覺得有興趣的方式來緩解不適，當發現可以湊效時，便視規律運動為一種「非維持健康所必需」的活動。
研究結果發現，無規律運動之停經後婦女因對規律運動產生「負面的思維」，且受到「規律運動障礙因子」的影響，因而未從事規律運動。因此，她們的身體活動內容呈現以「習慣性生活型態」為主要的生活模式。
研究結果可提供婦女健康及心臟疾病防治工作者做為照顧停經後婦女、降低醫療成本、及提昇婦女健康照護之參考。

This study is aimed at exploring the physical activity experience among postmenopausal women who did not have regular exercise. Research is designed as quantitative approach, by means of in-depth interview assisting with questionnaires and investigations. Data collection employ a convenience sampling approach, targeting 11 postmenopausal women who did not pursued regular exercise in the south area of Taiwan. Research data included the physical activity experiences, physical activity status in usual days and holidays. Research data had been analyzed by different methods: first, content analysis were applied to find the category and themes. Secondly, questionnaire and investigation data had been calculated by the SPSS program, the calculation outcome including percentage and mean, which could help to understand the category and themes.
Physical activity experience among postmenopausal women included three themes, they are “habitual life styles”, “negative thoughts”, and “barriers for regular exercise”. The major physical activity is “works for families”, “leisure for quite from physical symptoms”, and “living within chores / occupation / leisure time physical activity”.
In lives, postmenopausal women who did not have regular exercise tend to have “negative thoughts” about regular exercise. They thought regular exercise as “may be injury”, “interfere with regular family process”, “a burden of physical body”, and uncertainty about health benefits from exercise as they believed exercise was “insignificant to health benefits”.
In the moment of exercise, the subjects faced some “barriers for regular exercise”, such as “can’t be allowed by time”, “lack of support systems”, and “lack of motivation”. In the category of “can’t be allowed by time” appeared two subcategories one is “have no time”, the another one is “time schedule can not be matched”; In category of “lack of support system” also included two subcategories, which is “lack of supports from families” and “lack of exercise knowledge”. In category of “lack of motivation”, there are two subcategories one is “as uninterested”, and the rest one is that the subject believed it was “not necessary in maintaining physical health status”.
The conclusion of this study found that, postmenopausal women without regular exercise had “negative thoughts” about regular exercise; and they have some “barriers for regular exercise”, which prevented them to do exercise regularly. So, their physical activities appeared with “habitual life styles” as a major live model.
The results of this research can be contribute to heart disease prevention and treatment workers and women health workers in caring of postmenopausal women, which could reduce cost of medicine, and promoting women health.

目 錄
頁數
致 謝………………………………………………………………Ⅰ
中文摘要………………………………………………………………Ⅲ
英文摘要………………………………………………………………Ⅵ
目 錄………………………………………………………………Ⅷ
圖表目次 ……………………………………………………………ⅩⅠ
第一章 緒論
第一節 研究動機與重要性…………………………………… 1
第二節 研究目的……………………………………………… 2
第三節 研究問題……………………………………………… 3
第四節 名詞界定……………………………………………… 3
第二章 文獻查證
第一節 停經問題……………………………………………… 5
第二節 停經問題的治療與成效……………………………… 8
第三節 規律運動的定義及停經後婦女的運動原則與建議… 13
第四節 成人常做的身體活動項目…………………………… 16
第五節 影響規律運動的因素………………………………… 18
第三章 研究方法
第一節 研究設計……………………………………………… 24
第二節 研究對象……………………………………………… 24
第三節 研究場所……………………………………………… 25
第四節 研究工具……………………………………………… 25
第五節 資料收集過程………………………………………… 26
第六節 資料分析……………………………………………… 27
第七節 研究的信效度與嚴謹度……………………………… 28
第八節 研究個案納入之過程………………………………… 31
第九節 前驅研究……………………………………………… 32
第四章 研究結果
第一節 基本資料分析………………………………………… 36
第二節 主要類屬……………………………………………… 38
身體活動調查表量性資料分析結果………………… 40
第五章 討論
第一節 停經對無規律運動婦女身體活動的衝擊文獻之比較56
第二節 停經後無規律運動婦女與慣性身體活動…………… 60
第三節 停經後無規律運動婦女之身體活動內容文獻之比較62
第四節 負面的思維文獻之比較……………………………… 65
第五節 規律運動障礙因子文獻之比較………………………66
第六章 結論與建議
第一節 結論…………………………………………………… 68
第二節 研究限制及未來研究方向的建議…………………… 70
第三節 護理及臨床應用與建議……………………………… 72
第四節 結語…………………………………………………… 77
參考資料
中文資料………………………………………………………… 79
英文資料………………………………………………………… 83
附錄
附錄一 日常活動調查表……………………………………… 97
附錄二 訪談指引………………………………………………100
附錄三 訪談大綱………………………………………………101
附錄四 同意書…………………………………………………102
附錄五 訪談實錄案例…………………………………………103
圖 表 目 次
頁數
圖一 無規律運動之停經後婦女身體活動經驗模式圖……………55
表一 基本資料分析…………………………………………………37
表二 無規律運動之停經後婦女身體活動情形……………………41
表三 比較無規律運動之停經後職業與非職業婦女的身體活動情
形………………………………………………………………43

參考資料
中文部份
于漱（1988）‧台北市20-60歲居民預防性健康行為之調查研究‧公共衛生，14，391-403。
王瑞霞、邱啟潤（1996）‧老年人體能活動參與及其相關因素的探討‧高雄醫學科學雜誌，12，348-358。
石光興、王新台和俞畢勝（1998）‧更年期後婦女骨質疏鬆症‧國防醫學，7，472-477。
行政院衛生署（1993）‧國民保健計畫‧台北：行政院衛生署。
行政院衛生署（1998）‧中華民國公共衛生概況‧台北：行政院衛生署。
行政院衛生署（2001a）‧衛生資料統計‧八十九年死因統計﹝On-line﹞, Available：http：//www.doh.gov.tw。
行政院衛生署（2001b）‧保健常識‧促進健康體能的方法﹝On-line﹞, Available：http：//www.doh.gov.tw。
李思招（2000）‧護理學生規律運動行為相關因素研究—以台北護理學院學生為例‧台北：國立臺灣師範大學衛生教育研究所碩士論文。
李昭男、李瑟、齊若蘭、許芳菊、陳玉梅、黃惠如、吳若女（2000）‧你可以輕鬆度過更年期--荷爾蒙的戰爭‧台北：天下生活股份有限公司。
李彩華（1998）‧身體活動與死亡率的相關探討‧中華體育，11（4），104-110。
李逸、王秀紅（2000）‧中年婦女之停經經驗與自我照顧行為‧護理研究，8，71-81。
沈淑禎、蔡克嵩、楊榮森、錢本文、劉堂桂、周松男、張賴昇平、蘇誠道（1994）‧正常中國婦女實際年齡和停經後年數對骨礦物質減少的影響‧中華放射醫誌，19，39-45。
季瑋珠、符春美（1992）‧社區民眾從事體能活動之研究‧中華民國公共衛生雜誌，11，328-339。
吳慧玲（1997）‧臨床護理人員規律運動習慣及其相關因素探討‧台北：國立臺灣大學護理學研究所碩士論文。
唐憶淨（1998）‧老年人自覺健康狀態及其影響因素‧台中：中山醫學院醫學研究所碩士論文。
張彩秀、姜逸群（1995）‧國人運動行為、體適能及主觀健康狀況之研究‧學校衛生，26，2-10。
陳秀珠（1999）‧老人運動行為研究—以北市基督長老教會松年大學五十五歲以上會員為例‧健康促進暨衛生教育雜誌，19，1-12。
陳慧玲（1996）‧更年期的荷爾蒙治療‧藥學雜誌，12（4），48-53。
許惠恒（1995）‧骨質疏鬆症，國防醫學，20，363-367。
曹麗英（1998）‧臺灣婦女更年期經驗之探討--處於健康多變化的時期‧護理研究6，448-460。
郭俞良、李成業（1999）‧女性荷爾蒙對停經婦女的心血管保護‧國防醫學，29，174-177。
童寶玲（1999）‧更年期與心臟血管疾病‧健康世界，161，81-85。
葉國均（2000）‧婦女更年期保健問答‧台北：浩園文化事業有限公司。
楊友仕（1992）‧認識女性之更年期‧健康世界，81，61-65。
楊舜璇（2003）‧停經後婦女規律運動之經驗‧台北：臺北醫學大學護理學研究所碩士論文。
裴馬勺（1995）‧脂蛋白元與冠狀動脈疾病‧國防醫學，20，368-370。
蔣松平（1995）‧婦女更年期與其荷爾蒙補充療法‧助產雜誌，39，68-75。
潘美玉（1996）‧某公司中年白領階級男性規律運動習慣及其相關因素之研究‧台北：國立臺灣大學護理學研究所碩士論文。
顏明賢、楊再興（2000）‧停經、荷爾蒙補充治療與癌症‧中華民國婦癌醫學雜誌，1，32-36。
英文部份
American College of Sports Mediine（1990）. The recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness in healthy adults. Medicine and Science in Sports and Exercise, 22, 265-274.
Bachmann, G. A.（1994）. Vulvovaginal complaints. In R. A. Lobo（Ed.）, Treatment of the postmenopausal woman（pp.137-142）. New York: Raven Press.
Balady, G. J., Berra, K. A., Golding, L. A., Gordon, N. F., Mahler, D. A., Myers, J. N., & Sheldahl, L. M.（2000）. ACSM’s guidelines for exercise testing and prescription（6th ed.）. Philadelphia, Pennsylvania：American College of Sports Medicine.
Barrett-Connor, E.（2003）. The clinical impact of the Women’s Health Initiative: Entering a new era in managing postmenopausal health issues﹝On-line﹞, Available: http://www.medscape.com
Berlin, J. A., & Colditz, G. A. （1990）. A meta-analysis of physical activity in the prevention of coronary heart disease. American Journal of Epidemiology, 132, 612-628.
Birge, S. J.（1994）. The role of estrogen deficiency in the aging central nervous system. In R. A. Lobo（Ed.）, Treatment of the postmenopausal woman（pp.153-157）. New York: Raven Press.
Blair, S. N., Kohl, H. W., Ⅲ, Barlow, C. E., Paffenbarger, R. S., Jr., Gibbons, L. W., & Macera, C. A.（1995）. Changes in physical fitness and all-cause mortality—A prospective study of healthy and unhealthy men. Journal of the American Medical Association, 273, 1093-1098.
Blair, S. N., Kohl, H. W., Ⅲ, Gordon, N. F., & Paffenbarger, R. S., Jr.（1992）. How much physical activity is good for health? Annual Review of Public Health, 13, 99-126.
Blair, S. N., Kohl, H. W., Ⅲ, Paffenbarger, R. S., Jr., Clark, D. G., Copper, K. H., & Gibbon, L. W.（1989）. Physical fitness and all-cause mortality—A prospective study of healthy men and women. Journal of the American Medical Association, 262, 2395-2401.
Bouchard, C., & Shephard, R. J.（1994）. Physical activity, fitness, and health: The model and key concepts. In C. Bouchard, R. J. Shephard, T. Stephens（Eds.）, Physical activity, fitness, and health—International proceedings and consensus statement（pp.77-88）. Champaign, IL: Human Kinetics Publishers.
Burns, K. J., Camaione, D. N., & Chatterton, C. T.（2000）. Prescription of physical activity by adult nurse practioners: A national survey. Nursing Outlook, 48, 28-33.
Caspersen, C. J., Powell, K. E., & Christenson, G. M.（1985）. Physical activity, exercise, and physical fitness: Definitions and distinctions for health-related research. Public Health Reports, 100, 126-131.
Chien, M. Y., Wu, Y. T., Yang, R. S., Lai, J. S., & Hsu, A. T. （2000）. Physical activity, physical fitness, and osteopenia in postmenopausal Taiwanese women. Journal of the Formosan Medical Association,99, 11-17.
Chow, S. N., Huang, C. C., & Lee, Y. T.（1997）. Demographic characteristics and medical aspects of menopausal women in Taiwan. Journal of the Formosan Medical Association, 96, 806-811.
Christine, S. H., Chay, C., & Marcus, R.（1994）. Exercise and its relationship to bone mass and cardiovascular function. In J. Lorrain, L. Plouffe, V. A. Ravnikar, L. Speroff, N. B. Watts, & I. Schiff（Eds.）, Comprehensive management of menopause（pp.159-170）. New York: Springer-Verlag New York Inc..
Cooper, C., Inskip, H., Croft, P., Campbell, L., Smith, G., McLaren, M., & Coggon, D.（1998）. Individual risk factors for osteoarthritis: Obesity, hip injury, and physical activity. American Journal of Epidemiology, 147, 516-522.
Dalsky, G. P., Stocke, K. S., Ehsani, A. A., Slatopolsky, E., Lee, W. C., & Birge, S. J.（1988）. Weight-bearing exercise training and lumbar bone mineral content in postmenopausal women. Annals of Internal Medicine, 108, 824-828.
Dempster, D. W., & Lindsay, R.（1993）. Pathogenesis of osteoporosis. Lancet, 341, 797-801.
Dorn, J. P., Cerny, F. J., Epstein, L. H., Naughton, J., Vena, J. E., Winkelstein, W. Jr., Schisterman, E., & Trevisan, M.（1999）. Work and leisure time physical activity and mortality in men and women from general population sample. Annals of Epidemiology, 9, 366-373.
Drinkwater, B. L., Horvath, S. M., & Wells, C. L.（1975）.Aerobic power of females ages 10 to 68. Journal of Gerontology, 30, 385-394.
Ellerington, M. C., Whitehead, M. I., & Stevenson, J. C.（1994）. The role of hormone replacement therapy in prevention and treatment of osteoporosis. In J. Lorrain, L. Plouffe, V. A. Ravnikar, L. Speroff, N. B. Watts, & I. Schiff（Eds.）, Comprehensive management of menopause（pp.171-176）. New York: Springer-Verlag.
Finch, C., Owen, N., & Pricr, R.（1999）. Current injury or disability as a barrier to being more physically active. Medicine and Science in Sports and Exercise, 33, 778-782.
Formosa, M., Brincat, M. P., Cardozo, L. D., & Studd, J. W. W.（1994）.Collagen: The significance in skin, bones, and bladder. In R. A. Lobo（Ed.）, Treatment of the postmenopausal woman（pp.143-151）. New York: Raven Press.
Gosden, R. G.（1985）. Biology of menopausal—The causes of consequences of ovarian aging. Orlando, Florida: Academic Press Inc..
Greendale, G. A., Huang, M. H., Wang, Y., Finkelstein, J. S., Danielson, M. E., & Sternfeld, B.（2003）. Sport and home physical activity are independently associated with bone density. Medicine and Science in Sports and Exercise, 35, 506-512.
Hagberg, J. M., Graves, J. E., Limacher, M., Woods, D. R., Leggett, S. H., Cononie, C., Gruber, J. J., & Pollock, M. L.（1989）. Cardiovascular responses of 70-79 year old men and women to exercise training. Journal of Applied Physiology, 66, 2589-2594.
Hammar, M., Berg, G., & Lindgren, R.（1990）. Does physical exercise influence the frequency of postmenopausal hot flushes? Acta Obstetricia et Gynecologica Scandinavica, 69, 409-412.
Hammar, M., Brynhildsen, J., Wyon, Y., Nedstrand, E., & Notelovitz, M.（1995）. The effects of physical activity on menopausal symptoms and metabolic changes around menopause. Menopause: The Journal of the North American Menopause Society,1.2, 201-209.
Haskell, W. L.（1994）. Health consequences of physical activity: Understanding and challenges regarding dose-response. Medicine and Science in Sports and Exercise, 26, 649-660.
Holloway, I., & Wheeler, S.（1996）. Qualitive research for nurses. Australia: Blackwell Science Ltd.
Horowitz, M., Need, A. G., Morris, H. A., Nordin, B. E.（1991a）. Postmenopausal osteoporosis part 1. Australian Family Physician, 20, 494-499.
Horowitz, M., Need, A. G., Morris, H. A., Nordin, B. E.（1991b）. Postmenopausal osteoporosis part 2. Australian Family Physician, 20, 675-680.
Humphries, B. H., Newton, R. U., Bronks, R., Marshall, S., McBride, J., McBride, T. T., Hakkinen, K., Kraemer, W. J., & Humphries, N.（2000）. Effect of exercise intensity on bone density, strength, and calcium turnover in older women. Medicine and Science in Sports and Exercise, 32, 1043-1050.
King, A. C., Blair, S. N., Bild, D. E., Dishman, R. K., Dubbert, P. M., Marcus, B. H., Oldridge, N. B., Paffenbarger, R. S. Jr., Powel, K. E., & Yeager, K. K.（1992）. Determinants of physical activity and interventions in adults. Medicine and Science in Sports and Exercise, 24, S221-S236.
Kronenberg, F.（1994）. Hot flashes. In R. A. Lobo（Ed.）, Treatment of the postmenopausal woman（pp.97-117）. New York: Raven Press.
Kushi, L. H., Fee, R. M., Folsom, A. R., Mink, P. J., Anderson, K. E., & Seller, T. A.（1997）. Physical activity and mortality in postmenopausal women. The Journal of the American Medicine Association, 277, 1287-1292.
Lane, N. E., Hochberg, M. C., Pressmen, A., Scott, J. C., & Nevitt, M. C.（1999）. Recreational physical activity and the risk of osteoarthritis of the hip in eldery women. The Journal of Rheumatology, 26, 849-854.
Lemaitre, R. N., Heckbert, S. R., Psaty, B. M., & Siscovick, D. S.（1995）. Leisure-time physical activity and the risk of nonfatal myocardial infarction in postmenopausal women. Archives of Internal Medicine,155, 2302-2308.
Lorrain, J., Plouffe, L., Ravnikar, V. A., Speroff, L., Watts, N. B., & Schiff, I.（1994）. Comprehensive management of menopause. New York: Springer-Verlag New York Inc..
McCole, S. D., Brown, M. D., Moore, G. E., Zmuda, J. M., Cwynar, J. D., & Hagberg, J. M.（2000）. Enhanced cardiovascular hemodynamics in endurance-trained postmenopausal women athletes. Medicine and Science in Sports and Exercise, 32, 1073-1079.
McTiernan, A., Stanford, J. L., Daling, J. R., & Voigt, L. F.（1998）. Prevalence and correlates of recreational physical activity in women aged 50-64 years. Menopause: The Journal of the North American Menopause Society, 5, 95-101.
Morse, J. M., & Field, P. A.（1995）. Qualitative research methods for health professionals（2nd ed.）. London, UK: Chapman & Hall.
Notelovitz, M., & Shangold, M. M.（1994）. Menopause. In M. Shangold & G. Mirkin（Eds.）, Women and exercise: Physiology and sports medicine（2nd ed., pp.187-213）. Philadelphia: F. A. Davis Company.
Paffenbarger, R. S., Jr., Hyde, R. T., Wing, A. L., & Hsieh, C. C.（1986）. Physical activity, all-cause mortality, and longevity of college aumni. The New England Journal of Medicine, 314, 605-613.
Paffenbarger, R. S., Jr., Hyde, R. T., Wing, A. L., Lee, I. M., Jung, D. L., & Kampert, J. B.（1993）. The association of changes in physical-activity level and other lifestyle characteristics with mortality among men. The New England Journal of Medicine, 328, 538-545.
Pate. R. R., Pratt, M., Blair, S. N., Haskell, W. L., Macera, C. A., Bouchard, C., Buchner, D., Ettinger, W., Health, G. W., & King, A. C.（1995）. Physical activity and public health—A recommendation from the Center for Disease Control and American College of Sports Medicine. The Journal of the American Medicine Association, 273, 402-407.
Petruzello, S. J., Landers, D. M., Hatfield, B. D., Kubitz, K. A., & Salazar, W.（1991）. A meta-analysis on the anxiety-reducing effects of acute and chronic exercise. Sports Medicine, 11, 143-182.
Powell, K. E., & Paffenbarger, R. S.（1985）. Workshop on epidemiogic and public health aspects of physical activity and exercise: A summary. Public Health Report, 100, 118-125.
Raglin, J. S., & Morgan, W. P.（1987）. Influence of exercise and quite rest on state anxiety and blood pressure. Medicine and Science in Sports and Exercise, 19, 456-463.
Ready, A. E., Naimark, B., Ducas, J., Sawatzky, J. V., Boreskie, S. L., Drinkwater, D. T., & Oosterveen, S.（1996）. Influence of walking volume on health benefits in women post-menopause. Medicine and Science in Sports and Exercise, 28, 1097-1105.
Riggs, B. L., Wahner, H. W., Dunn, W. L., Mazess, R. B., Offord, K. P., & Melton, L. J., III（1981）. Differential changes in bone mineral density of appendicular and axial skeleton with aging. Journal of Clinical Investigation, 67, 328-335.
Rikli, R. E., & McManis, B. G.（1990）. Effects of exercise on bone mineral content in postmenopausal women. Research Quarterly for Exercise and Sport, 61,243-249.
Sallis, J. F., Haskell, W. L., Fortmann, S. P., Vranizan, K. M., Taylor, C. B., & Solomon, D. S.（1986）. Prediction of adoption and maintenance of physical activity in a community sample. Preventive Medicine, 15, 331-341.
Sallis, J. F., & Owen, N.（1999）. Physical activity and behavioral medicine. Thousand Oaks, CA: Sage Publications.
Sandelowski, M.（1986）. The problems of rigor in qualitative research. Advances in Nursing Science, 8（3）, 27-37.
Shangold, M. M., & Mirkin, G.（1994）. Women and exercise : Physiology and sports medicine（2nd ed.）. Philadelphia: F. A. Davis Company.
Sherwin, B. B.（1994）. Impact of the changing hormonal milieu on psychological functioning. In R. A. Lobo（Ed.）, Treatment of the postmenopausal woman（pp.119-127）. New York: Raven Press.
Simon, H., Cannistra, S. A., Etkin, M., Godine, J. E., Heller, D., Shellito, P. C., & Stern, T. A.（2000）. CBS health watch﹝On-line﹞, Available: http://www.medscape.com
Siscovick, D. S., Laporte, R. E., & Newman, J. M.（1985）. The disease-specific benefits and risks of physical activity and exercise. Public Health Report, 100, 180-188.
Sloan, R. P., & Gruman, J. C.,（1988）. Participation in workplace health promotion programs: The contribution of heath and organization factors. Health Education Quartery, 15, 269-288.
Smith, R. N. J., & Studd, J. W. W.（1994）.Estrogens and depression in women. In R. A. Lobo（Ed.）, Treatment of the postmenopausal woman（pp.129-136）. New York: Raven Press.
Snow-Harter, C., Chay, C., & Marcus, R.（1994）. Exercise and its relationship to bone mass and cardiovascular function. In J. Lorrain, L. Plouffe, V. A. Ravnikar, L. Speroff, N. B. Watts, & I. Schiff（Eds.）, Comprehensive management of menopause（pp.159-170）. New York: Springer-Verlag.
Steinhardt, M. A., & Dishman, R. K.（1989）. Reliability and validity of expected outcomes and barriers for habitual physical activity. Journal of Occupational Medicine, 31, 536-547.
Stephen, T., Jacobs, D. R., & White, C. C.（1985）. A descriptive epidemiology of leisure-time physical activity. Public Health Report, 100, 147-158.
Sternfeld, B., Ainsworth, B. E., & Quesenberry, C. P., Jr.（1999）. Physical activity patterns in a diverse population of women. Preventive Medicine, 28, 313-323.
Stevenson, E. T., DeSouza, C. A., Jones, P. P., Van Pelt, R. E., & Seals, D. R.（1997）. Physical active women demonstrate less adverse age-related changes in plasma lipids and lipoproteins. The American Journal of Cardiology, 80, 1360-1364.
Talbot, L. A., Metter, E. J., & Fleg, J. L.（2000）. Leisure-time physical activities and their relationship to cardiorespiratory fitness in healthy men and women 18-95 years old. Medicine and Science in Sports and Exercise, 32, 417-425.
Taylor, C. B., Coffey, T., Berra, K., Iaffaldano, R., Casey, K., & Haskell, L.（1984）. Seven-day activity self-report compared to a direct measure of physical activity. American Journal of Epidemiology, 120, 818-824.
Tirone, S. C., & Shaw, S. M.（1997）. At the center of their lives: Indo Canadian women, their families and leisure. The Journal of Leisure research, 29, 225-244.
Zavela, K. J., Davis, L. G., & Cottrell, R. R.（1988）. Do only the healthy intented to participate in worksite health promotion?. Health Education Quarterly, 15, 259-267.