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研究生:黃柏欣
研究生(外文):Bo-shin Huang
論文名稱:不同體重控制課程對肥胖婦女減重成效及相關因素之探討
論文名稱(外文):Study on the Factors and Effects of Different Weight Control Programs in Obese Women
指導教授:曾明淑曾明淑引用關係
指導教授(外文):Min Su Tzeng
學位類別:碩士
校院名稱:輔仁大學
系所名稱:食品營養學系
學門:醫藥衛生學門
學類:營養學類
論文種類:學術論文
論文出版年:2002
畢業學年度:90
語文別:中文
論文頁數:121
中文關鍵詞:肥胖體重控制飲食運動行為
外文關鍵詞:obesityweight lossweight controldietaryexercisebehavior
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本研究目的在探討體重控制課程對減重成效的影響,以期作為未來社區體重控制課程之參考。研究對象為92名35~55歲、BMI超過26.4 kg/m2的肥胖婦女。依照個人生活型態與意願分為(1)飲食加運動組(2)飲食組(3)運動組及(4)控制組,除控制組外;其餘各組進行為期八週的體重控制課程。飲食組採取均衡低熱量飲食,每週2小時飲食課程,運動組為每週二次每次1小時的有氧舞蹈並要求每日行走一萬步,飲食加運動組則兩種課程皆參加;課程中包含心理調適與體重控制行為介入。課程前後均進行體重、體脂肪、皮下脂肪厚度與體圍測量,血液分析則包含總膽固醇、三酸甘油酯、高密度脂蛋白膽固醇與血糖,並利用問卷收集體重控制認知、飲食攝取、身體活動與心理影響因素資料進行統計分析。研究結果顯示:課程結束後飲食加運動、飲食與運動組體重平均下降3.3、3.3與3.5公斤,組間無差異但均較控制組顯著下降;體脂肪以飲食加運動與運動組下降較顯著;腰圍以飲食加運動組有顯著下降。參與課程之三組血脂質與血糖皆顯著下降。接受課程組在體重控制認知、行為、降低熱量攝取與提高熱量消耗都有改善。體重控制認知得分、課程出席率、作業繳交率、活動量與體重下降數值呈正相關。課後熱量、醣類與脂肪攝取量與體重下降數值呈負相關。自覺控制能力及自尊與自我概念越佳者,體重下降越多。因此課程中飲食與運動單獨或合併使用,皆能使體重下降,而體脂肪與體圍變化則以參與運動課程組別下降較多,飲食行為與選擇食物能力則以參與飲食課程組別下降較多。因此體重控制方式可視個人生活形態,選擇合併或單獨的飲食或運動控制融入生活中執行。
The objective of the study was to evaluate the effects of weight control programs. Ninety-Two obese women were recruited. Subjects were between 35~55 years old and their BMI were over 26.4 kg/m2. Based on subjects’ own will and convenience, they were allocated one of following groups: (1) diet plus exercise (2) diet (3) exercise (4) control. Expected the control group, every woman received an eight-week weight control program. The diet group balanced low calorie diet received two-hour diet courses per week and was taught to adapt. The exercise group attended to one-hour aerobic and resistant exercise twice a week, and also was required to walk thousand steps everyday. Diet plus exercise group needed to fulfill both requirements for diet and exercise groups. There were also weight control psychology and behavior intervention sessions in the program. The weight, percent body fat, skinfoldness, body circumference, and blood lipid profile of women who attended the program were measured in the beginning and at the end of the program. Information of weight control knowledge, dietary intakes, daily activity and psychology were collected before and after program. The amount of weight reduced after programs were:diet-control plus exercise 3.3 kg, diet-control 3.3 kg , exercise 3.5 kg and control 1 kg respectively. The weight reduction among diet-control plus exercise, diet-control, and exercise groups were significantly larger than control group. But there were no significant differences that groups attended program. The body fat reduction of diet plus exercise and exercise group were larger than those of the other groups. Only diet plus exercise group had significant reduction of waist circumference. Groups that received programs had significant decreases of cholesterol, triglycerol and blood sugar but had no significant differences among groups. Positive correlations were found between weight reduction and weight control knowledge, the percentage of attending program and homework returning, daily activity. Negative correlations were found between weight reduction and energy, carbohydrate and protein in tables. The higher of self-awareness and self-esteem scores, the better weight loss were. Therefore, no matter including diet, exercise, or both could reduce weight and improve weight control behavior. There was greater reduction of body fat and body circumference in groups, which accepted exercise. Eating behavior and food choice had better improvement in groups, which accepted diet courses. Therefore, it depended on own’s personal lifestyle for choosing different types of weight control program. The more it could fit into one’s own daily life, the more weight could be controlled.
第一章 緒論………………………………………………………………… 1
第二章 文獻探討…………………………………………………………… 2
第一節 肥胖的定義與指標…………………………………………… 2
第二節 肥胖的危害…………………………………………………… 4
第三節 肥胖的影響因素……………………………………………… 6
第四節 各種體重控制方法的介紹與比較…………………………… 8
第五節 體重控制課程的重要與推行社區模式體重控制班………… 12
第三章 研究目的………………………………………………………… 14
第四章 材料與方法……………………………………………………… 15
第一節 研究架構……………………………………………………… 15
第二節 研究對象與招募……………………………………………… 15
第三節 研究工具與測量方法………………………………………… 16
第四節 課程內容與實施方訪………………………………………… 24
第五節 資料處理與統計分析………………………………………… 27
第五章 結果……………………………………………………………… 29
第一節 研究對象……………………………………………………… 29
第二節 不同課程間體重控制成效之比較…………………………… 31
第三節 體重控制相關行為之比較…………………………………… 33
第四節 影響體位變化相關因素之探討……………………………… 40
第六章 討論……………………………………………………………… 66
第一節 不同體重控制課程的減重成效……………………………… 66
第二節 不同體重控制課程對體重控制者之體重控制認知、飲食
行為與生活形態之影響……………………………………… 68
第三節 心理層面及課程參與對體重控制的影響…………………… 74
第四節 研究限制……………………………………………………… 75
第七章 結論與建議……………………………………………………… 77
參考文獻…………………………………………………………………… 79
附錄一 婦女體重控制班篩選問卷……………………………………… 89
附錄二 婦女體重控制班問卷(Ι)……………………………………… 90
附錄三 婦女體重控制班課程前體重控制認知分類…………………… 101
附錄四 婦女體重控制班各項活動之MET值…………………………… 102
附錄五 婦女體重控制班各運動項目之MET值………………………… 103
附錄六 婦女體重控制班減重心理量表………………………………… 104
附錄七 婦女體重控制班減重心理量表分類…………………………… 106
附錄八 婦女體重控制班問卷(II)……………………………………… 108
附錄九 婦女體重控制班課程後體重控制認知分類…………………… 118
附錄十 婦女體重控制班課程後體重控制認知模擬餐廳外食計分…… 119
附錄十一 婦女體重控制班個人二十四小時飲食回憶記錄表………… 120
附錄十二 婦女體重控制班課程綱要…………………………………… 121
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