跳到主要內容

臺灣博碩士論文加值系統

(23.20.20.52) 您好!臺灣時間:2022/01/24 19:27
字體大小: 字級放大   字級縮小   預設字形  
回查詢結果 :::

詳目顯示

: 
twitterline
研究生:莊茹潔
研究生(外文):Ru-Jye Chuang
論文名稱:健康體能檢測與運動諮詢介入對社區民眾運動行為之影響---以台南市安南區為例
論文名稱(外文):Effects of Health Fitness Test and Tailored Exercise Advice to the Change of Exercise Behavior in An-Nan District.
指導教授:胡淑貞胡淑貞引用關係
指導教授(外文):Shu-Chen Hu
學位類別:碩士
校院名稱:國立成功大學
系所名稱:公共衛生研究所
學門:醫藥衛生學門
學類:公共衛生學類
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:74
中文關鍵詞:體能檢測運動行為介入
外文關鍵詞:InterventionExercise BehaviorFitness Test
相關次數:
  • 被引用被引用:45
  • 點閱點閱:7754
  • 評分評分:
  • 下載下載:2442
  • 收藏至我的研究室書目清單書目收藏:14
運動與健康之間的關係,不論是在生理或心理方面的益處,近來已陸續被許多研究所證實。雖然如此,根據衛生署在民國90年針對台灣地區30歲以上成人的電話調查研究指出,有61.3%的民眾沒有每週運動3次以上的習慣,其中又以女性不運動的盛行率(64.2%)較男性(58%)為高。相關單位近來大力推行健康體能,希望能提高民眾日常生活中的運動量。
本研究旨在探討社區民眾健康體能的社會人口分佈;及在接受體能檢測與運動諮詢後,運動行為改變的情況和程度;此外,本研究也進一步比較參加與不參加體能檢測者,其人口特質和運動行為是否有不同,以為未來推論之用。
本研究選取台南市安南區12個里,舉辦5場健康體能檢測活動。以結構式問卷,首先瞭解來參加體能檢測的民眾之日常運動習慣,並實地檢測其健康體能狀態,檢測完後由醫師和專業人員針對個人的檢測結果提供運動諮詢與指導。在檢測完後一個月,本研究再針對20歲-70歲的參加者,用電話追蹤的方式,瞭解其接受運動諮詢介入後其運動行為改變狀況。在未參加檢測之民眾資料收集部分,本研究採社區隨機抽樣的方式,抽取相同12里之300戶民眾,進行家庭訪視以取得其相關資料。
結果在有參加健康體能檢測的513位有效樣本中,有每週運動3次以上、並且從事較多運動種類的民眾有較好的健康體能。檢測後一個月的追蹤調查發現,體能檢測與運動諮詢介入對年齡較輕、半技術類職業、高教育程度、未婚、心肺功能較低及BMI較高的民眾有較高的運動行為改變;「工作」和「沒時間」是民眾沒有改變運動行為的主要原因。最後,若進一步比較參加及未參加者的社會人口特質發現,女性、中高年齡層、半技術性職業、從事坐或站的工作的社區民眾比較會參加社區健康檢測活動。參加者通常較不參加者從事較多的輕度、中度、或肌力等運動和居家活動,因此可推論參加者有較健康的運動行為。
本研究結論為健康體能檢測與針對個人的運動諮詢介入,的確可以有效的引發參與健康體能檢測的民眾對於自身健康體能的警覺性,進而讓民眾改變運動行為。
The benefit of exercise on health, whether it is mental or physical, has been well established recently. However, a national surveillance showed that 61.3% of adults in Taiwan did not exercise regularly. Female (64.2%) had more sedentary lifestyle than male (58%).
The purposes of the study were to explore the relationship between sociodemographic factors and exercise behavior, and to understand the effects of providing health fitness test and tailored exercise advice on the change of exercise behavior.
Five sessions of the health fitness test were provided in 12 neighborhoods in An-Nan District, Tainan City. The information of participant’s sociodemographic status, and exercise behavior was also collected by a questionnaire. After the test, tailored exercise advice had then given by health professionals. One month after the initial test, the participants were followed by telephone and their changes in exercise behavior were recorded. For those who did not participate in the test, 300 random samples were chosen and interviewed face-to-face to collect their reasons of nun-participation.
Among the 513 valid samples, people who undertake regular exercise have better health fitness. The 1-month follow-up found that the impact of the test and exercise advice was more visible in those who are younger, semi-skilled occupation, highly educated, single, having weaker cardio-respiratory functions, and better BMI. Work and the lack of time were the most common reasons for those who did not adopt any exercise behavior. Female, middle-aged or the elderly, being sedentary work types, and participating more in light, moderate, or strength exercise were more likely to undertake the test.
It was concluded that health fitness test and tailored exercise advice can increase the awareness, and improve exercise behavior among participants.
總 目 錄
中文摘要........................................Ⅰ
英文摘要........................................Ⅱ
誌謝............................................Ⅲ
總目錄..........................................Ⅳ
目錄............................................Ⅳ
表目錄..........................................Ⅴ
目 錄
第一章 前言....................................1
第二章 文獻探討................................4
第一節 運動與健康及健康體能之關係..............4
第二節 運動行為改變之介入研究..................8
第三節 參與者與不參與者的比較..................10
第三章 方法....................................13
第一節 研究對象................................13
第二節 研究工具................................13
第三節 實施步驟................................16
第四節 資料分析................................18
第四章 結果....................................21
第一節 健康體能與運動行為......................21
第二節 健康體能檢測及運動諮詢介入對行為改變的影響25
第三節 參加者與未參加者的比較..................31
第五章 討論....................................33
第一節 健康體能與運動行為......................33
第二節 體能檢測與運動諮詢介入對運動行為之改變..36
第三節 參加者與未參加者的比較..................38
第四節 相關的研究建議..........................40
第五節 研究限制................................41
參考文獻........................................55
附件一:台南市安南區健康行為與健康體能調查表....63
附件二:台南市安南區健康行為與健康體能調查--電話訪問66
附件三:檢查流程表、活動量簡易自我評量表........70
附件四:台南市安南區健康體能檢測結果報告表......72
附件五:各種運動對體適能的影響效果、圖解運動單張73
自述............................................74
方進隆(民82) 健康體能的理論與實際 漢文書店
白崇田(民75) 新店市成年居民參加高血壓和糖尿病健康篩檢意願之調查 國防醫學院公共衛生研究所 碩士論文
行政院衛生署 (民90) 國人運動習慣調查
李蘭、陸圴玲、李隆安、黃美維、潘怜燕、鄧肖琳 臺灣地區成人的健康行為探討:分佈情形、因素結構和相關因素 中華衛誌 1995; 14(4):358-68.
卓俊辰(民75) 體適能—健身運動處方的理論與實際 國立台灣師範大學體育學會
卓俊辰(民85) 運動與健康 空中大學
季瑋珠、符春美 社區民眾從事體能活動之研究 中華衛誌. 1992;11(4):328-40.
林旭龍、呂昌明(民90) 應用改變階段模式於運動行為之研究--以大學女生為例 衛生教育學報; 16:19-34
林貴福、盧淑雲(87) 認識健康體能 師大書苑有限公司
林麗娟、羅詩文、彭巧珍(民87) 運動介入對兒童骨質密度暨健康體能之影響 成大體育研究集刊 ;4:85-95.
柯懿嬖(民84) 以健康信念模式分析某工作場所員工之大腸直腸癌糞便篩檢行為研究 國立台灣師範大學衛生教育學系 碩士論文
陳秀珠 李景美(民88) 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學員為例 健康促進暨衛生教育雜誌:1-12
陳富莉、李蘭(民90) 臺灣地區不同年齡層民眾的健康行為聚集型態 公共衛生;28(1):37-47
蔡美月(民85) 臺北市某活動中心六十歲以上老人運動行為及其影響因素之研究 國立臺灣師範大學衛生教育學系 碩士論文
鍾志強(民88) 自我效能與運動行為的關係 國民體育季刊 ;28(4):47-55
鍾志強(民89) 運動自我效能對大學生運動行為的影響 科技學刊; 9(1):59-80
鍾凱婷(民90) 運動介入計畫對大學生健康體能與相關變項之影響研究 台北醫學院公共衛生學研究所 碩士論文
Albright CL, Cohen S, Gibbons L, Miller S, Marcus B, Sallis J, et al. Incorporating Physical Activity Advice into Primary Physician-Delivered Advice Within the Activity Counseling Trail. Am J Prev Med.2000; 18(3):225-34.
American College of Sports Medicine. The recommended quantity and quality of exercise for developing and maintaining fitness in healthy adults. Medicine and Science Sports,1978;10(3):7-10.
Audrain J, Lerman C, Rimer B, Cella D, Steffens R, Gomez-Caminero A. Awareness of heightened breast cancer risk among first-degree relatives of recently diagnosed breast cancer patients. The High Risk Breast Cancer Consortium. Cancer Epidemiol Biomarkers Prev. 1995; 4(5): 561-5.
Boreham C, Twisk J, Neville C, Savage M, Murray L, Gallagher A. Associations between physical fitness and activity patterns during adolescence and cardiovascular risk factors in young adulthood: the northern ireland young hearts project. Int J Sports Med.2002; 23(Suppl 1):22-6.
Boyce WF. Disadvantaged persons' participation in health promotion projects: some structural dimensions. Social Science & Medicine. 2001; 52(10):1551-64.
Brorsson B, Ifver J, Hays RD. The Swedish Health-Related Quality of Life Survey (SWED-QUAL). Qual Life Res. 1993; 2(1): 33-45.
Brownson RC, Housemann RA, Brown DR, et al. Promoting physical activity in rural communities: walking trail access, use, and effects. Am J Prev Med .2000;18(3):235-41.
Buchner DM, Pearson DC. Factors Associated with Participation in a Community Senior Health Promotion Program: A Pilot Study. Am J Public Health. 1989; 79(6): 775-7.
Calfas KJ, Sallis JF, Nichols JF, Sarkin JA, Johnson MF, Caparosa S, Thompson S, et al. Project GRAD: Two-Year outcomes of a randomized controlled physical activity intervention among young adults. Am J Prev Med.2000; 18(1):28-37.
Cardinal BJ. The stages of exercise scale and stages of exercise behavior in female adults. J Sports Med Phys Fitness.1995; 35(2): 87-92.
Collette M, Godin G, Bradet R, Gionet NJ. Active living in communities: understanding the intention to take up physical activity as an everyday way of life. Can J Public Health. 1994;85(6):418-21.
de Rooij MJ, Rampen FH, Schouten LJ, Neumann HA. Factors influencing participation among melanoma screening attenders. Acta Derm Venereol 1997; 77(6): 467-70.
Diener E. Subjective well-being. Psychol Bull.1984;95:542-75.
Dishman RK, Buckworth J. Increasing physical activity: a quantitative synthesis. Med Sci Sports Exerc.1996; 28(6): 706-719.
Essink-Bot ML, Stouthard ME, Bonsel GJ. Generalizability of valuations on health states collected with the EuroQolc-questionnaire. Health Econ. 1993; 2(3): 237-46.
Foster K, Campbell D, Crum J, Stove M. Non-response in a population study after an environmental disaster. Public Health. 1995; 109(4): 267-73.
Gionet, N.J., Godin, G. Self reported exercise behavior of employee: A validity Study. Journal of Occupation Medicine.1989;13(12):969-973.
Harris SS, Caspersen CJ, DeFriese GH, et al. Physical activity counseling for healthy adults as a primary preventive intervention in the clinical setting: report for the US Preventive Services Task Force. JAMA.1989; 261: 3590-8.
Healthy People 2000: Midcourse Review. Washington, DC: US Government Printing Office, 1991; DHHS Publication.
Huang YC, Malina RM. Physical activity and health-related physical fitness in Taiwanese adolescents. J Physiol Anthropol Appl Human Sci. 2002;21(1):11-9.
Karvonen MJ, Kentala E, Mustala O. The effects of training on heart rate. A “longitudinal” study. Ann Exp Med Fenn.1957; 35: 307-15.
Kemper HCG, Verschuur R, de Mey L. Longitudinal changes of aerobic fitness in youth ages 12 to 23. Pediatr Exerc Sci. 1989; 1: 257-70.
King AC, Blair SN, Bild DE, et al. Determinants of physical activity and interventions in adults. Med Sci Sports Exerc.1992; 24(suppl): s221-36.
Klesges RC, Williamson JE, Somes GW, Talcott GW, Lando HA, Haddock CK. A population comparison of participants and nonparticipants in a health survey. Am J Public Health. 1999; 89(8): 1228-31.
Kohl HW,Ⅲ, Dunn AL, Marcus BH, Blair SN. A randomized trail of physical activity interventions: design and baseline data from project Active. Med Sci Sports Sci.1998; 30(2): 275-83.
Laforge RG, Rossi JS, Prochaska JO, et al. Stage of regular exercise and health-related quality of life. Prev Med.1999; 28: 349-60.
Lange Andersen K, ilmarinen J, Rutenfranz J, et al. Leisure time sport activities and maximal aerobic power during late adolescence. Eur J Appl Physiol. 1984; 52:431-6.
Larsen ER, Mosekilde L, Foldspang A. Determinants of acceptance of a community-based program for the prevention of falls and fractures among the elderly. Prev Med.2001; 33(2 Pt 1):115-9.
Link BG, Northridge ME, Phelan JK, Ganz ML. Social epidemiology and the fundamental cause concept: on the structuring of effective cancer screens by socioeconomic status. Milbank quarterly.1998; 76(3):375-402.
Long BJ, Calfas J, Wooten W, et al. A multi-site field test of the acceptabilitory of physical activity counseling in primary care: Project PACE. Am J Prev Med 1996; 12: 73-81.
Lynch WD, Golaszewski TJ, Clearie A, Vickery DM. Characteristics of self-selected responders to a health risk appraisal: generalizability of corporate health assessments. Am J Public Health. 1989; 79(7): 887-8.
Marcus BH, Bock BC, Pinto BM, Forsyth LH, Roberts MB, Traficante RM. Efficacy of an individualized, motivationally-tailored physical-activity intervention. Ann Behav Med.1998; 20: 174-80.
Marshall GD. Overview of recruitment to the coronary primary prevention trial. Circulation. 1982; 66(6 Pt 2): IV5-9.
McAuley E, Blissmer B, Marquez D, Jerome GJ, kramer AF, Katula J. Social Relations, physical Activity, and Well-Being in Older Adults. Prev Med.2000;31:608-17.
National Institutes of Health. Physical activity and cardiovascular health. JAMA.1996; 276: 241-6.
Oman RF, Duncan TE. Woman and exercise: and investigation of the roles of social support , self-efficacy, and hardiness. Med Ex Nutritiona Health.1995;4:306-15.
Pate RR, Pratt M, Blair SN, et al. Physical activity and public health:a recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. J Am Med Assoc.1995; 273: 402-7.
Patt R, Partt M, Blair SN, et al. Physical activity and public health: a recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. JAMA.1995; 273: 402-7.
Pietila AM, Rantakallio P, Laara E. Background factors predicting non-response in a health survey of northern Finnish young men. Scand J Soc Med. 1995; 23(2): 129-36.
Podl TR, Goodwin MA, Kikano GE Stange KC. Direct observation of exercise counseling in community family practice. Am J Prev Med.1999; 17(3): 207-10.
Pullen E, Nutbeam D, Moore L. Demographic characteristics and health behaviours of consenters to medical examination. Results from the Welsh Heart Health Survey. J Epidemiol Community Health. 1992; 46(4): 455-9.
Rimer BK, Schildkraut JM, Lerman C, Lin TH, Audrain J. Participation in a women's breast cancer risk counseling trial. Who participates? Who declines? High Risk Breast Cancer Consortium. Cancer. 1996; 77(11): 2348-55.
Sallis JF, Hovell MF, Hofstetter CR. Predictors of adoption and maintenance of vigorous physical activity in men and women. Prev Med 1992;21:237-51.
Saltin B, Pilegaard H. Metabolic fitness: physical activity and health. Ugeskr Laeger. 2002;164(16):2156-62.
Schwartz CE, Fox BH. Who says yes? Identifying selection biases in a psychosocial intervention study of multiple sclerosis. Soc Sci Med. 1995; 40(3): 359-70
Senore C, Battista RN, Ponti A, et al. Comparing participants and nonparticipants in a smoking cessation trial: selection factors associated with general practitioner recruitment activity. J Clin Epidemiol.1999; 52(1): 83-9.
Shephard RJ, Bouchard C. Relationship between perceptions of physical activity and health–related fitness. J Sports Med Phys Fitness.1995; 35(3): 149-58.
Shephard RJ. Intensity , duration, and frequency of exercise as determinants of the response to a training regime. Int Zangew Physiol.1968; 26: 272-8.
Sobolski J, Jkomitzer M, Backer GD, Dramaix M, Abamowicz M, Degre S, et al. Protection against ischemic heart disease in the Belgian Physical Fitness Study: physical fitness rather than physical activity? Am J Epidemiol. 1987;125: 601-10.
Suzuki I., Yamada H., Sugiura T., Kawakami N., Shimizu H. Cardiovascular fitness, physical activity and selected coronary heart disease risk factors in adults. J Sports Med Phys Fitness.1998; 38(2): 149-57.
The President’s Council on Physical Fitness and Sports. Physical Activity and Health: A Report of the Surgeon General. Atlanta, Ga: National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, US Dept of Health and Human Services; 1996.
Thefeld W, Stolzenberg H, Bellach BM. The Federal Health Survey: response, composition of participants and non-responder analysis. Gesundheitswesen. 1999; 61 Spec No:S57-61
Tingen MS, Weinrich SP, Boyd MD, Weinrich MC. Prostate cancer screening: predictors of participation. J Am Acad Nurse Pract .1997; 9(12): 557-67.
Twisk JW, Kemper HC, Van Mechelen W. The relationship between physical fitness and physical activity during adolescence and cardiovascular disease risk factors at adult age. The amsterdam growth and health longitudinal study. Int J Sports Med.2002; 23(Suppl 1):8-14
U.S. Department of Health and Human Services, Public Health Services. Healthy People 2000. : National health promotion and disease prevention objectives: Full report, with commentary. Boston: Jones and Bartlett, 1992.
U.S. National Center for Chronic Disease Prevention and Health Promotion. Physical Activity and Health. At-a-Glance 1996. A report of the Surgeon General. http://www.cdc.gov/nccdphp/sgr/ataglan.htm
U.S. Department of Health and Human Services. Healthy people 2000. National health promotion and disease prevention objectives, Rockville, MD: U.S. DHHS, Public Health Services, 1991.
Weinrich SP, Ellison GL, Boyd M, Hudson J, Bradford B, Weinrich M. Participation in prostate cancer screening among low-income men. Psychology, Health & Medicine.2000; 5(4): 439-50.
Wells B, DePue J, Buehler C, Lasater T, Carleton R. Characteristics of volunteer who deliver health education and promotion: A comparison with organization members and program participants. Health Education Quarterly.1990; 17(1):23-35.
Wels BL, & Horn JW. Targeting the underserved for breast and cervical cancer screening: the utility of ecological analysis using the National Health Interview Survey. Am J Public Health.1998; 88(10): 1484-9.
Widmer C. Minority participation on boards of directors of human service agencies: Some evidence and suggestions. Journal of Voluntary Research. 1987; 16(4): 33-44.
Wilhelmson L, Ljundberg S, Wedel H, Werko L. A comparison between participants and non-participants in a primary prevention trail. J Chronic Dis.1976;29: 331-9.
Wingo PA, Bolden S, Tong T, Parker SL, Martin LM, Heath CW Jr. Cancer statistics for African Americans. CA Cancer J Clin.1996; 46(2): 113-25.
連結至畢業學校之論文網頁點我開啟連結
註: 此連結為研究生畢業學校所提供,不一定有電子全文可供下載,若連結有誤,請點選上方之〝勘誤回報〞功能,我們會盡快修正,謝謝!
QRCODE
 
 
 
 
 
                                                                                                                                                                                                                                                                                                                                                                                                               
第一頁 上一頁 下一頁 最後一頁 top