臺灣博碩士論文加值系統

本研究主要目的在探討不同運動型態訓練對B型肝炎帶原者肝功能及心肺耐力與肌力之影響。受試者為40名自願參與本研究之男性B型肝炎帶原者，隨機分配於四組不同運動型態，包括：一、高強度跑步訓練組（HR組；22.5 ±3.58 歲）：85% VO2max，20分鐘；二、低強度跑步訓練組（LR組；22.1 ±2.77 歲）：50% VO2max，30分鐘；三、重量訓練組（WT組；22.2 ±1.72 歲）：15RM，八種動作；四、控制組（C組；24.4 ±4.48 歲），進行八週，每週三次的訓練。於訓練前（T1）、訓練四週（T2）、八週後（T3）及停止訓練四週後（T4）採血以分析肝功能，並於T1、T3及T4測驗心肺耐力及肌力。研究所得之肝功能檢驗值以正常值作為判定標準；而心肺耐力及肌力等數值則以混合設計二因子變異數及相依樣本單因子變異數分析進行檢定。結果發現：一、肝功能部分：四個不同運動訓練組，在T1、T2、T3及T4所測得的肝功能檢驗值皆落在正常範圍內。二、心肺耐力部分：VO2max在HR組中，於T3顯著增加，而在T4則顯著下降；另外，在LR組中，T1、T3及T4間皆無顯著差異。三、肌力部分：八項動作的肌力於T3顯著提升而仰臥推舉、大腿踢伸及正握拉槓等動作於T4顯著下滑。本研究顯示，B型肝炎帶原者經過八週，每週三次的85% VO2max跑步訓練及15RM重量訓練後，分別能有效提升心肺耐力及肌肉適能，且對肝功能並無不良影響。

Purpose: The purpose of this study was to compare the effects of running and weight training on liver function, aerobic capacity, and muscular strength in hepatitis B carriers. Methods: Forty subjects were randomly assigned to four groups: 1) High intensity running group (HG, age = 22.5 ±3.58 yrs): 85% VO2max, 20 minutes; 2) Low intensity running group (LG, age =22.1 ±2.77 yrs): 50% VO2max, 30 minutes; 3) Weight training group (WG, age =22.2 ±1.72 yrs): 15RM, eight exercises; 4) Control group (CG, age =24.4 ±4.48 yrs). Blood samples were collected before the training(T1), after week four(T2) and eight(T3) of training, and after a 4-week of detraining(T4). Aerobic capacity and muscular strength were examined at T1, T3, and T4. Liver-examined values were diagnosed by normal range; aerobic capacity and muscular strength were analyzed by mixed design two-way ANOVA and repeated design one-way ANOVA. Results: 1) Liver function: All liver-examined values in four different training groups were within normal range at T1, T2, T3, and T4. 2) Aerobic capacity: VO2max was significantly increased at T3 in HG; however, it decreased at T4. In contrast, there were no significant changes at T1, T3, and T4 in LG. 3) Maximal muscular strength of all exercises raised significantly at T3. Bench press, leg extension, and lat pulldown were reduced at T4 when compared with T3. Conclusion: Hepatitis B carriers seem to tolerate running training of 85% and 50% VO2max and 15RM weight training well. They can improve aerobic capacity after 85% VO2max running training and increase maximal muscular strength after 15RM weight training.

中文摘要……………………………………………………………Ⅰ
英文摘要……………………………………………………………Ⅱ
謝誌……………………………………………………………….Ⅲ
目次………………………………………………………………..Ⅳ
表次………………………………………………………………..Ⅶ
圖次……………………………………………………………….. Ⅷ
第壹章 緒論……………………………………….…..…………………1
第一節 前言……………………………………………………1
第二節 問題背景……………………………………………..2
第三節 研究目的……………………………………………..4
第四節 研究假設……………………………………………..5
第五節 研究範圍與限制………………………………………5
第六節 研究的重要性…………………………………………5
第七節 名詞操作性定義………………………………………6
第八節 臨床意義……………………………………………..7
第貳章 文獻探討……………………………….………………………..9
第一節 B型肝炎……………………………………………..9
一、 肝臟功能………………………………………..…………..9
二、 B型肝炎病毒……………………………………………9
三、 B型肝炎制病機轉…………………………....………..11
四、 慢性B型肝炎………………..……………...…………….12
第二節 運動與病毒性肝炎之相關研究……………….…………15
一、 運動對急性肝炎者肝功能之影響………………...………15
二、 運動對慢性肝炎者肝功能之影響……..…………….……16
第三節 重量訓練對慢性病影響的相關研究…………………18
第四節 本章總結………………………………………………....20
第參章 研究方法與步驟………………………………….……………22
第一節 受試對象…………………………………………………22
第二節 實驗儀器與器材…………………………………………22
第三節 實驗方法與步驟………….…………………………22
一、 篩選受試者………………….……………….………..22
二、 心肺耐力測量……………….…………………………23
三、 最大肌力測驗……………….…………………………24
四、 運動強度的計算……………..……………………………25
五、 實驗流程…………………………….…………………….25
六、 血液生化分析……………………………………………..27
第四節 資料處理與分析…………………………………………29
第肆章 結果…………………………………………….…………31
第一節 受試者基本資料……………………..………………31
第二節 不同運動型態對肝功能的影響………..……….……31
一、 不同訓練型態對AST值的影響……………….………..32
二、 不同訓練型態對ALT值的影響……………….………..33
三、 不同訓練型態對γ-GTP值的影響…….…….………..33
四、 不同訓練型態對LDH值的影響……….…….…………34
五、 不同訓練型態對Bilirubin值的影響………….………..35
六、 不同訓練型態對Albumin值的影響………….………..36
七、 不同訓練型態對Globulin值的影響………….………..37
第三節 不同強度跑步訓練對心肺耐力的影響……….……..38
第四節 重量訓練對不同動作肌力的影響…………….……..39
第伍章 討論與結論…………………………………….…………..41
第一節 討論…………………………………………...…………41
一、 八週運動訓練對B型肝炎者肝功能的影響……………..41
二、 八週有氧訓練對B型肝炎者心肺耐力的影響……..…....44
三、 八週重量訓練對B型肝炎者肌力的影響………..………45
第二節 結論……………………………….…………….………46
引用文獻………………………………………………………………48
附錄一 受試者須知與同意書…………………………… ………… 54
附錄二 健康情況調查表……………………………………………..55
附錄三 訓練前肝功能檢驗值原始資料……………………………..56
附錄四 四週訓練後肝功能檢驗值原始資料………………………..58
附錄五 八週訓練後肝功能檢驗值原始資料………………………..60
附錄六 四週停止訓練後肝功能檢驗值原始資料….………………..62
附錄七 訓練前後心肺耐力原始資料………..……………………..64
附錄八 訓練前肌力原始資料……………………..………………..65
附錄九 八週訓練後肌力原始資料…………………………..……..66
附錄十 四週停止訓練後肌力原始資料………………………..…..67
個人小傳………………………………………………………………68

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