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研究生:趙思姿
研究生(外文):Szu-Tzu Chao
論文名稱:產後婦女肥胖之相關因子探討與減重成效評估
論文名稱(外文):Factors related to postpartum obesity and the effect of weight reduction
指導教授:謝明哲謝明哲引用關係
指導教授(外文):Ming-Jer Shieh, PhD
學位類別:碩士
校院名稱:臺北醫學大學
系所名稱:保健營養學系
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:2003
畢業學年度:91
語文別:中文
論文頁數:82
中文關鍵詞:產後婦女產後肥胖產後減重
外文關鍵詞:postpartum womenpostpartum obesitypostpartum weight loss
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本研究的目的主要是探討產後肥胖婦女的飲食和運動習與相關因子及減重計畫介入後,產後婦女在減重各方面改善的成效。本研究以二十五∼四十歲已生產過的肥胖婦女為研究對象,進行問卷調查以及分別在減重前、後與六個月及十二個月進行追蹤,以體位測量、血液生化分析、體適能來作為減重成效的評估。結果從問卷得知,婦女在懷孕時體重增加太多、產前體重過重與產後沒有哺乳是可能造成產後肥胖的原因。另外減重課程介入後,其減重成效結果顯示:(一)減重前、後的成效評估:體位測量方面,發現受試者的體重、體脂肪、身體質量指數(BMI)、胸圍、腰圍、臀圍、腰臀圍比值都有顯著下降(p0.05)。血液生化方面,三酸甘油酯、總膽固醇、高密度脂蛋白膽固醇(HDL-C)、低密度脂蛋白膽固醇(LDL-C)、尿酸都有顯著下降(p0.05);體適能方面,以肌耐力在減重後有顯著上升(p0.05)。(二)減重後與六個月追蹤以及與十二個月追蹤的成效評估:體位測量方面,體重、BMI、腰、臀圍都有顯著下降(p0.05),血液生化方面,總膽固醇、HDL-C有顯著上升(p0.05)。因此,產後婦女在介入減重計畫後,能有效減低肥胖可能造成的心血管疾病及痛風等慢性病發生的危險。
The main purposes of this study were 1) to investigate the specific events during pregnancy and postpartum periods that most likely lead to postpartum pregnancy, 2) to examine the characteristics of the obese women’s dietary and exercise habits, and 3) to evaluate the effectiveness of a weight reduction program and its effect in improving the various aspects of the health of postpartum women. Study sample consisted of obese women aged 25 to 40 who had given birth. At four different time periods: before weight reduction program and immediately after, 6- and 12-month follow-up after weight reduction program, data were obtained from questionnaires, anthrompometric measures, biochemical analysis and fitness evaluations. Results of the study showed that postpartum pregnancy is caused by the women’s excess weight gain during pregnancy, being overweight before pregnancy and lack of breastfeeding after delivery. The effectiveness of the weight reduction program was shown by significant improvements (p<0.05) in the subjects’ weight, body fat, BMI, chest, hip and waist circumferences, and waist-to-hip ratio before and immediately after weight reduction program. Furthermore, the subjects’ triglyceride, total cholesterol, HDL-cholesterol, LDL-cholesterol and uric acid levels significantly improved (p<0.05). Fitness evaluation only showed significant improvement in muscular strength (p<0.05). Anthropometric measurements at 6- and 12-month follow-up reflected significant reduction in body weight, BMI, waist and hip circumferences (p<0.05). Total cholesterol and HDL-cholesterol also showed significant increase (p<0.05). Therefore, postpartum weight loss can effectively decrease the risk for chronic diseases.
目錄
頁數
中文摘要………………………………………….....................……………. I
英文摘要……………………………………………………........…………. II
致謝…………………………………………………………….......………. III
目錄…………………………………………………………….......………. IV
表目次………………………………………………………........……...…. VI
附錄目次……………………………………………………………....…. VIII
第一章 緒論
第一節 研究動機……………........……………………………........…. 1
第二節 研究目的…………………........………………………........…. 3第二章 文獻回顧
第一節 產後肥胖嚴重性………....………….........…........……......….. 4
第-二節 造成產後肥胖的可能原因………………………........……..... 5
第三節 影響產後減重的因素................................................................. 8
第四節 產後婦女減重策略................................................................... 10
第三章 材料與方法
第一節 研究架構……………………………………………............... 15
第二節 研究對象…………………………………........……......……. 16
第三節 研究工具與方法....................................................................... 16 第四節 實驗過程................................................................................... 23
第五節 課程設計及流程....................................................................... 23
第六節 統計分析....................................................................................30第四章 研究結果
第一節 受試者基本資料…...................………………………......…. 31
第二節 減重前後之體位、血液生化、體適能變化........................... 31
第三節 減重後與六個月追蹤之體位、血液生化體適能變化............32
第四節 減重後與十二月追蹤之體位、血液生化、體適能變化.......... 33
第五節 問卷調查分析.......................................................................... 33
第五章 討論
第一節 造成產婦肥胖及影響產後減重之相關因子探討................. 59
第二節 產後婦女減重後身體變化的影響......................................... 60
第三節 減重課程設計與減重成效之相關性評估..............................63
第六章 結論...................................................................................................67
參考文獻........................................................................................................ 68
表目次
頁數
表一 受試者之生理基本資料........................................................... 36
表二 減重前後及六個月、十二個月追蹤之體位測量值............... 37
表三 減重前後及六個月、十二個月追蹤之血液生化值 ............. 38
表四 減重前後及六個月、十二個月追蹤之體適能值................... 39
表五 受試者之產前、產後狀況分析............................................... 40
表六 受試者之飲食習慣頻率分佈情形........................................... 41
表七 受試者之飲食習慣得分情形................................................... 42
表八 受試者之運動習慣調查........................................................... 43
表九 受試者自我認知評估............................................................... 44
表十 產前體重過重與體重正常之減重後體位測量比較................45
表十一 產前體重過重與體重正常之減重後血液分析比較................46
表十二 產前體重過重與體重正常之減重後體適能比較....................47
表十三 懷孕體重增加十五公斤者與無增加十五公斤者之減重後體位測量比較.....................................................................................48
表十四 懷孕體重增加十五公斤者與無增加十五公斤者之減重後血液分析比較.....................................................................................49
表十五 懷孕體重增加十五公斤者與無增加十五公斤者之減重後體適能比較.........................................................................................50
表十六 產後有哺乳者與無哺乳者之減重後體位測量比較.................51
表十七 產後有哺乳者與無哺乳者之減重後血液分析比較.................52
表十八 產後有哺乳者與無哺乳者之減重後體適能比較... .................53
表十九 受試者十二個月追蹤之行為修正頻率分佈情形.....................54
表二十 受試者十二個月追蹤之行為修正評估得分情形....................56
表二十一 行為修正評估得分與減輕體重總和、最後一次體重值之相關 性............................................................................................58
附錄目次
頁數
附錄一 問卷調查…….………………………………………….......... 75
附錄二 行為修正評估表……..………………………………........…. 80
附錄三 課程表……..……………................…………………........…. 82
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