(18.204.227.34) 您好!臺灣時間:2021/05/17 06:04
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:廖國芳
研究生(外文):Liau guo-fang
論文名稱:高撞擊式運動及鈣質補充對國小高年級女童骨骼代謝之影響
論文名稱(外文):Effects of High-Impact Exercise and Calcium Supplement on Bone Turnover Markers for Elementary School girls
指導教授:林瑞興林瑞興引用關係
指導教授(外文):Lin Jui-Hsing
學位類別:碩士
校院名稱:國立屏東教育大學
系所名稱:體育學系碩士班
學門:教育學門
學類:專業科目教育學類
論文種類:學術論文
論文出版年:2006
畢業學年度:94
語文別:中文
論文頁數:79
中文關鍵詞:高撞擊運動骨骼代謝
外文關鍵詞:high-impactexercisesbone turnover
相關次數:
  • 被引用被引用:3
  • 點閱點閱:366
  • 評分評分:
  • 下載下載:48
  • 收藏至我的研究室書目清單書目收藏:2
本研究探討12週高撞擊運動及鈣質補充對國小高年級女童骨骼代謝之影響,以高雄市建國國小健康高年級女童31人為研究對象,年齡10.5± 0.6歲、身體質量指數(BMI)18.7±1.8,均未受過訓練,分配11人至實驗A組(施以高撞擊式運動及鈣質補充)、10人至實驗B組(施以高撞擊式運動)、10人至控制組(維持原本生活型態)。實驗A、B組均施以每週5次,每次40分鐘之慢跑、跳繩及手球射門等高撞擊式運動,實驗A組並額外給予每日早、晚各500ml之鈣質補充;控制組需維持其原本飲食及作息。訓練前、後分別進行一次之測量,項目包括:身高、體重、BMI、骨骼生成速度(P1NP)、骨骼代謝速率(Osteocalcin)、骨骼破壞速度(B-CrossLaps)等測量。統計方法以共變數分析(one-way ANCOVA)及迴歸係數同質性檢定及變異數分析考驗三組的前、後測是否有顯著的介入效果。結果顯示12週介入計畫後,實驗A、B及控制組在身高、體重、BMI、P1NP、Osteocalcin等測試結果並未有顯著的差異性;但三組在B-CrossLaps呈現顯著的差異 (實驗A組:1.46 、實驗B組:1.38及控制組:1.66 ng/ml, p<.05) 。本研究獲得結論為高撞擊運動及鈣質補充有效降低骨骼破壞速度,對骨骼發展,預防骨質疏鬆症有正面之影響。
The purpose of this study was to examine the effect of 12 weeks high-impact exercise and calcium supplement on bone turnover markers. Thirty-one untrained healthy girls recruited as subjects from the Kaohsiung Municipal Chien-Kou Elementary School and assigned to three groups. The training group A, 11 girls performed high-impact exercise continuously and took calcium as nutrition supplement). In training group B, 10 girls also perform high-impact exercise continuously and took placebo. The control group maintained their lifestyle through the intervention. High-impact exercise includes rope jumping and jogging, forty minutes five days per week. The training group A took 500 mg of calcium twice a day. All Subjects underwent the following measurements: heights (HT), weighs (WT), body mass index (BMI), P1NP, Osteocalcin, ß-CrossLaps before and after 12 weeks intervention. The dates were analyzed by one-way ANCOVA, correlation to examine any change after training. We found that there was significant difference in ß–CrossLaps among three groups (A: 1.46, B: 1.38 and control: 1.66 ng/ml, p<.05) but no difference in HT, WT, BMI, P1NP, and Osteocalcin (p>.05). We concluded that high-impact exercise and calcium supplement can efficiently lower the teonumber of B-CrossLaps. Apparently, doing high-impact exercise and taking calcium supplement have positive effects on bone development and prevention of osteoporosis.
目 次
第壹章 緒論
第一節 研究背景…………………………………………… 1
第二節 研究目的…………………………………………… 5
第三節 研究假設…………………………………………… 5
第四節 研究限制…………………………………………… 6
第五節 名詞操作性定義…………………………………… 7
第貳章 文獻探討
第一節 骨骼的生長………………………………………… 9
第二節 骨質疏鬆症………………………………………… 11
第三節 骨質密度與相關激素恆定之機轉………………… 13
第四節 營養對骨骼代謝的影響…………………………… 19
第五節 發育期骨骼的成長會影響成人期的骨量………… 21
第六節 運動介入對骨質量生長的關係…………………… 23
第七節 骨骼代謝指標與骨質疏鬆症關係……………… 24
第八節 本章結語…………………………………………… 31
第參章 研究方法與步驟
第一節 研究對象…………………………………………… 32
第二節 訓練期間…………………………………………… 33
第三節 研究地點…………………………………………… 33
第四節 研究工具…………………………………………… 33
第五節 實驗步驟…………………………………………… 34
第六節 研究流程…………………………………………… 39
第七節 統計方法…………………………………………… 40
第肆章 結果
第一節 各項測試結果之描述性統計……………………… 41
第二節 高撞擊性運動訓練及鈣片介入後的效果探討(共變數分析考驗前、後測)…………………………… 43
第伍章 分析與討論
第一節 高撞擊式運動及高鈣質補充介入對身體組成的效果…………………………………………………… 49
第二節 高撞擊式運動及高鈣質補充介入對骨骼代謝指標的效果……………………………………………… 50
第三節 骨骼流失標記檢驗對預防骨質疏鬆症之影響……… 51
陸章 結論與建議
第一節 結論………………………………………………… 55
第二節 建議………………………………………………… 56
參考文獻
第一節 中文部分…………………………………………… 57
第二節 英文部分…………………………………………… 62
一、中文部分
中華民國內分泌學會(1997)。 國人骨質疏鬆症防治指引。行政院衛生署。
石突正文(2001)。骨質疏鬆症。台北:輕舟出版社。
井上哲郎(1997)。骨質疏鬆症自療與治療。台北縣:輝鑫出版社。
王惠蓉。(1999)。骨質疏鬆症之預防與治療。臨床藥學,15卷2期,108~113頁。
王昱豐(2003):骨質緻密度檢查與骨質疏鬆症。核子醫學科期刊,第十五卷第三期,205-221頁。
王學中(1996):不同年齡層慢跑者與無規律運動者體適能之比較研究。未出版碩士論文,國立台灣師範大學體育研究所,台北市。
李文森(1988)。解剖生理學。台北市:華杏出版社, 118-124頁。
李水碧(1998)。身體運動與骨質密度的關係。台北師院學報,11期,711-732頁。
孟迅吾(2000)。全方位地關注原發性骨質疏鬆症的研究 。中華內分泌代謝雜誌,第4期第16卷,105-120頁。
林瑞興(2004)。十六週阻力式訓練及高鈣補充對大學生骨質密度及調節鈣離子激素之影響。國科會研究。
林文彬(2003)。談骨質疏鬆症的防治與調養。台北縣中醫第二十九
期,178-184頁。
林興中(1995)。骨質疏鬆症之成因。臺灣醫界,34-38頁。
林興中(2005)。骨質疏鬆症之最近發展,修正。台灣醫界,第三期37卷,209-212頁。
林麗娟(1998)。運動對調節鈣離子激素之影響。中華體育,第12期第1卷,77-84頁。
林麗娟(2002)。肌力和耐力性運動與身體活動程度對鈣離子調節激素及骨骼指標之影響。未出版博士論文,國立台灣師範大學體育研究所,台北市。
姜如山(1995)。骨質疏鬆個案的護理。長庚護理,第6卷1期,96~99頁。
高平、徐苓、秦明偉、田均平、余衛、林守清(2000)。骨質疏鬆與運動的關係--運動員骨密度的橫斷面研究。中國醫科學院學報,第22卷第1期,178-190頁。
周建烈(2000)。補鈣與骨質疏鬆症防治研究的進展。中國骨質疏鬆雜誌,第1期第6卷 ,96-104頁。
吳崇榮。 骨質疏鬆症專輯。吳崇榮醫師的網頁 http://home.kimo.com.tw/truelifemedicine/
夏萍(1994)。淺談停經後骨質疏鬆症。護理雜誌,第41卷4期,75-78頁。
姚維仁,吳重慶(1999)。骨質密度測量方法的最新發展。秀傳醫學雜誌,第1卷4期,179-185頁。
張瑞泰、黃奕清、戴遠成、林琮智、李心白(2000)。規律慢跑和桌球
運動對中老年人骨密度和生理持質的影響。體育學報,第三十 輯,145-167頁。
郭素菁譯(1997)。拒絕骨質疏鬆症(二版)。台北市:方智出版社。
陳玉梅(2005)。你是骨質疏鬆症的高危險群嗎?康健雜誌。取自http://www.commonhealth.com.tw/motherspecial/text5.htm
黃彬彬(1996)。婦女的骨質疏鬆症與運動。國民體育季刊,25卷3
期,4~11頁。
黄瑞良。中國骨外科網。骨質疏鬆的病因學專題講座
取自http://www.guwaike.com/g/g047.htm。
楊榮森(1997)。正常中國婦女的髖部骨質密度研究。台灣醫學,
1卷5期,565~575頁。
楊榮森(1996)。骨質疏鬆症。台北市:吳氏圖書有限公司。
楊榮森(1997)。骨質疏鬆症-病因,診斷和治療。台北市:合記圖書出版社。
楊再興(2005)。漫談骨質疏鬆症。長昕生活事業(股)公司
取自http://www.ctfss.com/tw
蔡佳良、黃啟煌(2004)。女性雌激素對骨骼肌肌肉傷害之探討。大專體育,71期,107-109頁。
蔡敬民(2005)。鈣與骨質疏鬆症。
取自www.cycu.edu.tw/~chaplain/felworker/Boneloss01.pdf
蔡麗玉(2004)。骨質疏鬆症與關節炎之檢驗。高醫醫訊月刊,第二十三卷第八期,54-58頁。
馮柏菁(2004)。不同類型之運動對於骨質密度、肌力及身體組成之相關研究。運動生理暨體能學報創刊號,135-150頁。
薛樹清(2004)。臨床醫學。53, 359-69頁。
顏政通(1998)。骨質疏鬆症與運動之關係。國民體育季刊,27卷2
期,96~102頁。
鄭俊達著(1996)。骨質疏鬆症。中華民國醫療諮詢服務協會出版,
鄭博仁(1995)。我的健康我決定、女人更長壽。台北市性林文化出版,347–356頁。
黃永任著(1998)。運動與骨質疏鬆症國民體育季刊。第27輯(3)P53–60頁。
錢明賽(2001):骨質疏鬆症。食品工業期刊。32~41頁。
龔憶琳、劉立宇 (2003)。運動對孩童發育期骨骼成長的重要性。南師體育,11,32-36頁。
二、英文部分
Anderson, J. B., & SjOberg, H. E. (2001). Dietary calcium and bone health in the elderly: uncertainties about recommendations. Nutrition Research, 21, 263-268.
Bailey, D. A., Faulkner, R. A., & Mckay, H. A. (1996). Growth, physical activity, and bone mineral acquisition. Exercise and Sport Sciences Reviews,24,233-266.
Beck, B. R., & Shoemaker, M. R. (2000). Osteoporosis: understanding key risk factors and therapeutic options. The Physician and Sportsmedicine, 28(2), 69-84.
Blair, S. N., Horton, E., Leon, A. S., Lee, I. M., Drinkwater, B. L., Dishman, R. K., Mackey, M., & Kienholz, M. L. (1996). Physical activity, nutrition, and chronic disease. Medicine and Science in Sports and Exercise, 28(3), 335-349.
Bailey,D.A.,Faulkner,R.A.,&McKay,H.A(1996). Growth, Physical, Activity, and Bone Mineral Acquistition. Exercise and Sport Science Review, 24, 223-266.
Bassey,E.J., Rothwell, M.C., Littlewood, J.J., & Pye, D.W. (1998).Pre- and postmenopausal women have different BMD response to the same high-impact exercise. Journal Bone Mineral Research, 13, 1805-1813.
Bourrin,S.,Palle,S.,Pupier R.,Vico,L.,& Alexandre C.(1995).Effect of physical training on bone adoption in three zones of the rat tibia.Journal of Bone Mineral Research, 10, 1745-1752.
Burr,D.B.(1997). muscle strength,bone mass,and age-related bone loss. Journal of Bone Mineral Research, 12, 1547-1551.
Cassell, C., Benedict, M., Specker, B. (1996). Bone mineral density in elite 7 to 9 years old female gymnasts and swimmers. Medicine and Science in Sports and Exercise, 28(10), 1243-1246.
Cross-sectional study of muscle strength and bone mineral density in a population of 106 women between the ages of 44 and 87 years: relationship with age and menopause. European Journal of Applied Physiology and Occupational Physiology, 70(2), 180-186.
Cassell, C., Benedict, M., Specker, B. (1996). Bone mineral density in elite 7- to 9-yr-old female gymnasts and swimmers. Medicine and Science in Sports and Exercise, 28(10), 1243-1246.
Coggon,D.,Reading,I.,Croft,P.,McLaren,M.,Barrett D.,&Cooper,C.(2001).Knee osteoarthritis and obesity. Internal of Jourmal Obese Relative Metabolism Disorder, 25, 622-627.
Cossell,C.,Benedict,M.,&Specker,B.(1996).Bone mineral density in elite 7-to 9-yr-old female gymnast and swimmers. Medicine and Science in Sport and Exercise, 28, 1243-1246.
Dembo, L., & McCormick, K. M. (2000). Exercise prescription to prevent osteoporosis. ACSM's Health & Fitness Journal, 4(1), 32-38.
Dyson,K.,Blimkie,C.J.,Davison,K.S.,Webber,C.E.,&Adachi, J.D.(1997). Gymnastic training and bone density in pre-adolescent female. Medicine and Science in Sport and Exercise, 29, 443-450.
Erickson, S. M., & Sevier, T. L. (1997). Osteoporosis in active women: Prevention, Diagnosis, and Treatment. The Physician and Sportsmedicine, 25(11), 61-74.
Epstein, F.H.: 1995. Bone marrow, cytokine and bone remodeling. N. Eng. J. Med, k332, 251-263.
Frost,H.(1997).Why do marathon runners have less bone than weight lifters?A vital biomechanical view and explanation. Bone, 20, 183-189.
Gossain.V.V.,RAO,D.S.,Carella,M.J.Divine,G.&Rovner, D. R.(1999). Bone mineral density(BMD)in obesity effect of weight loss. Journal Medicine, 30, 367-376
Grimston,S.K.,Willows,N.D.,&Hanley D.A(1993).Mechanical loading regime and its relationship to bone mineral density in children. Medicine and Science in Sport and Exercise, 25, 1203-1210.
Heaney RP,Recker RR,Weaver CM.(1990).Absorbability of calcium sources:the limited role of solubility. Calcif Tissue Int, 46, 300-4.
Heinonen,A.,Kannus,P.,&Sievance,H.(1996).Randomized controlled trial of effect of high impact exercise on selected risk factors for osteoporotic fractures. Lancet, 348. 1343-1347.
Heikinheimo RJ,Inkovaara JA,Harju EJ,ct al.(1992).Annual injection of vitamin D and fractures of aged bones.Calcif Tissue Int, 51, 105-10.
Johnslon CC Yr,Miller JZ,Slemenda CW,et al.(1992). Calcium supplementation and increases in bone mineral density in children. N Engl J Mcd , 327, 82-87.
Judex.S.,Gross,T.S.,&Zernicke,R.F.(1997).Stain gradients correlate with sites of exercise-induced bone-forming surfaces in adult skeleton. Journal of Bone Mineral Research, 12, 1737-1745.
Katz, W. A., & Sherman, C. (1998). Osteoporosis: The role of exercise in optimal management. The Physician and Sportsmedicine, 26(2), 33-41.
Kemper, H. C. G., Twisk, J. W. R., Mechelen, W. V., Post, G. B., Roos, J. C., & Lips, P. (2000). A fifteen-year longitudinal study in young adults on the relation of physical activity and fitness with the development of the bone mass: the amsterdam growth and health longitudinal study. Bone, 27(6), 847-853.
Komar L,Nievcs J,Cosman F,et al.(1993).Calcium homeostasis of an elderly population upon admission to a nursing home. J Am Gcrlatr Sco, 41, 1057-1064.
Little, K. D. & Clapp, J. F. (1998). Self-selected recreational exercise has no impact on early postpartum lactation-induced bone loss. Medicine and Science in Sports and Exercise, 30(6), 831-836.
Llooyd, T., Chinchilli, V. M., & Johnson-Rollings, N. (2000). Adult female hip bone density reflects teenage sports-exercise patterns but not teenage calcium intake. Pediatrics, 106, 40-44.
Lloyd T,Andon MB,Rollings N,et al.(1993).Calcium supplementation and bone mincral density in adolescent girls. JAMA, 270,841-844.
Mazzeo, R. S., Cavanagh, P., Evans, W. J., Fiatarone, M., Hagberg, J., McAuley, E., & Startzell, S. (1998). Exercise and physical activity for older adults. Medicine and Science in Sports and Exercise, 30(6), 992-1008.
Meuleman J.Ostcoporosis and the elderly.(1989). Med Clin North Am, 73, 1455-1470.
NIH.Consensus development panel on optimal calcium intake.(1994). JAMA, 27, 1942-8.
Nilsson, J.E., & Westlin, N.E..(1997). Bone density in athletes. Clin. Orthop. 77, 179-182.
Nisson.B.E.,&Westlin N.E.(1971).Bone density in athletes. Clinical Orthopaedics and related research. 77. 179-182.
Platen, P., Chae, .E. H., Antz, R., Lehmann, R., Kühlmorgen, J., & Allolio, B. (2001). Bone mineral density in top level male athletes of different sports. European Journal of Sport Science, 1(5), 1-15.
Prior, J. C., Kirkland, S. A., Joseph, L., Kreiger, N., Murray, T. M., Hanley, D. et al. (2001). Oral Contraceptive use and Bone mineral density in premenopausal women: cross-sectional, population-based data from the Canadian multicentre osteoporosis study. Canadian Medical Association Journal, 165(8), 1023-1029.
Rourke, L., Bowering, J., Turkki, P., Buckenmeyer, P., Keller, B., & Sforzo, G. (1998). Effect of calcium supplementation on bone mineral density in female athletes. Nutrition Research, 18(5), 775-783.
Shangold, M. M. (1996). An active menopause: Using exercise to
Combat symptoms. The Physician and Sportsmedicine, 24(7),
30-36.
Slemenda,C.W.,&Johnston,c.c.,(1993).High intensity activities in young women:site specific bone mass effects among female figurre skaters. Bone Mineral. 20. 125-132.
Smith,R.W.,& Walker,R.R.(1964). Femoral Expansion in women: implication for osteoporosis and fractures. Science, 145, 156-157.
Sturmer,T.,Gunther.K.P.,&Brenner.H.(2000).Obesity overweight and patterns of osteoarthristis:the ulm Osteoar thritis study. Journal of Clinical Epidemiology. 53. 307-313.
Suominen,H.(1993).Bone mineral density and longtern exercise:an overview of cross-sectional athlete studies. Sports Medicine. 16, 316-330.
Taaffe.d.R.,Robinson,T.L.,Snow.C.M.,&Marcus.R.(1997). High-impact exercise promotes bone gain in well-trained female athlete.Journal of Bone Mineral Resarch, 7, 761-769.
Taaffe.d.R.,Snow-Harter C.,Connolly.D.A.,Robinson T. L.,Brown M.D.,&Marcus R.(1995).Differential effects of swimming versus weight-bearing activity on bone mineral status of eumenorrheic athletes. Journal of Bone Mineral Research,10, 586-593.
Tsai, K.S., Cheng, W.C., Chen, C.K., Sanchez, T.V., Su, C.T., Cheng, P.U.and Yang, R.S.: 1997 Effect of bone area on spine density in ChineseMen and women in Taiwan. Bone 21, 547-551.
Valdimarsson, ö., Kristinsson, J. ö., Stefansson, S. ö. Valdimarsson, S., & Sifurdsson, G. (1999). Lean mass and physical activity as predictors of bone mineral density in 16-20-year old women. Journal of Internal Medicine, 245, 489-496.
Welsh, L., & Rutherford, O. M. (1996). Hip bone mineral density is improved by high-impact aerobic exercise in postmenopausal women and men over 50years. European Journal of Applied Physiology, 74, 511-517.
Winters, K. M.&Snow. C. M. (2000). Detraining reverses positive effects of exercise on the Musculoskeletal system in premenopausal women . Journal of Bone and Mineral Research, 15(12), 2495-2503.
Yang, R.S., Liu, T.K. and Tsai, K.S.(1994).The acute metabolic effectsof oral tricalcium phosphate and calcium carbonate. Calcif. TissueInt, 55, 335-341.
QRCODE
 
 
 
 
 
                                                                                                                                                                                                                                                                                                                                                                                                               
第一頁 上一頁 下一頁 最後一頁 top