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研究生:周宣利
研究生(外文):Chou Hsuan-Li
論文名稱:吸菸與體適能相關之研究—以高雄市小港區參加社區活動居民為例
論文名稱(外文):The Association between Smoking and Health-Related Fitness-Join Community Participation among the Hsiaokang Residentsin Kaohsiung
指導教授:辜志弘辜志弘引用關係楊燦楊燦引用關係
指導教授(外文):Ku Chih-HungYang Tsan
學位類別:碩士
校院名稱:國防醫學院
系所名稱:公共衛生學研究所
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:2007
畢業學年度:95
語文別:中文
論文頁數:132
中文關鍵詞:健康體適能邏輯式迴歸複迴歸高雄市小港區
外文關鍵詞:Health-related FitnessMultiple Linear RegressionMultiple Logistic RegressionHsiaokang in Kaohsiung
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體適能的表現與個體的健康水準有著密切的相關,近年來體適能檢測在我國各個地區正積極的推展著,健康城市的推動可促使全民健康的實現,而從社區開始做起是基本工作。而近年來吸菸對身體造成的危害眾所皆知,更有不少研究顯示吸菸會影響體適能,進而使生活品質下降,政府及民間單位亦大力推動無菸職場、無菸餐廳。因此本研究目的在探討高雄市小港區居民的體適能現況,檢視吸菸以及影響健康的行為、人口學特性是否會影響居民體適能,並找出造成體適能異常的危險因子。
本研究之研究方法為橫斷性研究。以高雄市小港區社區居民為研究對象,在民國95年9月至96年1月期間,以自由參與方式在高雄市小港區社教館、地區內的國中、小運動會時設置檢測區,以問卷收集參與社區活動居民之人口學特性(性別、年齡、教育程度、職業、婚姻狀態、居住地區),影響健康的行為(體重控制情形、規律運動情形、慢性病情形、吸菸行為),並測量健康體適能(BMI、肌耐力、柔軟度、心肺耐力)。以卡方檢定人口學特性、影響健康的行為是否會造成體適能表現的差異,並以複迴歸探討會影響體適能的因子,以及邏輯式迴歸找出導致體適能異常的危險因子。
共收集854位居民資料,分析結果顯示,女性BMI異常的危險性是男性的1.65倍(OR=1.65,95%CI=1.13—2.42)、已戒菸則是從未吸菸的2.01倍(OR=2.01,95%CI=1.05—3.82)。而年齡增加1歲肌耐力異常的危險性增加8%(OR=1.08,95%CI=1.05—1.11),職業從事商者比學生增加117%肌耐力異常的危險性(OR=2.70,95%CI=1.18—6.18)。吸菸會增加柔軟度異常的危險性(OR=1.62,95%CI=1.01—2.58)。造成心肺耐力異常的危險因子相當多,女性是男性的1.65倍(OR=1.65,95%CI=1.21—2.26),教育程度為國中是國小的2.16倍(OR=2.16,95%CI=1.31—3.58)、高中是國小的1.77倍(OR=1.77,95%CI=1.01—3.09)、大學以上是國小的2.72倍(OR=2.72,95%CI=1.33—5.56),有慢性疾病比沒有慢性疾病增加179%心肺耐力異常的危險性(OR=2.79,95%CI=1.54—5.08),已戒菸及吸菸者心肺耐力異常的危險性分別是從未吸菸的7.39倍(OR=7.39,95%CI=4.38—12.48)、6.48倍(OR=6.48,95%CI=3.61—11.62)。
為提升國人健康體適能,本研究提出及印證可能導致體適能異常的危險因子,例如年齡增長、性別為女性、教育或社經地位較低者、未刻意控制體重、無規律運動習慣者、有吸菸習慣者。尤其是吸菸對四項體適能皆是危險因子,因此應多加宣導相關禁菸政策,如無菸餐廳、公共場合強化取締吸菸者、嚴禁未成年及孕婦吸菸,或是結合社區營造中心多舉辦認識菸害的課程,期許從認知提升到落實的層面。
Objective:The purpose of this study is to understand the current situation on physical fitness among the residents at community of Hsiaokang in Kaohsiung, and to investigate which demographic characteristics and health related behaviors can affect the fitness. The harms of smoking are all to know in the recent years. Many researches demonstrate that smoking may influence the health related fitness, then bring down the life quality. The government and the folk groups also promote the non-tobacco work places, the non-tobacco dining room. We hope to find out the risk factors that might make the residents’ fitness abnormal.
Methods:A Cross-sectional Study was adopted to collect the demographic characteristics and their fitness data among the residents at Hsiaokang in Kaohsiung from September 2005 to January 2006. A questionnaire was used to collect: 1) demographic characteristics including sex, age, education level, occupation, marital status, and resident area; 2) healthy related behaviors including the weight control, prevalence of chronic disease and smoking habit. We measured four items of healthy fitness: body mass index, muscle endurance, flexibility, and cardiac endurance. To examine demographic characteristics and health related behaviors whether cause the healthy fitness differences by Chi-square. We use the Multiple Linear Regression to discuss the factors that can influence the healthy fitness. Finally, we find out the risk factors that might make the residents’ fitness abnormal by Multiple Logistic Regression.
Results:Eight hundred fifty-four residents joined this research totally. The research shows that the female is 1.65 times (OR=1.65,95%CI=1.13—2.42) higher than male, and the people who have got rid of smoking have higher risk (OR=2.01,95%CI=1.05—3.82) of BMI abnormality. The risk of muscle endurance is 1.08 times (OR=1.08,95%CI=1.05—1.11) higher than that of one year ago, and people who are engaged in business have 2.70 times (OR=2.70,95%CI=1.18—6.18) risk of muscle endurance abnormality higher than students. People who smoke are 1.62 times (OR=1.62,95%CI=1.01—2.58) risk of flexibility abnormality higher than those who don’t smoke. Finally, there are many risk factors causing cardiac endurance abnormality, for example, the female is 1.65 times (OR=1.65,95%CI=1.21—2.26) higher than male, people who graduated from junior high school, senior high school and the university are 2.16,1.77,2.72 times (OR=2.16,95%CI=1.31—3.58;OR=1.77,95%CI=1.01—3.09;OR=2.72,95%CI=1.33—5.56) higher than those only graduated from elementary school, people who have chronic disease are 2.79 times (OR=2.79,95%CI=1.54—5.08) compare to have no chronic disease, and people who smoke or have got rid of smoking are 6.48 and 7.39 times(OR=6.48,95%CI=3.61—11.62;OR=7.39,95%CI=4.38—12.48)higher than those who don’t smoke.
Conclusion:This research identified several risk factors that link to the fitness abnormal. For example, the growing of the age, the female, the people who are lower educational or social economical status, who don’t control weight sedulously and don’t have regular exercise, and are smokers. Especially the tobacco is the risk factor for four item of fitness, therefore we should publicize to confine the tobacco policy, like encourage the non-tobacco dining room, strictly prohibit underage and the pregnant woman smoking. Also we can combine the community building center to conduct the courses about tobacco harms. We hope people to raise the self-vigilance, and provide the government or other folk association to consider the improvement strategy to the people who have the risky factors.
目錄Ⅰ
表目錄Ⅲ
附錄目錄Ⅳ
中文摘要Ⅴ
英文摘要Ⅶ
第一章 緒論1
第一節 研究背景及重要性1
第二節 研究動機4
第三節 研究目的7
第二章 文獻探討8
第一節 體適能的意義8
第二節 體適能的內涵10
第三節 體適能的功能12
第四節 吸菸對體適能的影響19
第五節 體適能的相關研究29
第三章 研究方法及步驟35
第一節 研究架構35
第二節 研究假設36
第三節 名詞解釋.37
第四節 研究對象40
第五節 研究工具41
第六節 統計分析方法48
第四章 結果49
第一節 人口學特性與影響健康的行為49
第二節 體適能表現分布情形51
第三節 人口學特性與體適能各項表現之相關分析55
第四節 影響健康的行為與體適能各項表現之相關分析59
第五節 各項體適能之影響因素分析62
第六節 體適能整體表現之因素分析64
第七節 體適能異常之危險因子分析65
第五章 討論67
第一節 人口學特性、影響健康的行為探討67
第二節 人口學特性、影響健康的行為與體適能相關之探討69
第三節 影響體適能之因素72
第四節 體適能異常之危險因素探討74
第五節 研究限制76
第六章 結論與建議77
第一節 結論77
第二節 建議79
參考文獻80
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3. 30、盧俊宏(1998):從事體適能運動所帶來的106種利益。臺灣省學校體育,8卷5期,p.17~23。
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6. 22、黃文俊(1998):八週間斷性步行運動對國小學童健康體適能之影響-以金山鄉中角國小學童為例。中華民國體育學會體育學報(26),p.161-168。
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8. 18、陳皆榮(2002):運動與青少年發展。國民體育季刊,31卷1期,p.74-80。
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