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研究生:詹國鑫
研究生(外文):Kuo-hsin Chan
論文名稱:青少年夜間腿部抽筋盛行率調查與相關因子分析
論文名稱(外文):Prevalence and Factors Associated with Nocturnal Leg Cramps among Adolescents
指導教授:辜美安辜美安引用關係
指導教授(外文):Mei-an Ku
學位類別:碩士
校院名稱:南華大學
系所名稱:自然醫學研究所
學門:醫藥衛生學門
學類:其他醫藥衛生學類
論文種類:學術論文
論文出版年:2009
畢業學年度:97
語文別:中文
論文頁數:117
中文關鍵詞:青春期運動行為青少年飲食習慣夜間腿部抽筋
外文關鍵詞:dietary practicephysical activitynocturnal leg cramppubertyadolescent
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  • 被引用被引用:1
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  本研究為橫斷式調查,研究期間為2008年11月5日至12月5日,研究工具以自擬式結構性問卷為主,調查青少年夜間腿部抽筋盛行率與相關因子,收集嘉義地區某高職學校學生共1018份問卷,資料編碼後輸入電腦以SPSS 12.0 for Windows中文版軟體進行處理,以羅吉斯迴歸與線性迴歸統計分析。調查結果發現,有64.0%的女性與63.6%的男性有夜間腿部抽筋的經驗,其中體重(p<0.001)、維生素E (p<0.001)以及維生素B1 (p=0.004)對於有無夜間腿部抽筋有顯著性相關,身體活動量指數對於有無夜間腿部抽筋則無顯著性相關;菸鹼素(niacin)對於一個月內抽筋次數有顯著性相關(p=0.001);肥胖組對於疼痛程度指數(p<0.001)、每次持續時間(p=0.023)以及抽筋指數(p<0.001)皆有顯著性相關。本研究也發現調查學生當時與追溯前一個學期時距之身高變化量對於不抽筋與抽筋頻繁有顯著性相關(p=0.006)。因此,高職學生之夜間腿部抽筋情形與身體肥胖以及青春期之身高發展有關。
  The present cross-sectional survey study used self-administered questionnaires to investigate the prevalence of and factors associated with nocturnal leg cramps (NLCs) among adolescents. A total of 1018 adolescents studying at a vocational high school in Chiayi County, Taiwan were recruited into the study during the period from November 5 to December 5, 2008. Logistic regression and linear regression were conducted using the Chinese version of SPSS ver. 12.0 for Windows Results showed that 64.0% of the females and 63.6% of the males had experienced NLCs. Body weight (p<0.001), vitamin E (p<0.001), and vitamin B1 (p=0.004) were significantly associated with NLCs. However, physical activity score was not associated with NLCs. The frequency of NLCs in the last month were significantly associated with intake of niacin (p=0.001). Obesity was significantly associated with intensity of NLCs (p<0.001), duration of NLCs (p=0.023), and cramp score (p<0.001). Changes in height between the time of research and the last semester were significantly associated with the frequency of NLCs (p=0.006). Therefore, obesity and growth spurt during puberty were associated with NLCs among vocational high school students.
中文摘要……i
英文摘要……ii
目 次……iii
表目次……vii
圖目次……x
附 錄……xi
 
第一章 緒論……1
1.1 研究背景……1
1.2 研究動機……2
1.3 研究目的……3
 
第二章 文獻回顧……4
2.1 青少年的身體發展……4
2.1.1 青少年與青春期的定義……4
2.1.2 青春期的生長爆發……5
2.2 生長痛……6
2.2.1 腿部症狀……7
2.2.2 抽筋的定義……9
2.3 睡眠異常……11
2.3.1 節律性運動疾患……13
2.3.2 睡驚……14
2.3.3 夢囈……14
2.3.4 夜間腿部抽筋……15
2.4 與夜間抽筋相關因子……16
2.4.1 飲食習慣……16
2.4.1.1 飲食與營養攝取……17
2.4.1.2 飲食習慣調查……18
2.4.2 運動行為……20
2.4.2.1 運動的生理效果……21
2.4.2.2 運動行為調查……23
2.4.3 內分泌與代謝……24
2.4.3.1 骨礦密度……26
2.4.3.2 鈣質代謝……27
2.4.4 遺傳性疾病……30
2.5 預防抽筋發生之方法……31
2.6 夜間腿部抽筋之處置……32
2.6.1 即時減輕症狀……32
2.6.2 藥物治療……33
2.6.3 運動治療……36
2.6.4 中醫治療……37
2.6.5 營養補充品……39
 
第三章 研究方法……42
3.1 研究設計……42
3.2 研究對象……42
3.3 研究工具……44
3.4 研究步驟……47
3.4.1 預試階段……47
3.4.2 前測階段……49
3.4.3 正式調查……49
3.5 資料分析……49
 
第四章 研究結果……51
4.1 受訪者特性……51
4.2 問卷前後測信度檢定結果……58
4.3 夜間腿部抽筋之盛行率與其他相關情形……63
4.4 飲食及運動與夜間腿部抽筋之相關性……69
4.5 身高變化量與夜間腿部抽筋頻率之相關性……86
 
第五章 討論……89
5.1 青少年學生夜間腿部抽筋情況……89
5.2 飲食習慣與夜間腿部抽筋之相關性……91
5.3 運動行為與夜間腿部抽筋之相關性……95
5.4 青春期生長爆發與夜間腿部抽筋之相關性……96
 
第六章 結論與建議……97
6.1 結論……97
6.2 限制與建議……97
 
參考文獻……99
中文部份……99
英文部份……103
 
附 錄……110
附錄A 問卷受訪同意書……111
附錄B 研究問卷……112
附錄C 肥胖定義(兒童與青少年及成人)……115
附錄D 食品營養(維生素、礦物質)成分表……116
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