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研究生:蔡秋琳
研究生(外文):Chiu-Ling Tsai
論文名稱:以體位測量指標預測中年婦女罹患冠狀動脈疾病之研究
論文名稱(外文):Anthropometric Indicators as Predictors of Coronary Artery Disease among Middle-Age Women
指導教授:鄭 綺
指導教授(外文):Chii Jeng
學位類別:碩士
校院名稱:臺北醫學大學
系所名稱:護理學研究所
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:2012
畢業學年度:100
語文別:中文
論文頁數:105
中文關鍵詞:中年婦女體位測量指標冠狀動脈疾病
外文關鍵詞:middle aged womenanthropometric indicatorscoronary artery disease
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目錄
頁數
致 謝 ………........................................................... I
中文摘要 ……….............................................................. II
英文摘要 ……………....................................................... IV
目 錄 ……............................................................... VI
圖表目次……………....................................................... IX

第一章 緒論
第一節 研究動機與重要性 .................................. 1
第二節 研究目的 ................................................ 4
第三節 研究假說 ................................................ 5
第四節 名詞界定 ................................................ 6
第二章 文獻查證
第一節 婦女與冠狀動脈心臟病的相關性 ................ 7
第二節 體位測量 .................................................. 9
第三節 體位測量指標與冠狀動脈心臟病之相關研
究............................................................. 15
第三章 研究方法
第一節 研究設計 ................................................ 19
第二節 研究對象 ................................................ 19
第三節 研究變項及測量 ...................................... 20
第四節 工具的信度及效度檢定 ............................ 25
第五節 資料收集流程 ......................................... 26
第六節 倫理考量 ................................................ 28
第七節 統計分析 ................................................ 29
第四章 結果與分析
第一節 研究對象的基本屬性 .............................. 31
第二節 三組體位測量之比較 ..................................... 35
第三節 體位測量變項與基本屬性之差異 ...............37
第四節 體位測量指標對CAD發生之預測力 ....................44
第五節 中年婦女CAD之預測因子 ...............................62
第五章 研究討論
第一節 研究對象體位測量結果 .................................. 64
第二節 罹患CAD婦女與未罹患CAD婦女各項體位測量指標之差異 ........................................................ 66
第三節 不同經期之中年婦女各項體位測量指標之差異 ...... 67
第四節 體位測量指標對CAD之預測因子 ...................... 69
第六章 結論與建議
第一節 討論 ........................................................ 73
第二節 研究限制 ................................................... 75
第三節 建議 ........................................................ 75

參考資料
中文部份 ........................................................... 78
英文部分 ........................................................... 79

附錄
附錄一 個案基本屬性相關資料表 ......................... 93
附錄二 國泰綜合醫院-同意臨床研究證明書 ......... 94
附錄三 心導管檢查指標表格......................... 95

圖表目次
頁數
圖目次
圖一 生物電阻分析儀 ............................. 24
圖二 收案流程 ................................................ 27
表目次
表一 研究對象基本屬性 .................................. 33
表二 三組體位測量之比較 ............................... 36
表三 體位測量變項與基本屬性上之差異 ........... 40
表四 中年婦女體位測量指標對冠狀動脈疾病發生之
預測力 .................................................. 46
表四-1 BMI四個model的多類別對數複迴歸分析 ............. 46
表四-2 WC四個model的多類別對數複迴歸分析 ………….... 49
表四-3 WHR四個model的多類別對數複迴歸分析 ….…...... 52
表四-4 WHtR四個model的多類別對數複迴歸分析 ……….... 55
表四-5 BF%四個model的多類別對數複迴歸分析 ………..…. 58
表四-6 體位測量指標在 CAD vs. Non CAD vs.健檢組Odds Ratio 之整合表 ………………………………………….......... 60
表 五 CAD預測因子之多類別對數逐步迴歸分析 ……....... 63


參考文獻
一、中文部份
中華民國肥胖研究學會(2009)。2009年12月10日,摘自http://www.ctaso.org.tw/dietmethod_a2.html
行政院衛生署(2002).國人肥胖定義及處理原則.2009年12月28日,摘自http://www.doh.gov.tw/CHT2006/DM/SEARCH_RESULT.aspx
行政院衛生署(2009).死因統計摘要結果.行政院衛生署統計資訊網.2009年10月08日,摘自http:
//www.doh.gov.tw/ statistic/data /死因摘要/97
年/97.htm.
黃國晉、林瑞雄、陳慶餘、宋丕錕、周松男(2000).停經後體脂肪組成與血清瘦素質之研究.台灣醫學.
4,8-13。
劉丁松(2008).腰高比為預測臺灣族群男性痛風之良
好指標.未發表碩士論文,台中:中山醫學大學研
公共衛生究所。


二、英文部份
Abernathy, R. P., & Black, D. R. (1996). Healthy body weights: an
alternative perspective. American Journal of Clinical Nutrition, 63(Suppl. 3), S448-S451.
American Heart Association.(2003) Heart Disease and Stroke Statistics 2004 Update. Dallas, Tex: American Heart Association.
American Heart Association .( 2004 ).Women and cardiovascular
dieases: statistics. Retrieved August 22, 2007, from
http://www.americanheart.org/presenter.jhtml?identifi er=3000941 .
American Heart Association.(2005).Heart disease and Stroke Statistical.
Retrieved November 1, 2006 from
http://www.americanheart.org/presenter.jhtml?identifier=1928
American Heart Association.(2009).Facts about Women and
Cardiovascular Diseases. Retrieved December 26, 2009 from
http://www.americanheart.org/presenter.jhtml?identifier=2876
Anderson, J., Kessenich, C. R.(2001).Women and coronary heart
disease. The Nurse Practitioner, 26(8), 12-30.
Araujo, L. F., Soeiro, A. M., Fernandes, J. L., Pesaro, A. E., Serrano,
C.V.(2006).Coronary artery disease in women: a review on prevention , pathophysiology, diagnosis, and treatment. Vascular Health and Risk Managemen, 2(4), 465–475.
Ashton,W.D., Nanchahal, K., & Wood, D. A.(2001).Boday mass index and metabolic risk factor for coronary heart disease in women. European Heart Journal,22(1),
45-55.
Ashwell, M., Hsieh, S.D.(2005). Six reasons why the waist-to-height
ratio is a rapid and effective global indicator for health risks of obesity and how its use could simplify the international public health message on obesity. International Journal of Food Sciences and Nutrition, 56, 303–307.
Baumgartner, R. N., Heymsfield, S. B., Roche, A. F. (1995). Human body
composition and the epidemiology of chronic disease.Obesity Research, 3,73-95.
Bjorntorp, P. (1985). Regional patterns of fat distribution. Annals of Internal Medicine, 103, 994-995.
Craig,P., Colagiuri, S., Hussainb, Z., Paluc, T.(2007).Identifying cut-points in anthropometric indexes for predicting previously undiagnosed diabetes and cardiovascular risk factors in the Tongan
population. ObesityResearch & Clinical Practice , 1, 17—25.
Dennis, K. E. (2007). Postmenopausal Women and the Health Consequences of Obesity. The Association of Women’s Health, Obstetric and Neonatal Nurses, 36(5), 511-519.
Despres,J. P.(2006).Is visceral obesity the cause of the metabolic
syndrome? Annals of Medicine, 38(1),52-63.
Edmunds, E., Lip, G. Y. H.(2000).Cardiovascular risk in Women : the cardiologist’ sperspective. Qaurterly Journal Medicine, .93(3), 135-145.
Elli, K. J.(2001).Selected body composition methods can be used in field studies. Nutrition, 13, 1589s-1595s.
Esmaillzadeh, A., Mirmiran, P., & Azizi, F.(2004). Waist-to-hip ratio is a better screening measure for cardiovascular risk factors than other anthropometric indicators in Tehranian adult men. International Journal of Obesity, 28,1325-1332.
Feletou, M., Vanhoutte, P. M.(2006). Endothelial dysfunction: a
multifaceted disorder (The Wiggers Award Lecture).American
Journal of Physiological. 291,985-1002.
Flakoll, P. J., Kent, P., Neyra, R., Levenhagen, D., Chen, K.Y., Ikizler, T.
A.(2004). Bioelectrical impedance vs air displacement plethysmography and dual-energy X-ray absorptiometry to determine body composition in patients with end-stage renal disease.
Journal of Parenteral and Enteral Nutrition, 28(1), 13-21.
Foody, J. M.(2001). Prevent cardiology: Strategies for the prevention and treatment of coronary artery disease. New Jersey : Humana press.
Franklin, R. F., Ploutz-Snyder, L., Kanaley, J.(2009).Longitudinal changes in abdominal fat distribution with menopause.Metabolism Clinical and Experimental, 58, 311–315.
Garrow, J.S., Webster, J.(1985).Quetelet’s index (W/H2) as a measure of fatness. International Journal of Obesity, 9, 147-153.
Gelber, R. P., Gaziano, M. J., Orav, E. J., Manson, J. E., Buring, J. E.,
Kurth, T.(2008). Measures of Obesity and Cardiovascular Risk
Among Men and Women. Journal of the American College of
Cardiology, 52(8), 605-615.
Gharakhanlou, R., Farzad, B., Agha-Alinejad, H., Steffen, L. M., Bayati, M.(2012). Anthropometric measures as predictor of cardiovascular disease risk factors, 98(2),126-135.
Giovana , B .D ., Sandra , C. F., Karen , O., Carlos , B., Poli , M. S.(2006).
Association between menopause status and central adiposity measured at different cutoffs of waist circumference and waist-to-hip ratio. Menopause, 13(2), 208-285.
Ho, S., Lam, T., Janus, E.D. (2003).For the Hong Kong Cardiovascular Risk Factor Prevalence Study Steering Committee 2003 Waist to stature ratio is more strongly associated with cardiovascular risk factors than other simple anthropometric indices. Annals of Epidemiology, 13,683–691.
Houtkooper, L. B., Lohman, T. G.,Howell, W. H. (1996). Why bioelectrical impedance analysis should be used for estimating adiposity. American Journal of Clinical Nutrition, 64,436-438.
Hsieh, S. D & Muto, T. (2005). The superiority of waist-to-height ratio as an anthropometric index to evaluate clustering of coronary risk factors among non-obese men and women. Preventive Medicine, 40(2), 216-220.
Hsieh, S.D., Muto,T. (2006). Metabolic syndrome in Japanese men and women with special reference to the anthropometric criteria for the assessment of obesity: Proposal to use the waist-to-height ratio. Preventive Medicine, 42, 135 – 139.
Huan, DR., Pitanga, FIG., Lessa, I. (2010). Waist/Hight ratio compared with other anthropometric indicatiors of obesity as a predictor of hight coronary risk. Revista Associacao Medica Brasileira, 56(6), 705-711.
Huang, K. C., Lin, W. Y., Lee, L. T., Chen, C. Y., Lo, H., Hsia, H. H., et al. (2002). Four anthropometric indices and cardiovascular risk factors in Taiwan. International Journal of Obesity & Related Metabolic Disorders, 26(8), 1060-1068.
Hwu, C. M., Fuh, J. L., Hsiao, C. F., Wang, S. J., Lu, S. R., Wei, M. C., et al. (2000). Waist circumference predicts metabolic cardiovascular risk in postmenopausal Chinese women. Menopause, 10, 73-80.
International Obesity Task force (2002). The Asia-Pacific perspective: redefining obesity and its treatment. Retrieved December 10, 2009 from http:// www.idi. org.au/research /report_obesity.htm.
Islami, F., Mańczuk, M., Vedanthan, R., Vatten, L., Polewczyk, A., Fuster, V.,et al . (2011).A cross-sectional study of cardiaovascular disease and
associated factors. Annals of Agricultural and Environmental
Medicine. 18(2), 255-259.
Jousilahti, P., Vartiainen, E., Tuomilehto, J., Puska, P. (1999). Sex, Age,
Cardiovascular Risk Factors, andCoronary Heart Disease. Circulation, 99,1165-1172.
Kagawa, M., Byrne, NM., Hills, AP.(2008).Comparison of body fat
estimation using ratio using different‘waist’measurement in
Australian adults.British Journal of Nutrition,100,1135
-1141.
Knowlws, K.M., Paiva, L. L., Sanchez, S. E., Revilla, L., Lopez, T.,
Yasuda, M., et al.(2010).Waist circumference,body mass index,and
other measures of adiposity in predicting cardiovascular disease risk
factors among peruvian adults.International Journal of
Hypertension, 2011, 931402-931412.
Kissebah, A. H., Vydelingum, N., Murray, R., Evans, D. J., Kalkhoff, R. K., & Adams, P. W. (1982). Relation of body fat distribution to metabolic complications of obesity. The Journal of Clinical Endocrinology Metabolism, 54, 254-260.
Lapidus, L., Bengtsson, C., Larsson, B., Pennert, K., Rybo, E ., Sjostrom, L. (1984). Distribution of adipose tissue and risk of cardiovascular disease and death: a 12 year follow up of participants in the population study of women in Gothenburg,Sweden. British Medical Journal, 289, 1257–1261.
Lerner, D. J., Kannel , W. B. (1986). Patterns of Coronary heart disease morbidity and mortality in the sexes. A26-year follow-up of the Framingham population. American Heart Journal, 111, 383-390.
Lin, S., Cheng, T. O., Liu, X., Mai, J., Rao, X., Gao, X., et al.(2006).
Impact of dysglcermia,body mass indax,and waist –to-hip ratio on the prevalence of systemic hypertension in a lean Chinese population. American Journal of Cardiology, 97, 839-842.
Lin, W. Y., Lee, L. T., Chen, C. Y., Lo, H., Hsia, H. H., Liu, I. L., et al.
(2002). Optimal cut-off values for obesity: using simple
anthropometric indices to predict cardiovascular risk factors in
Taiwan. International Journal of Obesity, 26, 1232–1238.
Lofgren, I., Herron, K., Zern, T., West, K., Patalay, M., Shachter, N. S., et
al.(2004). Waist Circumference Is a Better Predictor than Body Mass
Index of Coronary Heart Disease Risk in Overweight Premenopausal
Women. Journal of utrition, 134, 1071–1076.
Lukaski, H. C., Johnson, P. E., Bolonchuk, W. W.,Lykken, G. I. (1985). Assessment of fat-free mass using bioelectrical impedance measurements of the human body. American Journal of Clinical Nutrition, 60, 23-28.
Menke, A., Muntner, P., Wildman, R. P., Reynolds, K., He, J. (2007).
Measures of Adiposity and Cardiovascular Disease Risk Factors.
Obesity,15(3),785-795.
Molarius, A., Seidell, J.C., Sans, S., Tuomilehto, J., Kuulasmaa, K. (1999) .For the WHO MONICA Project.Waist and hip circumferences and waist hip ratio in 19 populations of the WHO MONICA Project. International Journal of Obesity & Related Metabolic Disorders, 23, 116-125.
Motivala, A. A., Rose, P. A., Kim, H. M., Smith, Y. R., Bartnik, C., Brook, RD., et al.(2008). Cardiovascular risk,obesity,and myocardial blood flow in postmenopausal women.Journal of nuclear cardiology,15(4),510-517.
Najarian, R. M., Sullivan, L.M., Kannel, W.B., Wilson, P. W.,
D’Agostino, R. B., Wolf, P. A.(2006). Metabolic Syndrome
Compared With Type 2 Diabetes Mellitus as a Risk Factor for
StrokeThe Framingham Offspring Study. Archives of Internal
Medicine,166,106-111.
National Heart, Lung, and Blood Institute. (1998) Obesity Education Initiative:Clinical guidelines on the identification evaluation and treatment of overweight and obesity in adults: the evidence report. Obesity Research, 6, 51S-209S.
North American Menopause Society corporate authors. (2002). Menopause Core Curriculum Study Guide. USA: NAMS.
Okosun, I. S., Liao, Y., Rotimi, C. N., Prewitt, T. E., Cooper, R. S.
(2000) .Abdominal adiposity and clustering of multiple metabolic syndrome in white, black and Hispanic Americans. Annals of Epidemiology, 10, 263-270.
Page, J. H., Rexrode, K. M., Hu, F., Albert, C. M., Chae, C. U., & Manson, J. E. (2009). Waist-height ratio as a predictor of coronary heart disease among women. Epidemiology, 20(3), 361-366.
Park, S. H., Choi, S. J., Lee, K. S., Park, H. Y. (2009). Waist
Circumference and Waist-to-Height Ratio as Predictors of
Cardiovascular Disease Risk in Korean Adults. Circulation Journal ,
73,1643 –1650.
Poirier, P., Giles, T. D., Bray, G.A., Hong, Y., Stern, J. S., Pi-Sunyer, F. X., et al. (2006). Obesity and cardiovascular disease: pathophysiology, evaluation, and effect of weight loss. Arteriosclerosis, Thrombosis
and Vascular Biology, 26, 968-76.
Sabir, N., Sermez, Y., Kazil, S., & Zencir, M. (2001). Correlation of abdominal fat accumulation and liver steatosis: Importance of ultrasonographic and anthropometric measurements. European journalof Ultrasound: Official Journal of the European Federation of Societies for Ultrasound in Medicine and Biology, 14(2-3), 121-128.
Schneider, H. J., Glaesmer, H., Klotsche, J., Bohler, S., Lehnert, H., Zeiher, A. M. (2007). Accuracy of anthropometric indicators of obesity to predict cardiovascular risk. The Journal of Clinical Endocrinology Metabolism, 92(2), 589-594.
Siavash, M., Sadeghi, M., Salarifar, F., Amini, M., Shojaee, M, F.
(2008). Comparison of body Mass index and waist/height ratio in predicting definite coronary artery disease.Annals of Nutrition and Metabolism, 53(3-4), 162-166.
Silventoinen, K., Jousilahti, P., Vartiainen, E., & Tuomilehto, J. (2003). Appropriateness of anthropometric obesity indicators in assessment of coronary heart disease risk among Finnish men and women. Scandinavian Journal of Public Health, 31(4), 283-290.
Singh, R. B., Niaz, M. A., Beegom, R., Wander, G. S., Thakur, A. S., & Rissam, H. S. (1999). Body fat percent by bioelectrical impedance analysis and risk of coronary artery disease among urban men with low rates of obesity: the Indian paradox. Journal of the American College of Nutrition, 18(3), 268-273.
Sternfeld, B., Wang, H., Quesenberry, C. P., Abrams, B., Everson-Rose, S.
A., Greendale, G. A.(2004). Physical activity and changes in weight
and waist circumference in midlife women findings from the study of
women''s health across the nation. American Journal of Epidemiology,
160(9),912-922.
Targoński, R., Buciński, A., Romaszko, J., Zakrzewski, A., Romaszko, E.
(2007) . Analysis of selected risk factors of coronary artery disease in a healthy population aged 35-55 years. Kardiologia Polska. 65(10), 1216-1222.
Thomas, T., Nancy, H., Wayne, R. (2006). Heart Disease and Stroke
Statistics--2006 Update. A report from the american heart association
statistics committee and stroke statistics subcommittee.Circulation,
113,e85.
Thomasset, M. A. (1963). Bioelectrical properties of tissues. Clinical impedance measurements. Significance of obtained values. Lyon Medical, .209,1325-1352.
Tseng, C. H. (2003). Body composition as a risk factor for coronary artery disease in Chinese type 2 diabetic patients in Taiwan. Circulation, 67(6), 479-484.
Tseng, C. H. (2008). Waist-to-height ratio and coronary artery disease in Taiwanese type 2 diabetic patients. Obesity (Silver Spring), 16(12), 2754-2759.
Tsao, C. C., Lin, K. H., Lai, J. S., & Lan, C.(1995). Reliability of body fat measurement: Skindfold, bioelectrical impedance analysis and infrared. Journal of the Physical Therapy Association of the R.O.C., 20(2), 102-109.
Vague, J. (1956).The degree of masculine differentiation of obesities: a factor determining predisposition to diabetes, atherosclerosis, gout, and uric calculous disease. American Journal of Clinical Nutrition, 4, 20-34.
Valsamakis, G., Chetty, R., Anwar, A., Banerjee, A. K., Barnett, A., Kumar, S.(2004). Association of simple anthropometric measures of obesity with visceral fat and the metabolic syndrome in male Caucasian and Indo-Asian subjects. Diabetic Medicine, 21(12), 1339-45.
Wenger , N. K., Speroff , L., Packard ,B .(1993). Cardiaovascular health and disease in women. The New England Journal of Medicine, 329, 247-256.
Wing, R. R., Jeffery, R. W., Burton, L. R., Thorson, C., Kuller L. H.,
Folsom, A. R.(1992). Change in waist-hip ratio with weight loss and its association with change in cardiovascular risk factors.
American Journal of Clinical Nutrition, 55, 1086-1092.
World Health Organization.( 2004 ). Obesity-preventing and manging the gobal epidemic. Rep.who consult. Obesity. WHO /NUT/ NCD/ 98.1,World Health Org., Geneva, Swizerland.
World Health Organization.( 2003 ). Nutrition and food security. A
healthy nutrition lifestyle.Body Mass Index (BMI) .
www.euro.who.int/nutrition/20030507_1.
World Health Organization.( 2008).Waist circumference and Waist-Hip Ratio:Report od a WHO Expert Consultation. World Health Org., Geneva,8-11.
Yang , L ., Kuper, H ., & Weiderpass, E. (2008). Anthropometric
characteristics as predictors of coronary heart disease in women. Journal of Internal Medicine, 264(1), 39-49.
Yusuf, S., Hawken, S., Ounpuu, S., Bautista, L., Franzosi, M.G.,
Commerford, P., et al. (2005). Anand SS; INTERHEART Study
Investigators.Obesity and the risk of myocardial infarction in 27,000
participants from 52 countries:a case-control study. Lancet, 366,
1640–1649.
Zaher, Z.M., Zambari, R., Pheng, C.S., Muruga, V., Ng, B., Appannah,G.,
et al.(2009). Optimal cut-off levels to define obesity: body mass
index and waist circumference, and their relationship to
cardiovascular disease, dyslipidaemia, hypertension and diabetes in
Malaysia. Asia Pacific Journal of Clinical Nutrition, 18(2), 209-216.
Zhang, X., Shu, X. O., Gao, Y. T., Yang, G., Matthews, C. E., Li, Q.(2004). Anthropometric predictors of coronary heart disease in Chinese women. International Journal of Obesity & Related Metabolic Disorders, 28(6), 734-740.
Zyriax, B. G., Schoeffauer,M ., Klipstein-Grobusch, K., Boeing, H.,
Windler, E.(2011). Differential Association of Anthropometric
Parameters with Coronary Risk in Women – Data of the CORA
Study.The European Journal of obesity.4(5),358-364.





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