跳到主要內容

臺灣博碩士論文加值系統

(3.235.227.117) 您好!臺灣時間:2021/08/01 21:04
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:廖進安
研究生(外文):Liap, ChinAn
論文名稱:臺北市身心障礙學童肥胖程度和身體活動之分析研究
論文名稱(外文):Analysis the Degree of Obesity and Physical Activity Level in Taipei City Schoolchildren with Physical and Mental Disability
指導教授:郭家驊郭家驊引用關係
指導教授(外文):Kuo, ChiaHua
口試委員:賴政秀陳奕良張至滿李文志
口試委員(外文):Lai, ChengHsinChen, Yi-liangChang, ChinManLee, WenChih
口試日期:2012-07-26
學位類別:博士
校院名稱:臺北巿立體育學院
系所名稱:競技運動訓練研究所
學門:民生學門
學類:競技運動學類
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:71
中文關鍵詞:運動強度運動行為代謝症候群
外文關鍵詞:exercise intensityphysical activity behaviormetabolic syndrome
相關次數:
  • 被引用被引用:1
  • 點閱點閱:307
  • 評分評分:
  • 下載下載:10
  • 收藏至我的研究室書目清單書目收藏:4
目的:分析身心障礙類別之學童為發展肥胖之高危險群,並了解身體活動量和影響運動行為因素在肥胖發展上所扮演之角色。方法:本研究以問卷調查方式回溯臺北市小學學童過去六年身高體重的變化情形。根據所得資料分為沒有障礙(N=11125,男性:5436;女性:5689)、學習障礙(N=91,男性:51;女性:40)、感官障礙(N=56,男性:27;女性:29)、肢體障礙(N=88,男性:40;女性:48)以及情緒障礙(N=100,男性:77;女性:23)五類。結果:分析結果發現學習障礙學童在六年級時BMI值顯著高於沒有障礙學童(p<.05),而肢體障礙學童從三年級至六年級與女性肢體障礙學童從二年級至六年級之BMI值顯著低於沒有障礙學童(p<.05)。男性情緒障礙在一年級與四年級之BMI值顯著低於沒有障礙學童(p<.05)。每週花費在室內靜態活動時間、動態活動時間、打電腦時間、看書報雜誌時間、聽音樂時間、看電視時間及戶外運動次數與運動時間部分,學習障礙學童顯著低於沒有障礙學童(p<.05)。肢體障礙學童每週走路上學時間、聽音樂時間、打電話時間以及看電視時間顯著高於沒有障礙學童(p<.05)。在每週聽音樂時間、打電話時間以及看電視時間部分,情緒障礙學童顯著低於沒有障礙學童(p<.05)。在運動阻礙因素結果,學習障礙、感官障礙、以及情緒障礙學童傾向不主動找伴運動。結論:本研究為首次針對小學身心障礙學童肥胖程度和身體活動參與進行調查與分析之大規模研究;研究結果發現學習障礙學童肥胖程度明顯高於沒有障礙學童;身體活動量則明顯低於沒有障礙學童。而肢體障礙學童肥胖程度明顯低於沒有障礙學童。此外,本研究也說明他人主動支持是身心障礙學童參與運動的重要因素。未來希望能持續將測量身體肥胖指標作為例行性追蹤,並協助安排和介入身心障礙學童課餘之運動活動,增進身體活動量以達預防肥胖的發生。
Purpose: The purpose of this study was to investigate the obesity prevalence in different type physical and mental disability children, the relation to physical activity level and factors affecting physical behavior were determined as well. Methods: In this study, we retrospectively tracked 6-years changes of body weight and body mass index (BMI) from schoolchildren in Taipei city. According to the data, schoolchildren were divided into five groups: Normal (N=11125, male: 5436, female: 5689), learning disabilities (N=91, male: 51, female: 40), sensory disabilities (N=56, male: 27, female: 29), physical disabilities (N=88, male: 40, female: 48), and emotional disabilities (N=100, male: 77, female: 23). Results: The results revealed that students with learning disabilities had significantly greater BMI value in 6th grade against their normal counterparts (p<.05). However, students with physical disabilities showed significantly lower BMI value across 3rd to 6th grade than the normal counterparts (p<.05). Male schoolchildren with emotional disabilities showed significantly lower BMI value than their normal counterparts in 1st and 4th grade (p<.05). Schoolchildren with learning disabilities spent less time in indoor static and dynamic physical activity, using computer, reading magazines or books, listening to music, watching TV, and outdoor physical activity against their normal counterparts (p<.05). Schoolchildren with physical disabilities spent more time walking to school, listening to music, making a phone call, and watching TV than normal schoolchildren (p<.05). Schoolchildren with emotional disabilities spent less time listening to music, making a phone call, and watching TV against the normal counterparts (p<.05). Four different type schoolchildren with disabilities tend not to find the partner for exercise. The study demonstrated the degree of obesity to be associated with physical activity level in schoolchildren with physical and mental disabilities. Moreover, we also found that “people support” is a key factor to affect the schoolchildren with physical and mental disability to participate in exercise. Conclusion: According to the results, follow-up measurement in change of body composition and arranging the appropriate physical activity course to these disable schoolchildren for increasing the physical activity level and preventing the obesity prevalence are necessary.
目錄
原創聲明書 ………………………………………………………
ii
學位考試審定書 …………………………………………………
iii
中文摘要 …………………………………………………………
iv
英文摘要 …………………………………………………………
vi
謝誌 ………………………………………………………………
viii
目錄 ………………………………………………………………
ix
表目錄 ……………………………………………………………
xi
圖目錄 ……………………………………………………………
xii
第壹章 緒論 ……………………………………………………
1
第一節 研究背景 …………………………………………
1
第二節 研究目的 …………………………………………
2
第三節 名詞操作型定義 …………………………………
3
第四節 研究範圍與限制 …………………………………
3
第貳章 文獻探討 ………………………………………………
5
第一節 身心障礙的特性 ………………………………….
5
第二節 身心障礙者肥胖情形與代謝適能 .………………
5
第三節 身心障礙者之身體活動量 ……………………….
7
第四節 影響身心障礙族群身體活動的原因 .……………
9
第參章 研究方法 ………………………………………………
12
第一節 受試者 ………….…………………………………
12
第二節 研究流程與資料蒐集 ……………………………
12
第三節 問卷設計 …………………………………………
13
x
第四節 統計分析 …………………………………………
13
第肆章 結果與討論 ……………………………………………
15
第一節 結果 ………………………………………………
15
第二節 討論 ………………………………………………
50
第伍章 結論與建議 ……………………………………………
61
參考文獻 …………………………………………………………
62
中文部分 ……………………………………………………
62
外文部分 ……………………………………………………
64
中文部分
王天苗、黃俊榮(2011)。國內身心障礙教育概況之指標項目分析。教育實踐與研究,24(1),107-134。
林佑忠(2008)。臺北市國中肢體障礙學生運動參與現況及阻礙因素研究。未出版碩士論文,國立臺灣師範大學,臺北市。
林紀玲、吳酥(2012)。高齡身心障礙者與陪同者休閒參與及休閒阻礙之相關研究。真理大學運動知識學報,20,65-74。
姚韋如(2010)。身心障礙孩童的身體活動與父母期望孩童參與運動的理由與阻礙因子。未出版碩士論文,國立體育大學,桃園縣。
洪文卿(2002)。身心障礙學生參與休閒活動之研究-以南投縣國民中小學為例。未出版碩士論文,朝陽科技大學,臺中縣。
施顯炫(1996)。情緒與行為問題—兒童與青少年所面臨與呈現的挑戰。臺北市,五南圖書。
孫孟君(1998)。身心障礙青少年休閒自由、休閒偏好及休閒阻礙之研究。未出版碩士論文,國立高雄師範大學,高雄市。.
教育部特殊教育工作小組(1999)。中華民國特殊教育概況。臺北市:教育部。
耿仕榮(2007)。肢體障礙者休閒參與、休閒阻礙與生活品質之研究。未出版碩士論文,美和技術學院,屏東縣。
郝佳華(2004)。高雄市三所特殊學校高職部智能障礙學生體適能現況之研究。未出版碩士論文,國立高雄師範大學,高雄市。
張家綺(2005)。聽障者休閒參與對其心理及行為之影響。未出版碩士論文,世新大學,臺北市。
63
張逸萱(2005)。高中職視覺障礙學生休閒活動之研究。未出版碩士論文,國立臺灣師範大學,臺北市。
曹菁菱(2002)。臺北市成年視障休閒運動現況之研究。未出版碩士論文,國立臺灣師範大學, 臺北市.
莊惠玲(2001)。中部地區國民中學聽覺障礙學生休閒活動之調查研究。未出版碩士論文,國立花蓮師範學院,花蓮縣。
莊慶棋、林紀玲、吳穌(2010)。休閒餐參與阻礙因素之研究-以身心障礙者為例。2010年身體活動與健康促進暨第13屆全國大專院校登山運動學術研討會,屏東縣:屏東科技大學。
許柏仁(2009)。聽覺障礙學生身體活動之研究-以啟聰學校為例。未出版碩士論文,國立體育大學,桃園縣。
陳佩菁(2003)。高雄市中等學校肢體障礙學生參與休閒活動現況之調查研究。未出版碩士論文,國立臺灣師範大學,臺北市。
黃國庭(2004)。國小智能障礙學生健康體適能及其相關因素之研究。未出版碩士論文,彰化師範教育大學,彰化縣。
64
外文部分
Allerton, L. A., Welch, V., & Emerson, E. (2012). Health inequalities experienced by children and young people with intellectual disabilities: A review of literature from the United Kingdom. Journal of Intellectual Disability Research, 15(4), 269-278.
Barr, M., & Shields, N. (2011). Identifying the barriers and facilitators to participation in physical activity for children with Down syndrome. Journal of Intellectual Disability Research, 55(11), 1020-1033.
Campbell, M., & Martin, M. (2010). Reducing health inequalities in Scotland: The involvement of people with learning disabilities as national health service reviewers. British Journal of Learning Disabilities, 38(1), 49-58.
Chen, A. Y., Kim, S. E., Houtrow, A. J., & Newacheck, P. W. (2009). Prevalence of obesity among children with chronic conditions. Obesity, 18(1), 210-213.
Chu, N. F., & Pan, W. H. (2007). Prevalence of obesity and its comorbidities among schoolchildren in Taiwan. Asia Pacific Journal of Clinical Nutrition, 16(Suppl. 2), S601-S607.
de Winter, C. F., Bastiaanse, L. P., Hilgenkamp, T. I., Evenhuis, H. M., & Echteld, M. A. (2012). Overweight and obesity in older people with intellectual disability. Research in Developmental Disability, 33(2), 398-405.
Ells, L. J., Lang, R., Shield, J. P., Wilkinson, J. R, Lidstone, J. S., Coulton, S., & Summerbell, C. D. (2006). Obesity and disability: A short review. Obesity Reviews, 7, 341-345.
Ells, L. J., Shield, J. P., Lidstone, J. S., Tregonning, D., Whittaker, V., Batterham, A., et al. (2008). Teesside Schools Health Study: Body mass index surveillance in special needs and mainstream school children. Public Health, 122(3), 251-254.
65
Emerson, E. (2009). Overweight and obesity in 3- and 5-year-old children with and without developmental delay. Public Health, 123(2), 130-133.
Emerson, E., Hatton, C., Llewellyn, G., Blacher, J., & Graham, H. (2006). Socio-economic position, household composition, health status and indicators of the well-being of mothers of children with and without intellectual disabilities. Journal of Intellectual Disability Research, 50(Pt 12), 862-873.
Emerson, E., & Robertson, J. (2010). Obesity in young children with intellectual disabilities or borderline intellectual functioning. International Journal of Pediatric Obesity, 5(4), 320-326.
Emerson, E., Baines, S., Allerton, L., & Welch, V. (2011). Health inequalities and people with learning disabilities in the UK: 2011. UK: Department of Health.
Ferro-Luzzi, A., & Martino, L. (1996). The origins and consequences of obesity. Wiley: Chichester.
Facchini, F. S., Hua, N., Abbasi, F., & Reaven, G. M. (2001). Insulin resistance as a predictor of age-related diseases. Journal of Clinical Endocrinology & Metabolism, 86(8), 3574-3578.
Ferrando, A. A., Sheffield-Moore, M., Yeckel, C.W., Gilkison, C., Jiang, J. & Achacosa, A. et al. (2002). Testosterone administration to older men improves muscle function: Molecular and physiological mechanisms. American Journal of Physiology–Endocrinology & Metabolism, 282, E601-E607.
Frey, G. C., & Chow, B. (2006). Relationship between BMI, physical fitness, and motor skills in youth with mild intellectual disabilities. International Journal of Obesity, 30(5), 861-867.
Gortmaker, S. L., Must, A., Sobol, A. M., Peterson, K., Colditz, G. A, & Dietz, W. H. (1996). Television viewing as a cause of increasing
66
obesity among children in the United States, 1986-1990. Archives of Pediatrics & Adolescent Medicine, 150(4), 356-62.
Gale, L., Naqvi, H., & Russ, L. (2009). Asthma, smoking and BMI in adults with intellectual disabilities: A community-based survey. Journal of Intellectual Disability Research, 53(9), 787-796.
Ginis, K. A., Latimer, A. E., Arbour-Nicitopoulos, K. P., Buchholz, A. C., Bray, S. R., Craven, B. C., et al. (2010). Leisure time physical activity in a population-based sample of people with spinal cord injury part I: Demographic and injury-related correlates. Archives of Physical Medicine and Rehabilitation, 91(5), 722-728.
Hertzman, C., & Boyce, T. (2010). How experience gets under the skin to create gradients in developmental health. Annual Reviews of Public Health, 31, 329-347.
Hilgenkamp, T. I., Reis, D., van Wijck, R., & Evenhuis, H. M. (2012). Physical activity levels in older adults with intellectual disabilities are extremely low. Research in Developmental Disabilities, 33(2), 477-483.
Hilgenkamp, T. I., van Wijck, R., & Evenhuis, H. M. (2010). Physical fitness in older people with ID-Concept and measuring instruments: A review. Research in Developmental Disabilities, 31(5), 1027-1038.
Hilgenkamp, T. I. M., van Wijck, R., & Evenhuis, H. M. (in press). Measuring physical activity with pedometers in older adults with intellectual disabilities: Reactivity and number of days. Intellectual and Developmental Disabilities.
Hove, O. (2004). Weight survey on adult persons with mental retardation living in the community. Research in Developmental Disabilities, 25(1), 9-17.
Irwin, L. G., Siddiqi, A. & Hertzman, C. (2007). Early child development: A powerful equalizer. Geneva: WHO.
67
Jobling, A. (2001). Beyond sex and cooking: Health education for individuals with intellectual disability. Journal Information, 39(4), 310-321.
Jones, L. M., Legge, M., & Goulding, A. (2003). Healthy body mass index values often underestimate body fat in men with spinal cord injury. Archives of Physical Medicine and Rehabilitation, 84, 1068-1071.
Kopelman, P. G. (2000). Obesity as a medical problem. Nature, 404(6778), 635-643.
Kraemer, W. J., & Ratamess, N. A. (2005). Hormonal responses and adaptations to resistance exercise and training. Sports Medicine, 35, 339-361.
Krahn, G. L., & Drum, C. E. (2007). Translating policy principles into practice to improve health care access for adults with intellectual disabilities: A research review of the past decade. Mental Retardation and Developmental Disabilities Research Reviews, 13(2), 160-168.
Krahn, G. L., Hammond, L., & Turner, A. (2006). A cascade of disparities: Health and health care access for people with intellectual disabilities. Mental Retardation and Developmental Disabilities Research Reviews, 12(1), 70-82.
LaVela, S. L., Evans, C. T., Prohaska, T. R., Miskevics, S., Ganesh, S. P., & Weaver, F. M. (2012). Males aging with a spinal cord injury: Prevalence of cardiovascular and metabolic conditions. Archives of Physical Medicine and Rehabilitation, 93(1), 90-95.
Liang, H., Chen, D., Wang, Y., Rimmer, J. H., & Braunschweig, C. L. (2007). Different risk factor patterns for metabolic syndrome in men with spinal cord injury compared with able-bodied men despite similar prevalence rates. Archives of Physical Medicine and Rehabilitation, 88(9), 1198-1204.
Liang, H., Tomey, K., Chen, D., Savar, N. L., Rimmer, J. H., &
68
Braunschweig, C. L. (2008). Objective measures of neighborhood environment and self-reported physical activity in spinal cord injured men. Archives of Physical Medicine and Rehabilitation, 89(8), 1468-1473.
Lin, J. D., Yen, C. F., Li, C. W., & Wu, J. L. (2005). Patterns of obesity among children and adolescents with intellectual disabilities in Taiwan. Journal of Applied Research in Intellectual Disabilities, 18(2), 123-129.
Lutfiyya, M. N., Garcia, R., Dankwa, C. M., Young, T., & Lipsky, M. S. (2008). Overweight and obese prevalence rates in African American and Hispanic children: An analysis of data from the 2003-2004 National Survey of Children's Health. Journal of the American Board of Family Medicine, 21(3), 191-199.
McGuire, B. E., Daly, P., & Smyth, F. (2007). Lifestyle and health behaviours of adults with an intellectual disability. Journal of Intellectual Disability Research, 51(Pt 7), 497-510.
McMurray, R. G., Harrell, J. S., Creighton, D., Wang, Z., & Bangdiwala, S. I. (2008). Influence of physical activity on change in weight status as children become adolescents. International Journal of Pediatric Obesity, 3(2), 69-77.
Moran, R., Drane, W., McDermott, S., Dasari, S., Scurry, J. B., & Platt, T. (2005). Obesity among people with and without mental retardation across adulthood. Obesity Research, 13(2), 342-349.
Myers, J., Lee, M., & Kiratli, J. (2007). Cardiovascular disease in spinal cord injury: An overview of prevalence, risk, evaluation, and management. American Journal of Physical Medicine Rehabilitation, 86(2), 142-152.
Ogden, C. L., Carroll, M. D., & Flegal, K. M. (2008). High body mass index for age among US children and adolescents, 2003-2006. The
69
Journal of the American Medical Association, 299(20), 2401-2405.
Okely, A. D., Booth, M. L., & Chey, T. (2004). Relationships between body composition and fundamental movement skills among children and adolescents. Research Quarterly for Exercise and Sport, 75(3), 238-247.
Oliver, M., & Sapey,B. (1999). Social work with disabled people (2nd ed.). Palgrave, Hampshire: Macmillan.
Ouellette-Kuntz, H., Garcin, N., Lewis, M. E., Minnes, P., Martin, C., & Holden, J. J. (2005). Addressing health disparities through promoting equity for individuals with intellectual disability. Canadian Journal of Public Health, 96(Suppl 2), S8-S22.
Prentice, A. M., & Jebb, S. A. (1995). Obesity in Britain: Gluttony or sloth? British Medical Journal, 311, 437-439.
Peterson, J. J., Janz, K. F., & Lowe, J. B. (2008). Physical activity among adults with intellectual disabilities living in community settings. Preventive Medicine, 47(1), 101-106.
Phillips, A. C., & Holland, A. J. (2012). Assessment of objectively measured physical activity levels in individuals with intellectual disabilities with and without Down's syndrome. PLoS One, 6(12), e28618.
Reaven, G. M. (1988). Banting lecture 1988. Role of insulin resistance in human disease. Diabetes, 37(12), 1595-1607.
Rissanen, A. M., Heliovaara, M., Knekt, P., Reunanen, A., & Aromaa, A. (1991). Determinants of weight gain and overweight in adult Finns. European Journal of Clinical Nutrition, 45, 419-430.
Rimmer, J. H., Braddock, D., & Fujiura, G. (1993). Prevalence of obesity in adults with mental retardation: Implications for health promotion and disease prevention. Mental Retardation, 31(2), 105-110.
Rimmer, J. H., Rowland, J. L., & Yamaki, K. (2007). Obesity and
70
secondary conditions in adolescents with disabilities: addressing the needs of an underserved population. Journal of Adolescent Health, 41(3), 224-229.
Rimmer, J. H., & Wang, E. (2005). Obesity prevalence among a group of Chicago residents with disabilities. Archives of Physical Medicine and Rehabilitation, 86(7), 1461-1464.
Rimmer, J. H., Yamaki, K., Davis, B. M., Wang, E., & Vogel, L. C. (2011). Obesity and overweight prevalence among adolescents with disabilities. Preventing Chronic Disease, 8(2), A41.
Rimmer, J. H., Yamaki, K., Lowry, B. M., Wang, E., & Vogel, L. C. (2010). Obesity and obesity-related secondary conditions in adolescents with intellectual/developmental disabilities. Journal of Intellectual Disability Research, 54(9), 787-794.
Sallis, J. F., & Saelens, B. E. (2000). Assessment of physical activity by self-report: Status, limitations, and future directions. Research Quarterly for Exercise and Sport, 71(Suppl 2), S1-S14.
Shonkoff, J. P. (2010). Building a new biodevelopmental framework to guide the future of early childhood policy. Child Development, 81(1), 357-367.
Stallings, V. A., Charney, E. B., Davies, J. C., & Cronk, C. E. (1993). Nutritional status and growth of children with diplegic or hemiplegic cerebral palsy. Developmental Medicine & Child Neurology, 35(11), 997-1006.
Stanish, H. I. (2004). Accuracy of pedometers and walking activity in adults with mental retardation. Adapted Physical Activity Quarterly, 21, 167-179.
Stanish, H. I., & Draheim, C. C. (2005). Assessment of walking activity using a pedometer and survey in adults with mental retardation. Adapted Physical Activity Quarterly, 22, 136-145.
71
Saugy, M., Robinson, N., Saudan, C., Baume, N., Avois, L. & Mangin, P. (2006). Human growth hormone doping in sport. British Journal of Sports Medicine, 40, i35-i39.
Temple, V. A. (2009). Factors associated with high levels of physical activity among adults with intellectual disability. International Journal of Rehabilitation Research, 32(1), 89-92.
Temple, V. A., Frey, G. C., & Stanish, H. I. (2006). Physical activity of adults with mental retardation: Review and research needs. American Journal of Health Promotion, 21(1), 2-12.
Velez, J. C., Fitzpatrick, A. L., Barbosa, C. I., Diaz, M., Urzua, M., & Andrade, A. H. (2008). Nutritional status and obesity in children and young adults with disabilities in Punta Arenas, Patagonia, Chile. International Journal of Rehabilitation Research, 31(4), 305-313.
Weil, E., Wachterman, M., McCarthy, E. P., Davis, R. B., O'Day, B., Iezzoni, L. I., & Wee, C. C. (2002). Obesity among adults with disabling conditions. JAMA, 288, 1265-8.
Whitehead, M. (1992). The concepts and principles of equity and health. International Journal of Health Services, 22(3), 429-445.
Willis, J. R., Jefferys, J. L., Vitale, S., & Ramulu, P. Y. (2012). Visual impairment, uncorrected refractive error, and accelerometer-defined physical activity in the United States. Archives of Ophthalmology, 130(3), 329-335.
Yamaki, K., Rimmer, J. H., Lowry, B. D., & Vogel, L. C. (2011). Prevalence of obesity-related chronic health conditions in overweight adolescents with disabilities. Research in Development Disabilities, 32(1), 280-288.
QRCODE
 
 
 
 
 
                                                                                                                                                                                                                                                                                                                                                                                                               
第一頁 上一頁 下一頁 最後一頁 top