背景：影響老年人生活品質因素有很多，多運動及多攝取蔬果皆對老年人的生活品質有助益，若同時多運動及多攝取蔬果的效果尚未明確。
目的：本研究目的在探討運動與蔬果攝取對提升台灣中老年人生活品質的成效。
方法：本研究資料來源為「台灣地區中老年身心社會生活健康狀況長期追蹤調查」1999年及2007年的資料庫。以1999年53歲以上4440名個案為對象，排除於隨後8年間死亡及未完訪者、資料不全者共1525名。實際有效個案為2915名。生活品質評估為SWLS(Satisfaction with Life Scale)量表，部分摘自LSIA(Life Satisfaction Index A)的態度問向發展而來。使用SPSS/Windows21.0軟體進行統計分析合併蔬果攝取及運動對隨後八年中老年生活品質的影響。迴歸模式控制人口學、社經、衛生行為、健康及疾病狀況等變項。
結果：以運動量及蔬果攝取頻率皆低為對照，運動量及蔬果攝取頻率皆高者，其隨後八年中老年生活品質滿意度增加2.09倍(P=0.002)；高運動量者生活品質滿意度增加2.44倍(P=0.019)；高蔬果攝取者生活品質滿意度增加2.26倍(P=0.001)；中度運動或每週蔬果攝取7-9次者，生活品質滿意度增加1.8倍(P=0.017)。
結論：本研究結果顯示多運動同時多攝取蔬果，可有效提升台灣中老年人生活品質。此結果凸顯平日多運動同時多攝取蔬果的重要性，此健康行為是既安全、有效又符合經濟效益，並可節省國家醫療費用支出。

Backgroud：Many factors can impact the quality of life of the elderly. Higher Physical Activity and higher Fruit-vegetable (FV) Consumption on the quality of life of older people are helpful. However, the combined effect is unknown.
Objective：This study aims to investigate the physical Activity of FV consumption and improve the quality of life of the elderly in Taiwan results.
Method：In this study, the data source as "Taiwan Longitudinal Survey on Aging(TLSA) " in 1999 and 2007 databases. In 1999 over 4440 cases of 53 years as an object, excluding death and unfinished respondents, a total of 1525 data insufficiency in subsequent eight years. Real effective case for the 2915.QoL was assessed using the SWLS(Satisfaction with Life Scale) and was partly adopted from LSIA(Life Satisfaction Index A). Use SPSS/Windows21.0 software was followed by eight years of quality of life in elderly statistical analysis combined FV consumption and physical activity. The Regression models was controlled for baseline demographic, socioeconomic, health behavior, health and disease status variables.
Results：To physical activity and low FV consumption frequency were used as control, physical activity and FV consumption frequencies are high, their quality of life, then eight years old 2.09 times increase in satisfaction (P = 0.002); High physical activity their quality of life increased by 2.44 times (P = 0.019); higher FV consumption were 2.26 times increase in satisfaction (P = 0.001); moderate physical activity or FV consumption 7-9 times weekly were satisfactory quality of life degree increased 1.8 times (P = 0.017).
Conclusions：The results of this study shows that higher physical activity combining with higher FV consumption, which can effectively improve the quality of life of the elderly in Taiwan. This result highlights of the importance which were higher physical activity and higher FV consumption, this health behavior is safe, effective and cost-effective, and can save the country medical expenses.

目錄
前言 1
研究目的 4
研究方法 4
結果 8
討論 10
結論 14
參考文獻 15
附錄 19

表目錄
表一：研究樣本於1999年的社會人口學、生活方式及健康有關變相的分布情形 20
表二：以卡方檢定分析研究樣本於1999年各項變數與2007年中老年生活品質滿意度之相關 22
表三：以邏輯斯迴歸分析個案於基準點的運動及蔬果攝取分別對八年後中老年生活品質之影響 24
表四：以邏輯斯迴歸分析個案於基準點的合併運動及蔬果攝取兩變項對八年後中老年生活品質之影響 25

1.內政部統計處：(2014,4月)。人口結構分析。 取自http://statis.moi.gov.tw/micst/stmain.jsp?sys=100
2.王慧伶(2008)。社區照顧關懷據點服務與老人生活品質之相關研究-以高雄市為例（未出版碩士論文）。國立暨南大學，南投縣。
3.李麗雪(2011)。台灣地區中老年人運動及其相關因素（未出版碩士論文）。亞洲大學，台中市。
4.吳秋燕(2003)。老年人身體活動、心肺適能與生活品質之研究（未出版碩士論文）。國立臺灣師範大學，台北市。
5.林佳蓉(2006)。老人的休閒參與對休閒滿意和生活品質的影響。 大專體育，51，156-162。
6.姚開屏(2002)。健康相關生活品質品質概念與測量原理之簡介。台灣醫學會，6(2)，183-192。
7.洪千雅(2009)。高齡者休閒活動參與與生活滿意度關係的研究（未出版碩士論文）。亞洲大學，台中市。
8.陳姵璇(2008)。高齡者社區照顧關懷據點參與態度與生活滿意度關係之研究（未出版碩士論文）。高雄師範大學，高雄市。
9.陳奕儒(2013)。運動與蔬果攝取的合併效應對預防台灣中老年人新發糖尿病的成效。台灣衛誌，32 (6)，551-561。
10.康曉妍(2010)。南桃園地區民眾生活品質評估與飲食習慣的相關性（未出版碩士論文）。國立台灣大學，台北市。
11.黃璉華(1992）。老人生活滿意度相關因素之因徑分析研究。護理雜誌，39（4），37-47。
12.楊榮修(2013)。運動對台灣中老年人認知衰退風險的影響（未出版碩士論文）。亞洲大學，台中市。
13. Akbulut , G. C., & Ersoy, G. (2008). Assessment of nutrition and life quality scores of individuals aged 65 and over from different socio-economic levels in Turkey. Archives of Gerontology and Geriatrics, 47, 241–252.
14. Boeing, H., Bechthold, A., Bub., Ellinger, S., Haller, D., Kroke, A., Leschik-Bonnet, E., Muller, M. J., Oberritter, H., Schuler, M., Stehle, P., & Watzl, B. (2012) . Critical review:vegetables and fruit in the prevention of chronic diseases. Eur J Nutr, 51, 637-663.
15. Bellavia, A., Larsson, S. C., Batteo, M., Wolk, A., & Orsini, N. (2013). Fruit and vegetable consumption and all-cause mortality: a dose-response analysis. Am J Clin Nutr , 98, 454-9.
16. Campbell, A .(1976). Suh EM.Subjective measures of well-being. American Psychologist , 31, 117-124.
17. Chai , W., Nigg, C. R., Pagano, I. S., Motl, R. W., Horeath, C.,& Dishman, R. (2010) . Associations of quality of life with physical activity, fruit and vegetable consumption, and physical inactivity in a free living, multiethnic population in a Hawaii: a longitudinal study.Chai et al. International Journal of Behavioral Nutrition and Physical Activity , 7, 83.
18. Knapp, M. R. J. (1977). The activity theory of aging. The Gerontologist, 17, 553-559.
19. Masoudi, R., Rabiei, L., Moghadassi, J., Khayri, F., & Madiseh, M. R. (2012). A group-foundation exercise schedule on quality of life and well-being in older men and women. Indian Journal of Science and Technology, 5, 2.
20. Neugarten, B. J., Havighurst, R. J., & Tobin, S. S.(1961). The measurement of life satisfaction. J Gerontol , 16, 134-43.
21. Priscila Yukari Sewo Sampaio & Emi Ito.(2013). Actvities with Higher Influence on Quality of Life in Older Adults in Japan. Occup. Ther. Int , 20, 1-10.
22. Pernambuco, C. S., Rodrigues, B. M., Pereira Bezera, J. C., Carrielo, A., Oliveira Femandes, A. D., Souza Vale, R. G., & Martin Dantas, E. H. (2012).Quality of life ,elderly and physical activity.C. S. Pemambuco et al./Health, 4(2), 88-93.
23. Salehi, L., Mohammad, K., & Montazeri, A.(2011). Fruit and vegetables intake among elderly Iranians: a theory-based interventional study using the five-a-day program. Nutrition Journal , 10, 123.
24. Schutzer, K. A., & Graves, B. S.(2004) Barriers and motivations to exercise in older adults. Prevntive Medicine , 39(5), 1056-1061.
25. Steptoe, A., Perkins-Porras, L., Hilton, S., Rink, E., & Cappuccio, F. P. (2004). Quality of life and self-rated health in relation to changes in fruit and vegetable intake and in plasma vitamins C and E in a randomised trial of bahavioural and nutritional education counseling. British Journal of Nutrition , 92, 177-184.
26. Van Duyn. Dietary Guidelines 2000: Fruits and vegetables first: a scientific overview for the health professional. Wilmington(DE): Produce for Better Health Foundation, 1999.
27.Vegatti, G. C., Barbosa Filho, V. C., Moreira, N. B., Oliveira ,V. D., Mazzardo, O., &Campos, W. (2014). Association between physical activity and quality of life in the elderly: a systematic review, 2000-2012. Revista Brasileira de Psiquiatria , 36, 76-88.
28.World Health Organization, WHOQoL-Bref Introduction, Administration, Scoring and Generic Version of the Assessment, WHO, Geneva, World Health Organization, 1996.
29. World Health Organization(WHO). Promoting fruit and vegetable around the world. Internet：http//www.who.int/dietphysicalavtivity/fruit/an/index.htm(accessed 5 November 2009).
30. Zimmer ,Z., & Lin, H. S. (1995). Leisure activity and well-being among the elderly in Taiwan: Testing hypotheses in an Asian setting. Comparative study of the elderly in Asia: Research Reports. Population studies center, University of Michigan.