臺灣博碩士論文加值系統

隨著全球肥胖盛行率的大幅地增加，學童肥胖已成為現代社會普遍的健康問題，本研究旨在探討身體活動訓練對國中肥胖學童體適能、心率變異度與認知功能的成效。
採實驗研究法，針對新北市某國中肥胖學童為收案對象，以隨機分配方式，實驗組接受12週身體活動訓練，每週4次，每次30分鐘，控制組維持一般日常生活活動，於身體活動訓練介入前1週及介入措施結束後1週、1個月、3個月進行追蹤測量。成效指標包括：體適能、心率變異度與認知功能。資料分析以描述性統計檢測個人基本資料及各量表得分，並以GEE（Generalized Estimating Equation）做為重複測量之分析，檢測身體活動訓練對肥胖學童體適能、心率變異度與認知功能之改善成效。
研究結果發現：一、在體適能方面，實驗組在介入後1週、1個月呈現顯著身體組成下降，體適能提升。在介入後3個月僅身體組成下降、心肺功能提升呈現顯著差異。二、在心率變異度方面，實驗組在介入後1週呈現顯著LF、HF、TP及HF%上升、LF/HF下降，介入後1個月僅HF、HF%呈顯著上升，介入後3個月僅LF%出現顯著下降。三、在認知功能方面，實驗組在介入後1週呈現顯著總錯誤率下降、色塊及中性字反應時間減少、概念水準反應率提升。在介入後1個月、3個月僅色塊及中性字反應時間出現顯著降低。其它則兩組無統計上差異。
本研究顯示身體活動訓練可短期改善肥胖學童的體適能、心率變異度和認知功能，但無長期的效果，因此，建議未來臨床醫護人員或學校護理人員可利用此身體活動訓練手冊，協助肥胖學童增加運動並養成持續運動習慣，以促進身心健康。

With the increase of the global prevalence of obesity, childhood obesity has become a common health problem in modern society. The purpose of this study is to explore the effects of a physical activity program on physical fitness, heart rate variability and cognitive function in obese junior high school students.
An experimental design was conducted with obese students in a junior high school in New Taipei City. The participants were randomly assigned to the experimental group and the control group. The experimental group received a 12-week physical activity training (4 times per week, 30 minutes each time), while the control group did not receive any training intervention. Data on physical fitness, heart rate variability and cognitive function were collected one week prior to the intervention as well as one week, one month and three months after the implementation of physical activity training. Descriptive statistics were used to summarize the personal information and the results of the intervention, and GEE (Generalized Estimating Equation) was applied to examine the effectiveness of the physical activity program on the physical fitness and heart rate variability and cognitive function.
The results of this study showed that (1) Regarding physical fitness, the students in the experimental group showed a significant decrease in body composition and an increase in physical fitness one week and one month after the intervention; there was only a decrease in body composition and a significant difference ( p＜.05) in Cardiorespiratory endurance three months after the intervention, (2) Regarding heart rate variability, the experimental group showed significant increases in LF、HF、TP及HF% and decreases in LF/HF one week after the invention; there was significant increases in HF and HF% one month after the intervention; there was only a significant decrease in LF% three months after the intervention, (3) Regarding cognitive function, the experimental group showed significant decreases in percent of errors, the reaction time of square and neutral and an increase in conceptual level responses one week after the intervention; there was a significant decrease in the reaction time of square and neutral one month and three months after the intervention, and no significant differences ( p>.05) in other two dependent variables after the intervention.
The study indicated that the effectiveness of incorporation of the physical activity program in physical fitness, heart rate variability, and cognitive function in a short term; however, there is no improvement in long term effect. Therefore, the medical staff or school nurses are suggested to encourage obese junior high school students to engage more physical activities and form a habit of exercise with this physical activity guidelines attached, so that they are able to have a good balance of physical and mental development.
Keywords: obesity, physical activity, physical fitness, heart rate variability, cognitive function

致謝 ............................................................... ...................... Ⅰ
中文摘要 ............................................................... ...................... Ⅲ
英文摘要 ............................................................... ...................... Ⅴ
目 錄 ............................................................... ...................... Ⅶ
圖表目次 ............................................................... ...................... Ⅹ
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 研究假設 ......................................................... 4
第四節 名詞界定 ......................................................... 4
第二章 文獻查證
第一節 學童肥胖 .................................................... 7
第二節 身體活動相關概念 .......................................... 12
第三節 肥胖學童心率變異度 ..................................... 17
第四節 身體活動對認知功能之影響 ....................... 23
第五節 身體活動對體適能及心率變異度之影響................ 25
第六節 研究架構 ................................................................ 31
第三章 研究方法
第一節 研究設計 ......................... .................................... 31
第二節 研究場所及對象 ................................................... 34
第三節 研究工具及其信效度 ............................................ 36
第四節 資料收集流程 ........................................................ 46
第五節 資料統計與分析 ................................................... 49
第四章 研究結果
第一節 研究對象基本屬性.................................................... 51
第二節 介入前國中肥胖學童體適能、心率變異度及認知功能之分布............................................................... 55
第三節 身體活動訓練介入對國中肥胖學童體適能、心率 變異度、認知功能之差異........................................ 58
第五章　討論
第一節 研究對象的基本屬性................................................ 91
第二節身體活動訓練對國中肥胖學童體適能之影響.......... 92
第三節身體活動訓練對國中肥胖學童心率變異度之影響.. 94
第四節身體活動對國中肥胖學童認知功能之影響….…… 96
第六章　結論與建議
第一節 結論............................................................................ 97
第二節 臨床應用與建議........................................................ 98
第二節 研究限制.................................................................... 100
參考資料
中文部份 ............................................................... ............. 102
英文部份 ............................................................... ............. 109
附錄
附錄一 身體活動指導手冊 ................................................ 123
附錄二 個人資料表 ............................................................ 128
附錄三 IPAQ國際身體活動量表授權書 . ...................... 129
附錄四 IPAQ國際身體活動量表-學生圖卡短版問卷……. 130
附錄五 IRB核准通知書....................................................... 136
附錄六 受試者同意書........................................................... 137
附錄七 家庭社經地位計算方式............................................ 144

參考資料
中文部份
丁文貞（2001）．肥胖與非肥胖國小學童身體活動量與健康體適能之研究（碩士論文）．桃園縣：國立體育學院教練研究所。
王顯智、高瑞鍾、黃惠貞（2010）．運動對自律神經系統的影響．輔仁大學體育學刊，9， 24-34.
何健章（2012）‧十二週不同強度有氧運動介入對肥胖大學生代謝症候群指標與心血管疾病危險因子之影響（未發表碩士論文）‧台北市立體育學院競技運動訓練研究所。
吳宜香（2008）‧登階訓練對肥胖青少年心率變異度之影響（碩士論文）‧新北市：輔仁大學體育研究所。
吳香宜、吳瑞士（2008）‧運動訓練對心率變異度的影響．輔仁大學體育學刊，7，239-252頁。
吳瑞士（2008）‧運動訓練對國小學童心率變異度之影響（碩士論文）‧新北市：輔仁大學體育研究所。
吳瑞振（2009）‧國中學生身體活動量對心肺適能影響之相關探討（碩士論文）‧高雄師範大學體育研究所。
呂俞樺、白璐、林金定、祝年豐、簡戊鑑（2011）‧台灣2005-2008 年肥胖病患住院特性及醫療費用的影響因子‧醫護科技期刊，13（2）， 76-88頁。
李亭儀（2010）‧參加課後游泳運動對國小高年級學童健康體適能的影響－以臺南市新泰國小為例（未發表碩士論文）‧台中市：亞洲大學生物資訊研究所。
卓俊辰（1990）．從運動生理學到預防醫學．中華體育季刊，3（4），35-39。
林宜洵（2007）‧身體活動量對不同體位國中生之心率變異性影響（碩士論文）‧台北市：陽明大學社區護理研究所。
林欣儒（2006）‧國中生身體活動量與知覺運動益和知覺運動障礙關係之探討（碩士論文）‧國立彰化師範大學應用運動科學研究所。
林凱儀（2003）‧桃園地區國中學生體能活動調查與分析（碩士論文）‧桃園縣：國立體育學院運動科學研究所。
林傳生（2005）．教育社會學．台北市：巨流。
林錦龍（2012）‧運動介入對國中過重及肥胖學生體適能影響之研究（碩士論文）‧台南市：台灣首府大學教育研究所。
林麗敏（2012）‧跳繩運動介入對國中肥胖學生健康體適能之影響（碩士論文）‧台中市：亞洲大學經營管理學研究所。
范瑞瑩（2007）．臺北縣某國小肥胖與非肥胖學童身體活動現況及其相關因素比較研究．（碩士論文）．台北：國立臺灣師範大學健康促進與衛生教育學系。
國民健康署肥胖防治網（2011，1223）‧健康體重管理計畫‧取自http://obesity.hpa.gov.tw/web/list.aspx?no=586
國健署（2012，0525）‧國人主要死因統計（以ICD-10編碼）‧取自http://health99.hpa.gov.tw/Hot_News/h_NewsDetailN.aspx?TopIcNo=6798
國健署（2013）‧兒童及青少年生長身體質量指數建議‧取自http://spweb.ntpc.edu.tw/mediafile/785/news/121/2013-9/2013-9-10-9-11-46-nf1.pdf
國健署肥胖防治網（2014，1225）‧運動夠不夠-兒童與青少年‧取自http://obesity.hpa.gov.tw/web/content.aspx?NO=145
國健署健康99網站（2012）‧理想體脂肪率‧取自http://health99.hpa.gov.tw/Article/ArticleqaDetail.aspx?TopIcNo=379
張弘明（2008）．運動介入對國中過重及肥胖男學生體適能之影響（碩士論文）‧台北：國立臺灣師範大學體育研究所。
張育愷、陳豐慈（2011）‧急性健身運動與執行功能‧臺灣運動心理學報，18（1），1-16頁。
張綠絹（2007）‧肥胖與非肥胖國中生之身體活動與飲食行為比較（碩士論文）‧台北市：陽明大學社區護理研究所。
張綺芳（2009）‧國中生身體活動量與體脂肪、腰臀圍比相關研究（碩士論文）‧高雄師範大學體育研究所。
教育部（1997）‧教師體適能手冊‧國立台北師範大學學校教育研究發展中心。
教育部統計處（2012）‧國中學生體位趨勢‧取自http://www.edu.tw/statistics/content.aspx?site_content_sn=8168
章新國（2012）‧15週健走運動介入對國小肥胖學童健康體適能及血液生化值之影響（碩士論文）‧台中市：亞洲大學休閒與遊憩管理研究所。
許秀帆（2010）‧跳繩運動對國小學童健康體適能的影響－以臺南縣柳營國小為例（碩士論文）‧台中市：亞洲大學生物資訊研究所。
許耿銘（2010）‧不同健康體位國中小學生在飲食及身體活動差異之研究（未發表碩士論文）‧國立嘉義大學教育研究所。
許瑞顯（2008）‧游泳訓練對國小學童心率變異度的影響（碩士論文）‧新北市：輔仁大學體育研究所。
陳妍蒨（2008）‧肥胖者經減重課程後血清生化值及代謝症候群危險因子的影響（碩士論文）‧台中市：中山醫學大學營養學研究所。
陳怜佑（2011）‧健走運動對國小中年級學童體適能及安靜心跳率之影響---以桃園縣中正國小為例（碩士論文）‧花蓮縣：國立東華大學體育與運動科學研究所。
陳俊忠（2002）‧哈佛經驗-運動與健康‧新北市:易利圖書有限公司。
陳素娥（2007）‧國中生課後運動參與行為及其阻礙因素之研究--以桃園縣為例（碩士論文）‧台北：國立臺灣師範大學體育研究所。
陳淑如、蔡月霞、羅映琪、蔡宜珊、鄭綺（2005）‧心率變異度的簡介及護理上應用‧新台北護理期刊，7（1），1-12頁。
彭鍬穩（2005）‧高中男生通學方式、身體活動量與健康體適能之比較研究（碩士論文）‧台北：國立臺灣師範大學體育研究所。
黃仲軒（2010）‧有氧運動對國小肥胖學童身體活動量與體適能之影響（碩士論文）‧桃園縣：國立體育大學運動研究所。
達楷生醫科技股份有限公司（無日期）‧CheckMyHeart‧取自http://www.dcbiomed.com/exec/product.php?lg=T&mod=show&cid=3&pid=HRV
廖智千、黃崇儒、洪聰敏（2011）‧身體活動與兒童大腦神經認知功能的關係‧中華體育季刊，25（2），312-322頁。
劉安泰（2010）‧國中生主要坐式行為盛行率、身體活動時間與身體意象之研究（碩士論文）‧嘉義縣：國立中正大學運動與休閒教育所。
劉有為（2011）‧游泳運動介入對國中肥胖學生健康體適能影響之研究（碩士論文）‧臺北市立體育學院運動教育研究所。
劉秀玲（2006）‧國小兒童田徑運動員與一般兒童心率變異度之比較（碩士論文）‧新北市：輔仁大學體育研究所。
劉孟奇（2010）‧以腹式呼吸法對脊髓肌肉萎縮症病患之肺功能及生理指標之影響（碩士論文）‧高雄醫學大學護理研究所。
劉冠佑（2012）．國中學生身體活動量與身體質量數之研究‧休閒保健期刊，7，55-61頁。
劉影梅（2003）‧IPAQ臺灣活動量調查問卷：IPAQ自填短版‧臺北市：行政院衛生署國民健康局。
劉影梅（2004）‧國際身體活動量表台灣中文版之發展與信效度驗證（博士論文）‧台北市：國立台灣大學醫學院護理研究所。
劉影梅（2007）‧身體活動量評估‧於卓俊辰總校閱．健康體適能－理論與實務（12章，1-37頁）．台中：華格那。
劉影梅、吳佳珊（2009）‧身體活動評估與量表‧中華民國糖尿病衛教學會，9，11-17頁。
劉影梅、陳俊忠、莊立琦（2003）‧國際衛生組織身體活動量表監測系統的建立與國際合作一：國際身體活動量表台灣中文版之發展與信效度驗證報告書‧台北：行政院衛生署國民健康局九十二年度科技研究發展計畫報告（BPH-92-6-007）。
蔡孟書、吳英黛（2008）‧運動訓練對過重卅肥胖兒童及青少年生理適能影響之系統性回顧‧物理治療， 33（6）， 397 - 408頁。
鄭元順（2005）‧不同的運動介入對國中肥胖學生體適能之研究（碩士論文）‧台北：國立臺灣師範大學體育研究所。
鄭麗璣（2003）‧肥胖國中生減重方案研發與介入成效之研究（碩士論文）‧國立台北護理學院醫護教育研究所。
蘇怡如（2010）．肥胖者減重對血液脂肪酸與生化/發炎指標影響之研究．（碩士論文）．嘉南藥理科技大學營養與保健科技研究所。


英文部份
Ainsworth, B. E., Haskell, W. L., Whitt, M. C., Irwin, M. L., Swartz, A. M.,　Strath, S. J., & Leon, A. S. (2000). Compendium of Physical Activities: an update of activity codes and MET intensities. Medicine and Science in Sports and Exercise, 32(9), 498-516.
Akinci, A., Celiker, A., Baykal, E., ＆ Tezic, T. (1993). Heart rate variability in diabetic children, sensitivity of the time-and frequency-domain methods. Pediatric Cardiology, 14, 140-146.
Akselrod, S., Gordon, D., Ubel, F. A., Shannon, D. C., Berger, A. C., & Cohen, R. J. (1981). Power spectrum analysis of heart rate fluctuation: a quantitative probe of beat-to-beat cardiovascular control. Science, 213(4504), 220-222.
Allison, H. A., Cynthia, O. L., Clifford, J. L., Margaret, D., Lester, C. L. R., & Katherine, F. M. (2004). Prevalence of overweight and obesity among US children, adolescents, and adults, 1999-2002. JAMA, 291(23), 2847-2850.
American College of Sports Medicine (2011). ACSM Issues new recommendations on quantity and quality of exercise. Retrieved from http://www.acsm.org/about-acsm/media-room/news-releases/2011/08/01/acsm-issues-new-recommendations-on-quantity-and-quality-of-exercise
American Heart Association (2012.1126). Physical activity and children. Retrieved from http://www.heart.org/HEARTORG/GettingHealthy/PhysicalActivity/Physical-Activity-and-Children_UCM_304053_Article.jsp
Bouchard, C., & Shephard, R. J. (1994). Physical activity, fitness, and health: The model and key concepts. In Bouchard, C., Shephard, R. J., & Stephens, T. (Eds.). Physical activity, fitness, and health-international proceedings and consensus statement (pp.77-88). Champaign, IL: Human Kinetics.
Brodal, P. (2004). The central nervous system: Structure and function. Oxford University Press US, USA, 369-396.
Buchan, D. S., Ollis, S., Thomas, N. E., Buchanan, N., Cooper, S. M., Malina, R. M., & Baker, J. S. (2011). Physical activity interventions: effects of duration and intensity. Scandinvian Journal of Medicaine& Science in Sport, 21(6), 341-350.
Buck, S., Hillman, C., & Castelli, D. (2008). The relation of aerobic fitness to stroop task performance in preadolescent children. Medicine and Science in Sports and Exercise, 40(1), 166-172.
Carrel, A. L, Clark, R. R., Peterson, S. E. , Nemeth, B. A., Sullivan, J., & Allen, D. B. ( 2005). Improvement of fitness, body composition, and insulin sensitivity in overweight children in a school-based exercise program : a randomized , controlled study. Archives of Pediatrics & Adolescent Medicine, 159 (10), 963-968.
Caspersen, C. J., Powell, K. E., & Christenson, G. M. (1985). Physical activity, exercise, and physical fitness: Definitions and distinctions for health–related research. Public Health Reports, 100(2), 126-131.
Castelli, D. M., Hillman, C. H., Buck, S. M., & Erwin, H. E.(2007). Physical fitness and academic achievement in third- and fifth-grade students. Journal of Sport and Exercise Psychology, 29, 239–252.
Centers for Disease Control and Prevention (2011.1109). How much physical activity do children need? Retrieved from http://www.cdc.gov/physicalactivity/everyone/guidelines/children.html
Cerasola, G., Cottone, S., D''Ignoto, G., Grasso, L., Contorno, A., Carone, M.B., & Fulantelli, M. A. (1987). Role of epinephrine in the development of essential hypertension. Journal of Clinical Hypertension, 3(4), 670-680.
Chaddock, L., Erickson, K. I., Prakash, R. S., VanPatter, M., Voss, M. W., Pontifex, M. B., ...Kramer,A. F. (2010). Basal ganglia volume is associated with aerobic fitness in preadolescent children. Developmental Neuroscience, 32, 249-256.
Chaddock, L., Hillman, C. H., Buck, S. M., & Cohen, N. J. (2011). Aerobic fitness and executive control of relational memory in preadolescent children. Medicine & Science in Sport & Exercise, 43(2), 344-349.
Chang, Y. K., Etnier, J. L., & Barella, L. A. (2009). Exploring the relationship between exercise-induced arousal and cognition using fractionated response time. Research Quarterly for Exercise and Sport, 80, 78-86.
Chen, S. R., Chiu, H. W., Lee, Y. J., Sheen, T. C., & Jeng, C. (2012). Impact of pubertal development and physical activity on heart rate variability in overweight and obese children in Taiwan. . Journal of School Nursing, 28(4), 284-290 .College of Nursing, Taipei Medical University, Taipei.
Chen, W. & Chang, M.-H.(2010). New Growth Charts for Taiwanese Children and Adolescents Based on World Health Organization Standards and Health-related Physical Fitness Pediatrics and Neonatology 51(2):69-79.
Chinn, S., & Rona, R. J. (2001). Prevalence and trends in overweight and obesity in three cross sectional studies of British children, 1974-94. BNJ, 322(7277), 24-26.
Christou, D. D., Jones, P. P., & Seals, D. R. (2003). Baroreflex buffering in sedentary and endurance exercise-trained healthy men. Hypertension, 41(6), 1219-1222.
Chu, N. F., Wang, S. C., Chang, H. Y., & Wu, D. M. (2010). Medical services utilization and expenditure of obesity-related disorders in Taiwanese adults. Value in Health, 13(6), 829-836.
Cohen, J. (1988). Statistical power analysis for the behavioral science (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum Associate, Inc.
Colcombe, S., ＆ Kramer, A. F. (2003). Fitness effects on the cognitive function of older adults: A meta-analytic study. Psychological Science, 14(2), 125-130.
Colditz, G. A. (1999). Economic costs of obesity and inactivity. Medicine and Science in Sports and Exercise, 31(11), 663-667.
Conover, M. B. (2003). Understanding electrocardiography. (8th ed., p. 42). Mosby, Inc.
Corbin, C. B, & Pangrazi, R. P. (2001). Toward a uniform definition of wellness: A commentary. President’s Council on Physical Fitness and Sports Research Digest, 3(15), 1-8.
Cowan, M. J. (1995). Measurement of heart rate variability. Western Journal of Nursing Research, 17 (1), 32-48.
Craig, C. L., Marshall, A. L., Sjostrom, M., Bauman, A. E., Booth, M. L., Ainsworth, B. E., …＆ Oja, P. (2003). International physical activity questionnaire: 12-country reliability and validity. Medicine ＆ Science In Sports ＆ Exercise, 35, 1381–95. doi:10.1249/01.MSS.0000078924.61453.
Davis, C. L., Tomporowski, P. D., Boyle, C. A., Waller, J. L., Miller, P. H., Naglieri, J. A., & Gregoski, M. (2007). Effects of aerobic exercise on overweight.children''s cognitive functioning: a randomized controlled trial. Research quarterly for exercise and sport, 78(5), 510-519.
De Meersman, R. E. (1992). Respiratory sinus arrhythmia alteration following training in endurance athletes. European Journal of Applied Physiology & Occupational Physiology, 64(5), 434-436.
Dishman, R. K. (1997). Brain monoamines, exercise and behavioral stress: Animal models. Medicine and Science in Sports and Exercise, 29, 63-74.
Duncan-Johnson, C. C. (1981). P300 latency: A new metric of information processing.psychophysiology, 18(3), 207-215.
Foster, J. A., Gore, S. A., & West, D. S. (2006). Altering TV viewing habits: An unexplored strategy for adult obesity intervention? American Journal of Health Behavior, 30(1), 3-14.
Fu, C.-C., Li, Y.-M., Pei, D., Chen, C.-L., Lo, H.-M., Wu, D.-A., & Kuo, T. B. (2006). Heart rate variability in Taiwanese obese children. Tzu Dhi Medical Journal, 18 (3), 199-204.
Galetta, F., Lunardi, M., Prattichizzo, F. A., Rossi, M., Cosci, S., & Giusti, C. (1994). Effects of physical activity on the cardiovascular autonomic function in the aged. Minerva Cardioangiologica, 42(7-8), 321-326.
Golden, C. J. (1978). Stroop color and word test –A manual for clinical and experimental uses. Illinois: Stoeltingcompany.
Guizar, J. M., Ahuaztzin, R., Amador, N., Sanchez, G., & Romer, G. (2005). Heart autonomic function in overweight adolescents. Indian Pediatrics, 42(5), 464-469.
Gutin, B., Barbeau, P., Litaker, M. S., Ferguson, M., & Owens, S. (2000). Heart rate variability in obese children: Relations to total body & visceral adiposity, & changes with physical training & detraining. Obesity Research, 8 (1), 12-19.
Hancox, R. J., Milne, B. J., & Poulton, R. (2004).Association between child and adolescent television viewing and adult health: A longitudinal birth cohort study. The Lancet, 364(9430), 257-262.
Herrmann, D. J., Yoder, C., Gruneberg, M., & Payne, D. (2006). Applied cognitive psychology: A textbook(1st ed.). Philadelphia, PA: Lawrence Erlbaum Associates.
Hillman, C. H., Castelli, D. M., & Buck, S. M. (2005). Aerobic fitness and neurocognitive function in healthy preadolescent children. Medicine and Science in Sports and Exercise, 37(11), 1967.
Hillman, C. H., Erickson, K. I., & Kramer, A. F. （2008）. Be smart, exercise your heart: Exercise effects on brain and cognition. Nature Reviews. Neuroscience, 9(1), 58-65.
Hillman, C. H., Pontifex, M. B., Raine, L. B., Castelli, D. M., Hall, E. E., & Kramer, A. F. (2009).The effect of acute treadmill walking on cognitive control and academic achievement in preadolescent children. Neuroscience, 159(3), 1044-1054.
Hinkle, J. S., Tuckman, B. W., & Sampson, J. P. (1993). The psychology, physiology, and the creativity of middle school aerobic exercises. Elementary School Guidance & Counseling, 28(2), 133-145.
Hsieh, J.-S. (2001). The effect of cramming schools onstudents’ mathematics achievement. Journal of National Taipei Teachers College, 14(9), 313-338.
Hyndman, B. W., & Gregory, J. R. (1975). Spectral analysis of sinus arrhythmia during mental loading. Ergonomics, 1(18), 255-270.
Ingram, F., Greve, K. W., Ingram, P. T., Soukup, V. M. (1999). Temporalstability of the Wisconsin Card Sorting Test in an untreated patient sample. British Journal of Clinical Psychology, 38(2), 209-211.
Inoue, S., & Zimmet, P. (2000). The Asia-Pacific perspective: redefining obesity and its treatment. Australia: Health Communications Australia Pty Limited.
International Obesity Taskforce (2012). Obesity the Global Epidemic. Retrieved from http://www.iaso.org/iotf/obesity/obesitytheglobalepidemic/
International Physical Activity Questionnaire( 2005). Guidelines for Data Processing and Analysis of the International Physical Activity Questionnaire (IPAQ) – Short and Long Forms. Retrieved from http://www.ipaq.ki.se/scoring.pdf
James, P. T., Leach, R., Kalamara, E., & Shayeghi, M. (2001). The worldwide obesity epidemic. Obesity Research, 9(4), 228-233.
Katzmarzyk, P. T. (2001). Obesity in Canadian children. Canadian Medical Association Journal, 164(11), 1563-1564.
Katzmarzyk, P. T. (2002). The Canadian obesity epidemic: an historical perspective. Obes Res., 10(7), 666-674.
Kelley, G. A., & Kelley, K. S. (2007). Aerobic exercise and lipids and lipoproteins in children and adolescents. Atherosclerosis, 191(2), 447-453.
Khrisanapant, W., Sengmeuang, P., Pasurivong, O., & Kukongviriyapan, U. (2008). Does Cardiac Autonomic Modulation Exist in Obese Adolescents?. Srinagarind Medical Journal, 23(3), 234-239.
Kim, J. A., Park, Y. G., Cho, K. H., Hong, M. H., Han, H. C., Choi, Y. S., & Yoon, D. (2005). Heart rate variability and obesity indices: Emphasis on the response to noise and standing. The Journal of the American Board of Family Practice, 18(2), 97-103.
Kleiger, R. E., Bigger, J. T., Bosner, M. S., Chung, M. K., Cook, J. R., Rolnitzky, L. M. …& Fleiss, J. L. (1991). Stability over time of variables measuring heart rate variability in normal subjects. American Journal of Cardiology, 68 (6), 626-630.
Kvaavik, E., Tell, G. S., & Klepp, K. I. (2003). Predictors and tracking of body mass index from adolescence into adulthood: follow-up of 18 to 20 years in the Oslo Youth Study. Archives of Pediatrics & Adolescent Medicine, 157(12), 1212-1218.
Levy, W.C., Cerqueira, m.d., Harp, G.D., Johannessen, K.A., Avrass, I.B., Schwartz, R.S &; Stratton, J. R. (1998). Effect of endurance exercise training on heart rate variability at reat in healthy young and older men. American Journal of Cardiology, 82(10), 1236-1241.
Liou, Y. M., & Chiang, L. C. (2004). Levels of physical activity among school-age children in Taiwan: A comparison with international recommendations. Journal of Nursing Research, 12(4), 307-316.
Liou, Y. M., Jwo, C. J. C., Yao, K. G., Chiang, L.-C., Huang, L.-H. (2008). Selection of Appropriate Chinese Terms to Represent Intensity and Types of Physical Activity Terms for Use in the Taiwan Version of IPAQ. Journal of Nursing Research, 16(4), 252-263.
Liou, Y. M., Liou, T. H., & Chang, L. C. (2010). Obesity among adolescents: Sedentary leisure time and sleeping less as determinants. Journal of Advanced Nursing, 66(6), 1246-1256.
Maclaren, N. K., Gujral, S., Ten, S., Motagheti, R. (2007). Childhood obesity and insulin resistance. Cell Biochemistry & Biophysics. 48(2-3), 73-78.
Malek, A., Hekmati, I., Amiri, S., Pirzadeh, J., &Gholizadeh, H. (2013). The Standardization of Victoria Stroop Color-Word Test among Iranian Bilingual Adolescents. Archives of Iranian Medicine, 16(7), 380-384.
Malpas, S. C., & Maling, T. J. B. (1990). Heart-rate variability and cardiac autonomic function in diabetes. Diabetes, 39, 1177-1181.
Mandigout, S., Melin, A., Fauchier, L., N''Guyen, L. D., Courteix, D., & Obert, P. (2002). Physical training increases heart rate variability in healthy prepubertal children. European Journal of Clinical Investigation, 32(7), 479-87.
Martini, G., Riva, P., Rabbia, F., Molini, V., Ferrero, G., Cerutti, F. …& Veglio, F. (2001). Heart rate variability in childhood obesity. Clinical Autonomic Research, 11(2), 87-91.
Mossberg, H. O. (1989). 40-year follow-up of overweight children. Lancet, 2(8661), 491-493.
Mujika, I., & Padilla, S. (2000). Detraining: loss of training-induced physiological and performance adaptations. Part I: short term insufficient training stimulus. Sports Medicine, 30(2), 79-87.
Mujika, I., & Padilla, S. (2001). Cardiorespiratory and metabolic characteristics of detraining in humans. Medicine and Science in Sports and Exercise, 33(3), 413-421.
Nagai, N., & Moritani, T. (2004). Effect of physical activity on autonomic nervous system function in lean and obese children. International Journal of Obesity and Related Metabolic Disorders, 28(1), 27-33.
Nagai, N., Hamada, T., Kimura, T., & Moritani, T. (2004). Moderate physical exercise increases cardiac autonomic nervous system activity in children with low heart rate variability. Childs Nervous System, 20(4), 209-214.
Nagai, N., Matsumoto, J., Kita, H., & Moritani, T. (2003). Autonomic nervous system activity and the state and development of obesity in Japanese school children. Obesity Research, 11(1), 25-32.
Ogden, C. L., Flegal, K. M., Carroll, M., & Johnson, C. L. (2002). Prevalence and Trends in Overweight among US Children and Adolescents, 1999-2000. The Journal of American Medical Association, 288(14), 1728-1732.
Pender, N. J. (1996). Health Promotion in Nursing Practice (3rd Ed.). Norwalk. CT: Appleton-Lange.
Reidapath, D.D., Crawford, D., Tilgner, L., & Gibbons, C. (2002) Relationship between body mass index and the use of healthcare services in Australia.Obesity Research, 10(6), 526-531.
Riva, P., Martini, G., Rabbia, F., Milan, A., Paglieri, C., Chiandussi, L., & Veglio, F. (2001). Obesity and autonomic function in adolescence. Clinical and Experimental Hypertension, 23(1-2), 57-67.
Robergs, R. A., & Roberts, S. O. (1997). Exercise physiology: exercise, performance, and clinical applications. St. Louis: Mosby.
Saris, W., Noordeloos, A., Ringnalda, B., Van`t Hof, M., ＆ Binkhorst, R. (1980). Reference values for aerobic power of healthy 4-to 18-year-old Dutch children: Preliminary results. In : R. Binkhorst, H. Kemper, ＆ W. Saris (Eds). Children and exercise XI, 151-160. Champaign. IL : Human Kinetics
Schiel, R., Beltschikow, W., Kramer, G., & Stein, G. (2006). Overweight, obesity and elevated blood pressure in children and adolescents. European Journal of Medical Research, 11, 97–101.
Silvetti, M. S., Dago, F., & Ragonese, P. (2001). Heart rate variability in healthy children and adolescents is partially related to age and gender. Internal Journal of Cardiology, 81(2-3), 169-174.
Simon, C., Schweitzer, B., Oujaa, M., Wagner, A., Arveiler, D., Triby, E. …& Platat, C. (2008). Successful overweight prevention in adolescents by increasing physical activity: a 4-year randomized controlled intervention. International Journal of Obesity (Lond), 32(10), 1489-1498.
Singer, D. H., Baumgarten, C. M., & Ten Eick, R. E. (1981). Cellular electrophysiology of ventricular and other dysrhythmias: Studies on diseased and ischemic heart. Progress in Cardiovascular Diseases, 24 (2), 97-156.
Sirard, J. R., & Pate, R. R. (2001). Physical activity assessment in children and adolescents. Sports Medicine, 31(6), 439-454.
Smith, P. J., Blumenthal, J. A., Hoffman, B. M., Cooper, H., Strauman, T. A., Welsh-Bohmer,K., ...Sherwood, A. (2010). Aerobic exercise and neurocognitive performance: A meta-analytic review of randomized controlled trials. Psychosomatic Medicine, 72(3), 239-252.
Tascilar, M. E., Turkkahraman, D., Oz, O., Yucel, M., Taskesen, M., Eker, I., et al. （2011）. P300 auditory event-related potentials in children with obesity: is childhood obesity related to impairment in cognitive functions? Pediatr Diabetes, 12（7）, 589-595.
Taşcılar, M. E., Yokuşoğlu, M., Boyraz, M., Baysan, O., Koz, C., & Dundaroz, R. (2011). Cardiac Autonomic Functions in Obese Children. Journal of Clinical Research in Pediatric Endocrinology, 3(2), 60–64.
Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology (1996). Heart rate variability. Standards of measurement, physiological interpretation and clinical use. European Heart Journal, 17(3), 354-381.
te Velde, S. J., van Nassau, F., Uijtdewilligen, L., van Stralen, M. M., Cardon, G., De Craemer, M., et al. (2012). Energy balance-related behaviours associated with overweight and obesity in preschool children: A systematic review of prospective studies. Obesity Reviews, 12(1), 56-74
Tolfrey, K., Doggett, A., Boyd, C., Pinner, S., Sharples, A., & Barrett, L. (2008). Postprandial triacylglycerol in adolescent boys. Med Sci Sports Exerc., 40(6), 1049-1056.
Tomporowski, P. D., Davis, C. L., Miller, P. H., & Naglieri, J. A. （2008）. Exercise and Children''s Intelligence, Cognition, and Academic Achievement. Educational Psychology Review, 20（2）, 111-131.
Topp, R., ＆ Stevenson, J. S. (1994). The effects of attendance and effort on outcomes among older adults in a long-term exercise program. Research in Nursing and Health, 17(1), 15-24.
Tsuji , H., Larson, M.G., Venditti, F. J., Manders, E. S., Evans, J.C., Feldman, C. L., & Levy, D. (1996). Impact of reduced heart rate variability on risk for cardiac events. The Framingham Heart Study. Circulation, 94(11), 2850-2855.
Tuckman, B. W., & Hinkle, J. S. (1986). An experimental study of the physical and psychological effects of aerobic exercise on schoolchildren. Health Psychology, 5(3), 197-207.
U. S. Department of Health and Human Services (2008). Activite Children and Adolescents. Retrieved from http://www.health.gov/paguidelines/guidelines/chapter3.aspx
Veldwijk, J., Scholtens, S., Hornstra, G., & Bemelmans, W. J. （2011）. Body mass index and cognitive ability of young children. Obesity Facts, 4(4), 264-269.
volume in aging humans. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 61, 1166-1170.
Welsh, M.C., & Pennington, B.F. (1988). Assessing frontal lobe functioning in children: Views from developmental psychology. Developmental Neuropsychology, 4, 199-230.
Whitaker, R. C., Wright, J. A., Pepe, M. S., Seidel, K. D., & Dietz, W. H.(1997). Predicting obesity in young adulthood from childhood and parental obesity. New England Journal Medicine, 337(13), 869-873.
WHO (1998). Obesity: Preventing and managing the global epidemic. Geneva: WHO.
WHO (2012). Obesity. Retrieved from http://www.who.int/topics/obesity/en/
Wong, P.C., Chia, M.Y., Tsou, I.Y., Wansaicheong, G. K., Tan, J., Kim, C. G. …& Lim, D. (2008). Effects of a 12-week exercise training programme on aerobic fitness, body composition, blood lipids and C-reactive protein in adolescents with obesity. Annals Academy Medicine Singapore, 37(4), 286-293.
Wu, T. Y., Ronis, D. L., Pender, N., & Jwo, J. L. (2002). Development of questionnaires to measure physical activity cognitions among Taiwanese adolescents. Preventive Medicine, 35(1), 54-64.
Zizza, C., Herring, A. H., Stevens, J., & Popkin, B. M. (2004). Length of hospital stays among obese individuals. American Journal of Public Health, 94(9), 1587-1591.