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研究生:練芷帆
研究生(外文):Chih-Fan Lien
論文名稱:評估腹部脂肪總量與單片腹部影像脂肪面積之相關性
論文名稱(外文):The correlation between the total volume of abdominal fat and single-slice area.
指導教授:陳焜燦李莉文李莉文引用關係
口試委員:謝坤昌陳裕鏞
口試日期:2016-07-20
學位類別:碩士
校院名稱:國立中興大學
系所名稱:應用數學系所
學門:數學及統計學門
學類:數學學類
論文種類:學術論文
論文出版年:2016
畢業學年度:104
語文別:中文
論文頁數:54
中文關鍵詞:電腦斷層攝影腹部脂肪內臟脂肪量皮下脂肪量
外文關鍵詞:computed tomographyabdominal fatvisceral adipose tissuesubcutaneous adipose tissue
相關次數:
  • 被引用被引用:1
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本論文以台灣地區健康成年人為研究對象,利用電腦斷層掃描評估腹部脂肪量,所有受試者皆以CT技術來測量腹部內臟脂肪量、皮下脂肪量及腹部總脂肪量,統計方法以皮爾遜積差相關、組內相關係數及多元迴歸進行統計處理。
以L4-L5椎間隙往上取4.8公分的位置與腹部脂肪(皮下脂肪、內臟脂肪)量可以代表整個腹部(男性:r=0.986,p<0.01;女性:r=0.976,p<0.01),也能用來評估全身的肥胖程度。當樣本數多及經費的限制下,可以以L4-L5椎間隙+4.8cm(1張)的測試結果來代表腹部脂肪(皮下脂肪、內臟脂肪)量。
男性與女性受試者有不同的脂肪分布,女性的皮下脂肪高於男性而男性的內臟脂肪高於女性。本研究獲得結論為CT為測量人體腹部脂肪量的有效工具,且測量L4-L5椎間隙往上取4.8公分的橫切面(一張)的脂肪量對腹部脂肪(皮下脂肪、內臟脂肪)量具有很高的代表性。


The purpose of this study was to evaluate abdominal fat by computed tomography.
All subjects were health adults from Taiwan. They underwent the following measurements: visceral adipose tissue (VAT), subcutaneous adipose tissue (SAT) and total abdominal fat (TAF) evaluation by computed tomography. Pearson’s correlation analysis, intraclass correlation coefficient and multiple linear regression models analyzed the data.
We found that the single-slice L4-L5 disk above 4.8cm image was an excellent surrogate measure for abdominal fat values in this study. It was also to assess degree of whole body. When limit simple size and funding, we can use single-slice L4-L5 disk above 4.8cm image to represent abdominal fat (SAT, VAT). Men and women subjects had different fat distribution, women’s SAT were higher than men’s but men’s VAT were higher than women’s.
In conclusion of this study, CT was an effective tool for measuring abdominal fat. The single L4-L5 disk above 4.8cm image was an excellent representative measure for abdominal fat (SAT, VAT).

致謝 i
摘要 ii
Abstract iii
目錄 iv
圖目錄 vi
表目錄 vii
第一章 簡介 1
1.1 研究動機 1
1.2 研究目的 12
1.3 研究範圍與限制 12
1.4 章節摘要 12
第二章 文獻探討 13
2.1 電腦斷層掃描原理與應用 13
2.2 以MRI測量或預估腹部脂肪面積與總量相關文獻 14
2.3 以CT測量或預估腹部脂肪面積與總量相關文獻 16
第三章 研究方法與步驟 18
3.1 研究對象與標準 18
3.2 研究時間與地點 20
3.3 實驗流程 21
3.4 實驗步驟與測量方法 22
3.5 資料處理與分析 24
第四章 研究結果 31
4.1 基本生理數值 31
4.2 各橫切面單片影像脂肪面積與腹部脂肪總量之相關 33
4.3 腹部脂肪的分布情形 41
4.4 腹部脂肪的分布情形 44
第五章 分析與討論 46
5.1 單片影像對腹部脂肪量的代表性 46
5.2 男、女性腹部脂肪量分佈的差異性比較 47
第六章 結論與建議 48
6.1 結論 48
6.2 建議 48
參考文獻 49
附件一 52
附件二 53


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