跳到主要內容

臺灣博碩士論文加值系統

(18.97.9.173) 您好!臺灣時間:2024/12/02 18:58
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:蔡昀錡
研究生(外文):Yun-Chi Tsai
論文名稱:宵夜進食對隔日早餐進食影響之探討
論文名稱(外文):Night Time Snack and Breakfast on the Following Day
指導教授:陳信任陳信任引用關係
指導教授(外文):Hsin-Jen Chen
學位類別:碩士
校院名稱:國立陽明大學
系所名稱:公共衛生研究所
學門:醫藥衛生學門
學類:公共衛生學類
論文種類:學術論文
論文出版年:2017
畢業學年度:105
語文別:中文
論文頁數:61
中文關鍵詞:肥胖宵夜within person comparison混合分析模型
外文關鍵詞:obesitynight time snackwithin-person comparisonmixed effect model
相關次數:
  • 被引用被引用:1
  • 點閱點閱:1113
  • 評分評分:
  • 下載下載:36
  • 收藏至我的研究室書目清單書目收藏:0
目標:
肥胖在近年來持續受到重視,飲食型態可能與肥胖相關,而省略早餐與否一直是這方面研究的一大重點。由於每餐的飲食內容會被前一餐的飲食量經由代償或抑制所影響,早餐亦可能有此現象。本研究欲探討在夜間的宵夜飲食型態與隔日早餐飲食型態的相關性。
方法:
本研究採用橫斷性研究,比較同一群人在是否吃宵夜時,隔天是否進食早餐的情形。依據過去研究數據所估算的樣本數為53人(α=0.05;β=0.1)。本研究的研究族群為國立陽明大學校內大於20歲的教職員生,並於2016年10月至2017年01月完成收案,每位參加的受試者皆須完成三次訪談。研究所需的飲食內容資料採用飲食回顧法,讓受試者回憶訪談日及前一日的飲食內容及份量,並由受試者自行定義該次進食為正餐或點心。本研究的操作定義:宵夜定義為晚餐過後到睡前的點心,早餐定義分為3種:受試者自定義之早餐、睡醒2小時內進食、上午9:30前進食。除飲食之外,也記錄受試者的睡眠日誌(sleep log)以及可能的干擾因子:如:情緒健康狀態(使用Depression Anxiety Stress Scales, DASS, 憂鬱、焦慮、壓力量表進行評估)、訪談形式(面訪或電訪)、訪談日(週間或週末)等。由於生理時鐘與飲食型態也有相關,因此也使用清晨-夜晚型問卷(Morningness-Eveningness Questionnaire, MEQ)來檢測受試者的生理時鐘類別。在資料分析上則使用混合效果模型(mixed effect model)評估宵夜進食型態與隔日早餐進食型態的相關性。
結果:
本研究受試者共53人(男性26人、女性27人),平均年齡分別為22.1歲。依照三次訪談是否有吃宵夜分為3組:三天皆無吃宵夜(2人)、三天中一至二天有吃宵夜(36人)以及三天皆有吃宵夜(15人)。研究族群多屬於BMI正常(18.5-24)、大學在學學生,生理時鐘以中間型為主,在三組間皆無分布上的顯著差異。針對三天中一至二天有吃宵夜的這組依照該次訪談是否進食宵夜分為2組(無吃宵夜為50人次;有吃宵夜為58人次),兩組在進行面訪、以及訪談日為平日時有較高比例的受訪者回報有吃宵夜;而宵夜進食與否對隔天回報是否有吃早餐時無顯著差異。
從混合效果模型分析結果發現,有吃宵夜相較於未吃宵夜在隔天醒來後2小時內有進食的勝算比(Odds ratio, OR)為0.68 (0.21 - 2.18),在調整可能的干擾因子後(前一日是否有吃早餐及晚餐、訪談類型、訪談日在週間或週末),勝算比為0.49 (0.13 - 1.87),表示有吃宵夜時,隔日醒來2小時內較不容易進食,但此結果為達統計上的顯著意義。
結論:
雖然統計結果未達顯著,但在調整可能的干擾因子後,晚上有吃宵夜時,隔日醒來2小時內較不易進食。由於本研究樣本數較少,未來研究可以擴大樣本數及納入不同種類營養素攝取情形來做更進一步的探討與分析。
Objective:
Prevalence of obesity is being taken seriously in recent decades. Dietary pattern is associate with obesity, especially skipping breakfast. Since each eating episode is affected by the eating episode before, breakfast may be affected by last night eating pattern. Therefore, finding night time eating pattern and the breakfast eating pattern later is the focus in this study.
Subjects and design:
This cross sectional study was conducted in National Yang Ming University during 2016 Oct to 2017 Jan, including 53 subjects. Each subject was asked to finish three interviews. Interview contained dietary recall, sleep log, DASS (depression anxiety stress scales), MEQ (morningness-eveningness questionnaire). Night time snack was defined as snack intake after dinner in subjects’ dietary recall. Breakfast was defined according three different definition: subject self-defined breakfast on the interview day, eating within 2 hours and eating before 9:30AM. Data analysis was using mixed effect model to discover the association between night time snack eating pattern and breakfast eating pattern on the following day.
Results:
A total of 53 adult (26 males and 27 females, average 22.1 years old) took part in this study with three night time snack types: reported no night time snack in 3 recalls (N=2), reported 1-2 day with night time snack in 3 recalls and reported night time snack in all 3 recalls. Most of subjects were health body weight (18.5<BMI<24), college students and early or medium type of chronotype. According to the results of mixed effect model, night time snack intake is associated with less likely to eat within 2 hours after wake up on the following day although there was no statistical significance. (OR = 0.68, 95% CI = 0.21-2.18)
Conclusion:
Even though there is no statistical significance, taking night time snack is associate with less food intake within 2 hour after wake up on the following day. Further study can include more study sample size and take different nutrition intake into consideration to figure out the association between night time snack dietary pattern and breakfast dietary pattern on the following day.
致謝....I
摘要....II
Abstract....IV
目錄....VI
圖目錄....VIII
表目錄....IX
第一章 前言....1
  第一節 研究背景....1
第二章 文獻回顧....2
  第一節 進食型態對健康之影響....2
  第二節 進食型態對後續餐次之影響....4
  第三節 可能影響進食型態的因素....6
  第四節 觀察型研究對餐次之定義及其優劣....9
  第五節 研究概念框架與假說....10
第三章 研究方法....11
  第一節 研究設計....11
  第二節 研究對象....11
  第三節 研究工具....12
  第四節 研究架構....15
  第五節 研究變項定義....16
  第六節 資料分析....18
第四章 研究結果....19
  第一節 樣本基本特性描述....19
  第二節 宵夜進食與否之特性描述....21
  第三節 宵夜進食與否與隔日早餐進食....23
  第四節 宵夜及早餐進食型態之個人特質分層分析....24
第五章 結果討論....25
  第一節 樣本數與統計檢定力之探討....25
  第二節 訪談形式與宵夜進食與否之探討....26
  第三節 不同早餐定義下,宵夜與早餐相關性之探討....27
  第四節 宵夜進食與隔日早餐相關性之可能修飾因子(effect modifiers)....29
  第五節 研究限制....30
  第六節 研究優點....31
第六章 結論與建議....32
  第一節 研究結論....32
  第二節 研究建議....33
參考文獻....34
附錄....42

圖目錄
圖1、研究概念框架....10
圖2、研究架構流程....15
圖3、自定義早餐判別流程圖....17

表目錄
表1、樣本基本特性描述....37
表2、飲食紀錄中宵夜進食與否之特性描述....39
表3、宵夜進食與否當天及隔日之進食及睡眠時間....41
表4、宵夜進食與否與隔日早餐進食之相關性:mixed-effect logistic model....40
表5、宵夜進食與否與隔日早餐進食之相關性:依個人特質進行分層分析(睡醒後2小時內有進食則為早餐(N=36))....41
1. Bellisle F. Impact of the daily meal pattern on energy balance. Scandinavian Journal of Nutrition 2016;48(3):114-118.
2. 潘文涵, 吳幸娟, 葉志嶸, 莊紹源, 張新儀, 葉乃華, et al. 台灣人飲食與健康之趨勢_1993-1996與2005-2008營養健康調查之比較. 2010.
3. 葉志嶸, 張新儀, 潘文涵. 台灣近十二年來之肥胖與代謝症候群之變遷趨勢_由NAHSIT1993-1996到2005-2008. 2009.
4. Watanabe Y, Saito I, Henmi I, Yoshimura K, Maruyama K, Yamauchi K, et al. Skipping Breakfast is Correlated with Obesity. J Rural Med 2014;9(2):51-8.
5. Timlin MT, Pereira MA. Breakfast frequency and quality in the etiology of adult obesity and chronic diseases. Nutr Rev 2007;65(6 Pt 1):268-81.
6. Ho CY, Huang YC, Lo YT, Wahlqvist ML, Lee MS. Breakfast is associated with the metabolic syndrome and school performance among Taiwanese children. Res Dev Disabil 2015;43-44:179-88.
7. Kutsuma A, Nakajima K, Suwa K. Potential Association between Breakfast Skipping and Concomitant Late-Night-Dinner Eating with Metabolic Syndrome and Proteinuria in the Japanese Population. Scientifica (Cairo) 2014;2014:253581.
8. Tani Y, Asakura K, Sasaki S, Hirota N, Notsu A, Todoriki H, et al. Higher proportion of total and fat energy intake during the morning may reduce absolute intake of energy within the day. An observational study in free-living Japanese adults. Appetite 2015;92:66-73.
9. Berteus Forslund H, Lindroos AK, Sjostrom L, Lissner L. Meal patterns and obesity in Swedish women-a simple instrument describing usual meal types, frequency and temporal distribution. Eur J Clin Nutr 2002;56(8):740-7.
10. Ma Y, Bertone ER, Stanek EJ, 3rd, Reed GW, Hebert JR, Cohen NL, et al. Association between eating patterns and obesity in a free-living US adult population. Am J Epidemiol 2003;158(1):85-92.
11. Livingstone MB, Prentice AM, Strain JJ, Coward WA, Black AE, Barker ME, et al. Accuracy of weighed dietary records in studies of diet and health. Bmj 1990;300(6726):708-12.
12. Yoo KB, Suh HJ, Lee M, Kim JH, Kwon JA, Park EC. Breakfast eating patterns and the metabolic syndrome: the Korea National Health and Nutrition Examination Survey (KNHANES) 2007-2009. Asia Pac J Clin Nutr 2014;23(1):128-37.
13. Kant AK, Graubard BI. Within-person comparison of eating behaviors, time of eating, and dietary intake on days with and without breakfast: NHANES 2005-2010. Am J Clin Nutr 2015;102(3):661-70.
14. Kral TV, Whiteford LM, Heo M, Faith MS. Effects of eating breakfast compared with skipping breakfast on ratings of appetite and intake at subsequent meals in 8- to 10-y-old children. Am J Clin Nutr 2011;93(2):284-91.
15. Tey SL, Chia EM, Forde CG. Impact of dose-response calorie reduction or supplementation of a covertly manipulated lunchtime meal on energy compensation. Physiol Behav 2016;165:15-21.
16. de Graaf C, Hulshof T. Effects of weight and energy content of preloads on subsequent appetite and food intake. Appetite 1996;26(2):139-51.
17. Katagiri R, Asakura K, Kobayashi S, Suga H, Sasaki S. Low intake of vegetables, high intake of confectionary, and unhealthy eating habits are associated with poor sleep quality among middle-aged female Japanese workers. J Occup Health 2014;56(5):359-68.
18. Brondel L, Romer MA, Nougues PM, Touyarou P, Davenne D. Acute partial sleep deprivation increases food intake in healthy men. Am J Clin Nutr 2010;91(6):1550-9.
19. Arora T, Taheri S. Associations among late chronotype, body mass index and dietary behaviors in young adolescents. Int J Obes (Lond) 2015;39(1):39-44.
20. Fleig D, Randler C. Association between chronotype and diet in adolescents based on food logs. Eat Behav 2009;10(2):115-8.
21. Maukonen M, Kanerva N, Partonen T, Kronholm E, Konttinen H, Wennman H, et al. The associations between chronotype, a healthy diet and obesity. Chronobiol Int 2016;33(8):972-81.
22. Maukonen M, Kanerva N, Partonen T, Kronholm E, Tapanainen H, Kontto J, et al. Chronotype differences in timing of energy and macronutrient intakes: A population-based study in adults. Obesity (Silver Spring) 2017;25(3):608-615.
23. Sato-Mito N, Sasaki S, Murakami K, Okubo H, Takahashi Y, Shibata S, et al. The midpoint of sleep is associated with dietary intake and dietary behavior among young Japanese women. Sleep Med 2011;12(3):289-94.
24. Sato-Mito N, Shibata S, Sasaki S, Sato K. Dietary intake is associated with human chronotype as assessed by both morningness-eveningness score and preferred midpoint of sleep in young Japanese women. Int J Food Sci Nutr 2011;62(5):525-32.
25. Paskulin JT, Drehmer M, Olinto MT, Hoffmann JF, Pinheiro AP, Schmidt MI, et al. Association between dietary patterns and mental disorders in pregnant women in Southern Brazil. Rev Bras Psiquiatr 2017.
26. Pan WH, Chang YP, Yeh WT, Guei YS, Lin BF, Wei IL, et al. Co-occurrence of anemia, marginal vitamin B6, and folate status and depressive symptoms in older adults. J Geriatr Psychiatry Neurol 2012;25(3):170-8.
27. Liu C, Xie B, Chou CP, Koprowski C, Zhou D, Palmer P, et al. Perceived stress, depression and food consumption frequency in the college students of China Seven Cities. Physiol Behav 2007;92(4):748-54.
28. Mikolajczyk RT, El Ansari W, Maxwell AE. Food consumption frequency and perceived stress and depressive symptoms among students in three European countries. Nutr J 2009;8:31.
29. Lai JS, Hiles S, Bisquera A, Hure AJ, McEvoy M, Attia J. A systematic review and meta-analysis of dietary patterns and depression in community-dwelling adults. Am J Clin Nutr 2014;99(1):181-97.
30. O'Neil CE, Byrd-Bredbenner C, Hayes D, Jana L, Klinger SE, Stephenson-Martin S. The role of breakfast in health: definition and criteria for a quality breakfast. J Acad Nutr Diet 2014;114(12 Suppl):S8-s26.
31. Buysse DJ, Reynolds CF, 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res 1989;28(2):193-213.
32. Horne JA, Ostberg O. A self-assessment questionnaire to determine morningness-eveningness in human circadian rhythms. Int J Chronobiol 1976;4(2):97-110.
33. Wing Y, Yu M, Li S. 清晨型和夜晚型問卷 自評量表 (MEQ-SA). 2006.
34. Karatzi K, Moschonis G, Choupi E, Manios Y. Late-night overeating is associated with smaller breakfast, breakfast skipping, and obesity in children: The Healthy Growth Study. Nutrition 2017;33:141-144.
35. Oellingrath IM, Hestetun I, Svendsen MV. Gender-specific association of weight perception and appearance satisfaction with slimming attempts and eating patterns in a sample of young Norwegian adolescents. Public Health Nutr 2016;19(2):265-74.
36. van Vliet JS, Gustafsson PA, Nelson N. Feeling 'too fat' rather than being 'too fat' increases unhealthy eating habits among adolescents - even in boys. Food Nutr Res 2016;60:29530.
37. St-Onge MP, Roberts A, Shechter A, Choudhury AR. Fiber and Saturated Fat Are Associated with Sleep Arousals and Slow Wave Sleep. J Clin Sleep Med 2016;12(1):19-24.
連結至畢業學校之論文網頁點我開啟連結
註: 此連結為研究生畢業學校所提供,不一定有電子全文可供下載,若連結有誤,請點選上方之〝勘誤回報〞功能,我們會盡快修正,謝謝!
QRCODE
 
 
 
 
 
                                                                                                                                                                                                                                                                                                                                                                                                               
第一頁 上一頁 下一頁 最後一頁 top