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研究生:李國齊
研究生(外文):LEE, KUO-CHI
論文名稱:中老年人雙能量X光骨質密度吸收測量儀身體組成與下肢肌力相關性
論文名稱(外文):The Relationship between Dual-Energy X-ray Absorptiometry Body Composition and Lower Limb Muscle Strength in the Middle-Aged and Older Adults
指導教授:鄭凱元鄭凱元引用關係
指導教授(外文):CHENG, KAI-YUAN
口試委員:何清治賴仲亮
口試委員(外文):HO, CHIN-CHIHLAI, CHUNG-LIANG
口試日期:2018-05-18
學位類別:碩士
校院名稱:中臺科技大學
系所名稱:醫學影像暨放射科學系暨研究所
學門:醫藥衛生學門
學類:醫學技術及檢驗學類
論文種類:學術論文
論文出版年:2018
畢業學年度:106
語文別:中文
論文頁數:97
中文關鍵詞:中老年人身體組成雙能量X光骨質密度儀等速肌力
外文關鍵詞:Middle-aged and older adultsBody compositionDual-energy X-ray absorptiometryIsokinetic muscle strength
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台灣人口老化現象日益嚴重,隨著年齡的增長,人體結構及功能逐漸退化,越來越多人探討中老年人相關議題,對於健康也日趨重視,本研究是透過雙能量X光骨質密度吸收測量儀(dual-energy X-ray absorptiometry, DEXA)測量身體組成,包含全身及下肢肌肉量及脂肪量,及利用等速肌力測量系統(isokinetic measurement system)測量下肢肌力,觀察身體組成與下肢肌力在年齡上的變化及男性和女性之差異性,並探討下肢肌肉量與下肢肌力兩者的相關性,此結果可提供中老年人身體組成及下肢肌力的資訊,讓中老年人及早強化下肢需要的身體組成及下肢肌力,預防或減少跌倒發生,以維持中老年人身體健康及生活品質。
本研究針對50歲以上72位中老年人受測者,利用DEXA測量身體組成,並使用等速肌力測量系統量測左腿及右腿下肢肌力,所得資料使用EXCEL探討身體組成、下肢肌力與年齡之變化,及利用SPSS獨立樣本t檢定(Independent sampling t-test)觀察男性、女性身體組成及下肢肌力差異性,最後使用皮爾森(Pearson correlation)相關係數分析探討下肢肌肉量與下肢肌力的相關性。
研究結果發現,身體組成肌肉量隨著年齡增加而減少;脂肪量隨著年齡增加而增加,而男性、女性身體組成及肌肉力量上有所差異,男性身體組成肌肉量較多,女性則是脂肪量較多,下肢肌力則是男性大於女性(p < 0.001)。相關性分析中,下肢肌肉量與下肢肌力有顯著之正相關(左腿:r = 0.65,p < 0.01;右腿:r = 0.71,p < 0.01)。
過去許多人對DEXA認知是用來測量骨質密度,但隨著科技發展快速,現在亦可測量全身及區域之身體組成,並且輻射劑量低、速度快、準確性高,由本研究結果得知,下肢肌肉量與下肢肌力有顯著相關,因此DEXA是評估中老年人下肢肌力的另一種選擇。

Problem of aging population in Taiwan was getting serious. Along with the growth of the ages and degradation of structure and function of human body, more and more people discussed issues regarding middle-aged and older adults and also paid attention to health increasingly.
This research not only observed variation on ages of body composition and lower limb muscle strength, and difference between men and women by Dual-energy X-ray Absorptiometry(DEXA), but also looked into the correlation between lower limb muscle mass and muscle strength.
It offered the relative information to middle-aged and older adults, to let them supply enough body composition for lower limb and improve the muscle strength to prevent falls or reduce the risks of falls, in order to maintain the health and life quality.
This research used Excel to analyze data collected from selected 72 subjects of age over 50 years old that measured body composition by DEXA and measured lower limb muscle strength of legs by the isokinetic measurement, and then to explore and discuss changes of body composition, muscle strength and age. It also observed the difference of body composition and lower limb muscle strength between men and women by Independent sampling t-test. After that, it analyzed and investigated the correlation between lower limb muscle mass and muscle strength by Pearson correlation.
The outcome showed muscle mass declined and fat mass increased with age, moreover, the body composition and muscle power between men and women were different: men had more muscle mass, and women had more fat mass. Men’s lower limb muscle strength was greater than women’s (p < 0.001). In the result of correlation analysis, it showed a high-positive correlation between lower limb muscle mass and muscle strength (Left leg: r = 0.65,p < 0.01; Right leg: r = 0.71,p < 0.01).
In the past, many people recognized that DEXA can simply use for measuring bone density, but with the advance of science and technology, now DEXA not only can measure body composition of full body and part body, but also with low radiation dose, high efficiency and high accuracy. In the result of this research, there is a strong correlation between lower limb muscle mass and muscle strength. Therefore, DEXA is another option for middle-aged and older adults to evaluate lower limb muscle strength.

中文摘要 I
ABSTRACT III
目錄 V
圖目錄 VIII
表目錄 X
第一章 前言 1
1.1. 研究背景 1
1.2. 研究動機 1
1.3. 研究目的 3
1.4. 論文架構 3
第二章 文獻回顧 5
2.1. 身體組成 5
2.2. 身體組成測量方式 7
2.3. 中老年人身體組成相關文獻 19
2.4. 身體組成下肢肌肉量與下肢肌力相關文獻 24
2.5. 小結 27
第三章 材料與方法 28
3.1. 研究對象 28
3.2. 研究時間與地點 28
3.3. 研究架構及流程 29
3.3.1. 研究架構 29
3.3.2. 研究流程 30
3.4. 研究儀器 32
3.4.1. 雙能量X光骨質密度吸收測量儀 32
3.4.2. DEXA品質控制校正 33
3.4.3. DEXA身體組成測量 34
3.4.4. 等速肌力測量系統 36
3.5. 研究倫理 39
3.6. 資料處理與分析 39
3.6.1. EXCEL 39
3.6.2. 獨立樣本t檢定 39
3.6.3. 皮爾森相關分析 40
第四章 結果 41
4.1. 研究對象基本資料 41
4.2. 身體組成及下肢肌力與年齡變化分析 43
4.2.1. 全身及下肢身體組成與年齡變化分析 44
4.2.2. 下肢肌力與年齡變化分析 48
4.3. 男性與女性身體組成及下肢肌力差異性分析 52
4.3.1. 身體組成差異性分析 54
4.3.2. 下肢肌力差異性分析 56
4.4. 身體組成下肢肌肉量與下肢肌力相關性分析 58
第五章 討論 60
5.1. DEXA身體組成 60
5.2. 身體組成及下肢肌力與年齡變化 61
5.2.1. 身體組成與年齡變化 61
5.2.2. 下肢肌力與年齡變化 62
5.3. 男性與女性身體組成及下肢肌力差異性 63
5.4. 身體組成與下肢肌力相關性 64
5.5. 相關文獻驗證與比較 65
第六章 結論 69
第七章 研究限制 70
第八章 未來展望 71
參考文獻 72
附錄ㄧ 83
附錄二 84
附錄三 85


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