臺灣博碩士論文加值系統

背景:近年來有研究利用網路介入飲食教育進行減重計畫，但利用網路即時通訊營養教育結合運動來進行體重控制的相關研究較少，對於網路即時通訊營養教育與一般傳統營養教育對於體重控制效益有待進一步的科學研究驗證。目的:探討網路即時通訊營養教育結合運動對於體重控制及體適能的影響。方法: 以20名(15位女性、5位男性)身體質量指數（body mass index, BMI）體位異常者(BMI≧24kg/m2)為本研究的受試者，平均年齡為33.05±6.27歲，將20人隨機分成二組，網路組BMI為27.63±2.34 kg/m2，一般組BMI為27.75±3.15 kg/m2，實驗介入網路組每週選3天額外以網路通訊於單餐進食前拍照上傳給予營養師評估諮詢，一般組每週選3天自行拍照記錄飲食，於週末統一上傳給予營養師紀錄分析，另兩組皆需參與每週團體營養教育課程和每週1次團體有氧運動及每週3次自主訓練。所得資料以成對樣本T檢定分析各項數據前後的差異，並以獨立樣本T檢定分析兩組間各項數據之差異。結果: 經由8週實驗介入，網路組及一般組於身體組成(體重、體脂率、腰圍、臀圍)皆有達到顯著性下降(p<.05)，但在兩組相比卻無顯著性差異(p>.05);在體適能表現(肌耐力、柔軟度、心肺耐力)各組前後測皆有顯著性提升(p<.05)，但兩組間相比無顯著性差異(p>.05);在熱量分析雖有達到降低熱量攝取，但網路組與一般組與前後測變化率相比無達到顯著性差異(p>.05)結論: 使用一般營養教育結合運動及網路通訊營養教育結合運動皆能使身體組成有顯著性下降，熱量攝取下降及體適能的表現提升，但兩組之間無差異，顯示網路通訊並無法提供更多額外的成效。

Introduction: In recent years, there have been studies incorporating the Internet in diet education for weight management. However, there are few studies including online instant messaging nutrition education combined with exercise for weight control. The benefits of using Internet or general traditional nutrition education in weight control are subject to further scientific investigation. Objective: Explore the effects of online instant messaging nutrition education combined with exercise on weight control and fitness. Methods: Twenty (15 female, 5 male) people with body mass index (BMI) higher than 24kg/m2 participated in study, with an average age of 33.05±6.27 years. Subjects were randomly divided into two groups, network and control group. The BMI of the network group was 27.63±2.34 kg/m2, and the BMI of the control group was 27.75±3.15 kg/m2. The network group choose 3 days a week to upload meal photos instantly before a single meal to the dietitian for evaluation and consultation. The control group took photos for 3 days a week and uploaded to the dietitian at the end of week. All subjects received group nutrition education, and aerobic exercise once a week and 3 times self-training per week. The data obtained were analyzed by paired t-test to analyze the differences before and after the intervention. The differences between the data of the two groups were analyzed by independent sample t-test. Results: After 8 weeks of experimental intervention, the body composition (body weight, body fat percentage, waist circumference, hip circumference) showed a significant decrease (p < .05) in two group, but there was no significant difference between the two groups (p>.05). There was a significant increase in physical fitness (muscle endurance, softness, cardio-respiratory) before and after in each group (p<.05), but there was no significant difference between the two groups (p>.05). All subjects achieved a reduction in caloric intake, although the network group did not reach a significant difference compared with the control group (p>.05) Conclusion: The use of nutrition education combined with exercise and online communication nutrition education significantly reduce body composition, lower calorie intake and improve fitness. There is no difference between the two groups, indicating that network communication cannot provide extra benefits.

第壹章　緒論 1
第一節 研究背景與動機 1
第二節 研究目的 3
第三節 研究假設 4
第四節 研究限制 5
第五節 名詞解釋及操作性定義 6
第貳章　文獻探討 7
第一節 體重過重相關疾病之探討 7
第二節 營養教育結合運動對於體重控制的影響 10
第三節 應用網路進行營養教育之文獻探討 14
第四節 文獻總結 17
第參章　研究方法 18
第一節 研究對象 18
第二節 實驗器材與設備 19
第三節 實驗時間及地點 20
第四節 實驗方法與步驟 21
第五節 資料處理及統計分析 27
第肆章 結果 28
第一節 受試者基本資料 28
第二節 介入身體組成之前後比較差異 29
第三節 健康體適能測驗 32
第四節 不同時段熱量攝取之變化情形 34
第伍章 討論 39
第一節 身體組成變化 39
第二節 健康體適能測驗 41
第三節 飲食攝取量分析 43
第陸章 結論與建議 45
參考文獻 46
附錄 53
附錄一 受試者同意書 53
附錄二 受試者基本資料表 54

中文文獻

葉綠琪、朱瀚威、楊孟容、蔡櫻蘭(2009)。營養教育課程和有氧運動對減重之
影響。運動生理暨體能學報 ，9輯，53-61頁
劉倩伶(2006)。有氧運動結合營養教育對過重女性減重和體適能之影響。國立
體育學院論叢，17卷4期，59-67頁。
甘能斌(2004)。十週減重計畫介入對中年肥胖婦女生理指標與血脂肪及健康體
適能的影響。大專體育學刊，6卷3期，179-188頁。
陳佩英、賴玉敏、陳柔亦、孫嘉玲(2016)。大學生營養知識、飲食行為與健康
狀態相關研究。健康與建築雜誌，3卷3期，52-60頁。
林晏如、蘇文霓、葉玲岑、王秀媛、蔡育君、洪永瀚(2014)。營養教育對過重
成人自我效能和飲食行為改變。台灣醫學，18卷2期，144-152頁。
黃淑華、洪兆嘉、謝美倫、李雅惠、趙櫻花(2014)。社區肥胖控制介入計畫的
成效探討。健康與建築雜誌，1卷3期，77-84頁。
林中惠、蘇柔丹、黃惠玲(2012)。團體式營養教育介入對國小過重學童體位之
影響。嘉南學報，38期，116-123頁
林卓儀、李建志、邱泓文(2007)。支援減重行為療法之營養資訊平台。電子化
優質健康照護，193-209頁。
楊文仁(2009)。網路衛生教育對體重過重民眾體重控制之效果研究。健康促
進暨衛生教育雜誌， 29期，17-34頁。
羅欣玫(2011)。電子郵件及營養教育資訊網介入對北區過重及肥胖之大學生體
重管理成效之研究－跨理論模式之應用。台北市中國文化大學生活應用
學系研究所碩士論文，未出版，臺北市11114陽明山華岡路55號。
李建明、黃素妃、陳政友、羅應嘉、林昭光、游麗惠（2007）。健走運動對改
善更年期婦女骨密度與健康體適能之研究。北市醫學雜誌， 4卷3期，
235-244頁。

 
英文文獻

Adame, D. D., Johnson, T. C., Nowicki, S., Cole, S.P., Matthiasson, H.
(2001).Physical fitness and self- reported physical exercise among college
men and women in 1987 and 1997. Perceptual and Motor Skills, 93(2), 559-
566
Aguilar-Martínez, A., Solé-Sedeño, J.M., Mancebo-Moreno, G., Medina, F.X.,
Carreras-Collado, R., Saigí-Rubió, F.(2014). Use of mobile phones as a
tool for weight loss: a systematic review. Journal of Telemedicine and
Telecare,20(6):339-349.
Anderson, A., Murphy, M., Murtagh, E., & Nevill, A.(2006) .An 8-week
randomized controlled trial on the effects of brisk walking, and brisk walking
with abdomen alelectrical muscle stimulation on anthropometric, body
composition, and self-perception measures in sedentary adult women.
Psychology of Sport & Exercise, 7(5), 437-451.
Alberti, K.G., Zimmet, P., Shaw, J. (2006).Metabolic Syndrome--a new world-
wide definition. A consensus statement from the International Diabetes
Federation. Diabet Medicien,23(5):469–480.
Amigo, I., & Fernández, C. (2007). Effects of dietsand their role in weight
control.Psychology Health Medicine, 12(3), 321-327.
Armstrong, M.J., Mottershead, T.A., Ronksley, P.E., Sigal, R.J., Campbell,
T.S.,Hemmelgarn, B.R.(2011). Motivational interviewing to improve weight
loss in overweightand/or obese patients: a systematic review and meta-
analysis of randomized controlled trials. Obesity Reviews,12: 709–723.
Dunn, C., Olabode-Dada, O., Whetstone, L., Thomas, C., Aggarwal, S., Nordby,
K., Thompson, S., Johnson, M., Allison, C.(2016).Using Synchronous
Distance Education to Deliver a Weight Loss Intervention: A Randomized
Trial.Obesity (Silver Spring),24(1):44-50.
Dunn, C., Whetstone, L.M., Kolasa, K.M.(2013). Delivering a behavior-change
weight management program to teachers and state employees in North
Carolina. American Journal of Health Promotion,27:378-383.
Dunn, C., Kolasa, K.M., Vodicka, S.(2011). Eat Smart, Move More, Weigh Less,
aweight management program for adults - revision of curriculum based on
first-yearpilot. Journal of Extension Education.49:1-6.
Fukuoka, Y., Kamitani, E., Bonnet, K., Lindgren, T.(2011). Real-time social
support through a mobile virtual community to improve healthy behavior in
overweight and sedentary adults: a focus group analysis. Journal of
Medical Internet Research,13(3):e49
Geliebter, A., Maher, M.M., Gerace, L.(1997). Effects of strength or aerobic
training on body composition, resting metabolic rate, and peak oxygen
consumption in obese dieting subjects. American Journal of Clinical
Nutrition, 66(3):557–563.
Hays, N.P., Staline, R.D., Liu, X.L.(2004). Effects of an ad libitum low-fat,
high-carbohydrate diet on body weight, body composition, and fat
distribution in older men and women: a randomized controlled trial.
American Medical Association, 164(2):210–217.
Haste, A., Adamson, A.J., McColl, E., Araujo-Soares, V., Bell, R. (2017).Web-
based weight loss intervention for men with type 2 diabetes: pilot
randomized controlled trial.JMIR Diabetes.2(2):e14
Jakicic, J. M., Wing, R. R., & Winters-Hart, C. (2002). Relationship of
physical activity to eating behaviors and weight loss in women. Medicine
and Science in Sports and Exercise, 34(10), 1653-9.
Jakicic, J.M., Tate, D.F., Lang, W., Davis, K.K., Polzien, K., Rickman,
A.D.(2012).
Effect ofa stepped-care intervention approach on weight loss in adults: a
randomized clinical trial. The Journal of the American Medical
Association, 307: 2617–2626.
Jahangiry, L., Shojaeizadeh, D., Abbasalizad Farhangi, M., Yaseri, M.,
Mohammad, K., Najafi, M., Montazeri, A.(2015).Interactive web-based
lifestyle intervention and metabolic syndrome: findings from the Red Ruby
(a randomized controlled trial) .Trials,21;16:418.
Long, J. D., Armstrong, M. L., Amos, E., Shriver, B., Roman-Shriver, C., Feng,
D.(2006).Blevins,M.Pilot using World Wide Web to prevent diabetes in
adolescents.Clinical Nursing Research,15(1), 67-79.
Martin, C.K., Miller, A.C., Thomas, D.M., Champagne, C.M., Han, H., Church, T.
(2015). Efficacy of SmartLoss, a smartphone-based weight loss intervention:
results from a randomized controlled trial. Obesity (Silver Spring) 2015
,23(5):935-942.
Must, A., Spandano, J., Coakley, E.H.(1999).The disease burdent associated
with overweight and obestiy.The Journal of the American Medical
Association, 282(16):1523–1529.
Melanson, K. J., Dell’Olio, J., Carpenter, M. R., &Angelopoulos, T. J. (2004).
Changes in multiple health outcomes at 12 and 24 weeks resulting from12
weeks of exercise counseling with or without dietary counseling in obese
adults. Nutrition,20(10), 849-856.
Nabel, E. G. (2003). Cardiovascular disease. The New England Journal of
Medicine, 349, 60-72.
Nieman, D.C., Brock, D.W., Butterworth, D.,Utter,A. C.,& Nieman, C. C.
(2002). Reducing diet and/or exercise training decreases the lipid and
lipoprotein risk factors of moderately obese women. Journal of the American
College of Nutrition, 21(4), 344-350.
Pronk, N.P., Boucher, J.L., Gehling, E., Boyle, R.G., Jeffery, R.W.(2002).A
platform for population-based weight management: description of a health
plan-basedintegrated systems approach. The American Journal of Managed
Care, 8(10):847-57.
Stiegler, P., Cunliffe, A. (2006).The role of diet and exercise for the
maintenance of fat-free mass and resting metabolic rate during weight
loss. Sports Medicine, 36(6):239–262.
Stephens, J.D., Yager, A.M., Allen, J. (2017).Smartphone technology and text
messaging for weight loss in young adults: a randomized controlled trial.
Journal of Cardiovascular Nursing,32(1):39-46.
Svetkey, L.P., Stevens, V.J., Brantley, P.J., Appel, L.J., Hollis, J.F.,
Loria, C.M.(2008). Comparison of strategies for sustaining weight loss:
the Weight Loss Maintenance Randomized Controlled Trial. The Journal of
the American Medical Association ,299: 1139–1148.
Spring, B., Duncan, J.M., Janke, E.A., Kozak, A.T., McFadden, H.G., DeMott,
A.(2012).Integrating technology into standard weight loss treatment: a
randomizedcontrolled trial. Archives of Internal Medicine American Medical
Association,10: 1–7.
White, M. A., Martin, P. D., Newton, R. L., Walden, H. M.,York-Crowe, E. E.,
Gordon, S. T., Williamson, D. A.(2004). Mediators of weight loss in a
family-based interventionpresented over the internet. Obesity Research,
12(7), 1050－1059.
Williamson, D. A., Walden, H. M., White, M. A., York-Crowe, E.,Newton, R. L.,
Jr., Alfonso, A., Ryan, D. (2006).Twoyear internet-based randomized
controlled trial for weight loss in African-American girls. Obesity
(Silver Spring), 14(7), 1231－1243.
Webber, K.H., Tate, D.F., Bowling, J.M. (2008).A randomized comparison of two
motivationally enhanced Internet behavioral weight loss programs.
Behaviour Research and Therapy,46:1090-1095