研究背景：近年由於科技的進步，隨身應用軟件的發達，隨身手機應用程式 ( application, APP ) 能夠同步測量、紀錄與上傳，並提醒使用者之自我監控方式。藉由智慧型體重管理技術施以反饋，對於使用者之體重控制及生活型態的行為介入，均為熱門之研究課題。研究目的：本研究探討智能體重健康方案對於都會區職場員工之體重控制、自我健康重視、與健康體適能的影響。研究方法：以台北市83名白領職工為受試者，藉由智慧體重計自動藍芽上傳並記錄個人體重數值，並藉由智慧手機APP應用程式推播體重量測提醒，進行智能體重健康方案介入，執行時間計3個月，介入結束前後執行健康自覺問卷、體重、體脂肪、及健康體適能檢測。統計分析採相依樣本t檢定 ( paired-sample t test )。結果：受試者介入智能體重方案三個月後，職工之體重與體脂肪比率均呈現有統計意義的降低 ( p < 0.05 )；同時有效增加有氧體適能力60秒內仰臥起坐之次數 ( p < 0.01 )。於健康促進動機方面，受試者量測體重之自主頻率，較方案介入前顯著增加1.53倍( p < 0.01 ) 。然而，於自我身心健康重視度及身心健康滿意度之自評則無明顯成效或改變。結論：本研究證實於職場結合智能體重計與手機APP推播體重量測提醒，可有效降低都會區職場員工之體重與體脂肪數值、提升健康有氧體適能、與自主量測體重之動機與行為。

Background: In recent years, due to advances in technology and the development of portable applications, mobile applications can simultaneously measure, record and upload, and remind users of their self-monitoring methods. Feedback from intelligent weight management techniques is a popular research topic for users' weight control and lifestyle behavioral interventions. Purpose: This study is aimed to clarify the effects of weight management, self-health consideration, and physical fitness in metropolitan area workers. Methods: The 83 white-collar subjects working in Taipei were included, and the numbers of body weight were recorded by intelligence weight machine and uploaded by Bluetooth automatically. The intelligence health intervention program was performed for 3 months of weight measurement push notification by smart phone APP. After that, we collected the numbers of body weight, body fat, and physical fitness parameters. The questionnaire was also involved in the study. The paired-sample t test was used to statistical analysis. Results: The body weight and body fat composition were significantly decreased ( p < 0.05 ) , and the aerobic ability was markedly increased ( p < 0.01 ) in these participated workers. In the aspect of health promotion motivation, the frequency of independent body weight measurement was significantly increased about 1.53 folds ( p < 0.01 ), compared to control. However, there was no statistical difference of self-health awareness and health satisfactory. Conclusions: These results supported that the intelligence weight control program in workplace could effectively decrease the body weight and body fat, enhance aerobic fitness, and the frequency of independent body weight measurement of employee in metropolitan.

學位考試審定書 ii
中文摘要 iii
Abstract v
謝誌 vii
表目錄 x
圖目錄 xi
第壹章 緒論 1
第一節 研究背景 1
第二節 研究目的 3
第三節 研究範圍與限制 4
第貳章 文獻探討 5
第一節 職場健康體適能 5
第二節 自我監控模式 6
第三節 健康促進以智能方案追蹤之介入 7
第參章 研究方法 9
第一節 研究對象 9
第二節 實驗流程 9
第三節 檢測方法 23
第四節 統計分析 25
第肆章 結果 26
第伍章 討論 32
第陸章 結論與建議 35
參考文獻 36
中文參考文獻 36
英文參考文獻 37


表目錄

表1健康生活型態與健康認知問卷 11
表2受試者基本資料 26
表3受試者體重與體脂肪實驗前測與後測比較表 27
表4受試者60秒仰臥起坐實驗前測與後測比較表 29
表5自我身心健康自評前測與後測比較表 30

 
圖目錄

圖1 實驗流程圖 10
圖2 智能體重計與APP樣式 23
圖3 體重檢測 27
圖4 體脂肪檢測 28
圖5 體適能檢測-60秒仰臥起坐 29
圖6 量測體重頻率 30
圖7 自我身心健康重視度 31
圖8 自我身心健康滿意度 31

中文參考文獻

王姿云 (2016)。身體意象與體重控制行為意圖之相關研究－以高雄市鹽埕國中為實證分析 (未出版之碩士論文) 。樹德科技大學，高雄市。
行政院 (2017)。行政院主計處106年統計年報。取自：https://www.dgbas.gov.tw/fp.asp?xItem=41855&ctNode=3102
行政院教育部體育署 (2017)。千里馬運科選才計畫實務作業手冊。臺北市：臺北市立大學。
行政院衛生署國民健康局 (2016)。健康生活動起來手冊＿企業篇。取自：https://www.hpa.gov.tw/Pages/ashx/File.ashx?FilePath=~/File/ Attach/6631/File_6226.pdf
林光常 (2011)。台灣地區體重過重與肥胖成人之體重控制行為及其相關因素 (未出版之碩士論文) 。玄奘大學，新竹市。
林昱潔 (2008)。身體意象、認知體重過重與體重管理行為之結構分析 (未出版之碩士論文) 。台灣大學，台北市。
柯青榆 (2018)。新北市某行政區國小六年級學童身體意象與體重控制行為之研究 (未出版之碩士論文) 。台灣師範大學，台北市。
洪沛琳、賴鈺嘉、楊鈺雯、張倖綺、林益卿 (2008) 。某醫院健康促進計畫對其員工體適能變化之初探。台灣家庭醫學雜誌，18(3) ，159-169
范國棟、李蘭 (2008)。台灣公共衛生雜誌，27(4)。 doi:10.6288/TJPH2008-27-04-01
葛新路 (2012)。醫院員工接受體重管理計畫介入之成效研究 (未出版之碩士論文) 。臺灣師範大學，台北市。


英文參考文獻

Burke, L.E., Styn, M.A., Glanz, K.E., Ewing, L.J., Elci, O.U., Conroy, M.B.,&Sevick, M.A. (2009). SMART trial: A randomized clinical trial of self-monitoring in behavioral weight management-design and baseline findings. Contemporary Clinical Trials, 30(6), 540-551.doi: 10.1016/j.cct.2009.07.003.
Burke, L.E., Wang, J.,&Servick, MA. (2011). Self-monitoring in weight loss: A systematic review of the literature. Journal of the American Dietetic Association, 111(1), 92-102. doi: 10.1016/j.jada.2010.10.008.
Colley, R.C., Hills, A.P., King, N.A.,& Byrne, N.M. (2010). Exercise-induced energy expenditure: implications for exercise prescription and obesity. Patient Education and Counseling, 79(3), 327-332. doi: 10.1016/j.pec.2010.03.001. Epub 2010 Apr. 13.
Huang, D.H., Wei. L.M.,& Chiu, S.I. (2013). Body Image of Adolescents in Taiwan. Frontiers in Psychological and Behavioral Science, 2(1), 23-30.
Hunter, C.M., Peterson, A.L., Alvarez, L.M., Poston, W.C., Brundige, A.R., …Foreyt, J.P. (2008). Weight management using the internet a randomized controlled trial. American Journal of Preventive Medicine, 34(2), 119-126. doi: 10.1016/j.amepre.2007.09.026.
Karteroliotis, K. (2008). Validation of the physical self-perception profile among college students. Journal of Education and Human Development, 2(1).
Kim, B.M., Lee, B.E., Park, H.S., Kim, Y.J., Suh Y.J., …Ha, E.H. (2016). Long working hours and overweight and obesity in working adults. Annals of Occupational and Environmental Medicine, 28(1), 36-37. doi: 10.1186/s40557-016-0110-7. eCollection 2016.
Kim,Y., Pike, J., Adams, H., Cross, D., Doyle, C.,&Foreyt, J. (2010). Telephone intervention promoting weight-related health behaviors.Preventive Medicine,50(3), 112-117. doi: 10.1016/j.ypmed.2009.12.008.
Leahey, T.M., Xu, X., Unick, J.L., &Wing, R.R. (2014). A preliminary investigation of the role of self-control in behavioral weight loss treatment. Obesity Research and Clinical Practice, 8(2), e115-e200. doi: 10.1016/j.orcp.2012.12.005.
McDoniel, S.O., Wolskee, P., &Shen, J. (2010). Treating obesity with a novel hand-held device, computer software program, and Internet technology in primary care: the SMART motivational trial. Patient Education and Counseling, 79(2), 185-191. doi: 10.1016/j.pec.2009.07.034. Epub 2009 Aug. 20.
Pender, N. J., Murdaugh, C. L.,& Parsons, M. A. (2015). Health promotion in nursing practice (7th edition). London, England: Pearson.
Tabak, R.G., Strickland, J.R., Stein, R.I., Dart, H., Colditz, G.A., …Evanoff, B.A. (2018). Development of a scalable weight loss intervention for low-income workers through adaptation of interactive obesity treatment approach (iOTA).BMC Public Health, 18(1), 1265-1266. doi: 10.1186/s12889-018-6176-0.
Tsai, A.C., Sandretto, A.,& Chung, Y.C. (2003). Dieting is more effective in reducing weight, but exercise is more effective in reducing fat during the early phase of a weight-reducing program in healthy humans.The Journal of Nutritional Biochemistry, 14(9), 541-549.
Wolfenden, L., Goldman, S., Stacey, F.G., Grady, A., Kingsland, M., Williams, C.M.,…Yoong, S.L. (2018). Strategies to improve the implementation of workplace-based policies or practices targeting tobacco, alcohol, diet, physical activity and obesity.Cochrane Database of Systematic Reviews, 11-12. doi: 10.1002/14651858.CD012439.
World Health Organization (‎2009)‎. Global health risks: mortality and burden of disease attributable to selected major risks. Retrieved fromhttps://apps.who.int/iris/bitstream/handle/10665/44203/9789241563871_eng.pdf?sequence=1&isAllowed=y.
Xu, X., Mellor, D., Kiehne, M.,Ricciadelli, L.A., McCabe, M.P.,&Xu, Y. (2010). Body dissatisfaction, engagement in body change behaviors and sociocultural influences on body image among Chinese adolescents. Body Image, 7(2), 156-164. doi: 10.1016/j.bodyim.2009.11.003.
Yarborough, C.M., Brethauer, S., Burton, W.N., Fabius, R.J., Hymel, P., … Ording J. (2018) Obesity in the Workplace: Impact, Outcomes, and Recommendations. Journal of Occupational and Environmental Medicine, 60(1), 97-107. doi: 10.1097/JOM.0000000000001220.