臺灣博碩士論文加值系統

低碳水化合物飲食可以減輕體重、改善身體組成，而中等強度連續訓練或高強度間歇訓練可以改善心肺適能，但尚不清楚非生酮性低碳水化合物飲食結合中、高強度間歇訓練對代謝健康風險指標的效益。本研究目的是介入兩週非生酮性低碳水化合物飲食與中、高強度間歇訓練對於年輕男性的身體組成、血壓及血液生化值的影響。研究方法：17名具規律運動習慣 (VO2 peak : 44.6 ± 2 ml/kg/min) 的年輕男性 (年齡 : 22.9 ± 1.1歲，BMI : 23.2 ± 0.8 kg/m2)，參與者隨機分配到低碳水化合物飲食組 (low carbohydrate, LC) (n = 9；CHO : ~25%) 和正常碳水化合物飲食組 (normal carbohydrate, NC) (n = 8；CHO : ~55%)，兩組都介入為期兩週的相同中、高強度間歇訓練，在為期2週的介入前後測量身體組成、血壓及血液生化值。研究結果：在改善身體組成、血壓及血液生化值具顯著差異 (體脂率 : p = 0.011, 肌肉指數 : p = 0.013, 脂肪指數 : p = 0.015, 舒張壓 : p = 0.034, 三酸甘油酯 : p = 0.042)。而在腰臀圍比、收縮壓及其餘血液生化值 (總膽固醇、游離脂肪酸、低密度膽固醇脂肪酸和高密度膽固醇脂肪酸) 各組之間沒有顯著差異。即使低碳水化合物飲食明顯降低胰島素與胰島素阻抗指數 (homeostasis model assessment-insulin resistance index, HOMA-IR)，但這些變化與NC組之間沒有顯著差異。結論：短期低碳水化合物飲食顯示出各種身體參數的改善優於正常碳水化合物飲食。本研究證明，兩週的非生酮性低碳水化合物飲食結合中、高強度間歇訓練，可以改善年輕男性的代謝健康風險指標，包括胰島素阻抗趨近改變，並改善身體組成、降低舒張壓及三酸甘油酯。

The low-carbohydrate diet can reduce weight and improve body composition, while moderate-intensity continuous training or high-intensity interval training can improve cardiorespiratory fitness. However, the benefit of a non-ketogenic low-carbohydrate diet combined with moderate-high-intensity interval training on metabolic health risk biomarkers is unknown. The purpose of this study was to intervene in the effects of two weeks of a non-ketogenic low-carbohydrate diet and moderate-high-intensity interval training on body composition, blood pressure, and blood biochemical values in young men. Study methods: 17 young men (age: 22.9 ± 1.1 years, BMI: 23.2 ± 0.8 kg/m2) had regular exercise habits (VO2 peak : 44.6 ± 2 ml/kg/min), The participants were randomly assigned to low carbohydrate diet (LC) (n = 9; CHO: ~25%) and normal carbohydrate diet (NC) (n = 8; CHO: ~55%), both interventions the same moderate-high intensity interval training during two weeks, They’re body composition, blood pressure and blood biochemical values were measured before and after the 2 weeks intervention. The study results: There were significant differences in improving body composition, blood pressure and blood biochemical values (body fat percentage: p = 0.011, muscle index: p = 0.013, fat index: p = 0.015, diastolic blood pressure: p = 0.034, triglycerides: p = 0.042). There were insignificant between groups in waist-hip ratio, systolic blood pressure, and other blood biochemical values (total cholesterol, free fatty acid, low-density lipoprotein cholesterol, and high-density lipoprotein cholesterol). Even though the low-carbohydrate diet significantly reduced insulin and the homeostasis model assessment-insulin resistance index (HOMA-IR), these changes were insignificant compared with the NC group. Conclusions: Short-term low-carbohydrate diets shown improvements in various body parameters over normal carbohydrate diets. This study has been improved during two weeks of a non-ketogenic low-carbohydrate diet combined with moderate-high-intensity interval training resulted in near-changes in HOMA-IR, improved body composition, and reduced metabolic health risk biomarkers such as diastolic blood pressure and triglycerides in young mens.

摘 要 i
ABSTRACT ii
目 次 iv
表 次 vi
圖 次 vii
第一章 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 3
第四節 操作型定義 3
第二章 文獻探討 5
第一節 影響代謝健康之負面因子 5
第二節 不同飲食型態對代謝健康效益 7
第三節 運動對代謝健康效益 15
第四節 飲食結合運動對代謝健康效益 22
第三章 研究方法 29
第一節 參與者 29
第二節 實驗設計 29
第三節 飲食熱量計算 31
第四節 人體測量 32
第五節 最大攝氧峰值測試 32
第六節 運動介入 33
第七節 血液指標 33
第八節 統計分析 34
第四章 研究結果 35
第一節 研究參與者基本資料 35
第二節 飲食紀錄 37
第三節 身體組成 38
第四節 血壓 40
第五節 血液生化值 40
第五章 討論 42
第六章 結論與未來研究建議 47
參考文獻 48
中文部分 48
外文部分 48
附錄 54
附錄一 快刀中文相似度比對報告書 54
附錄二 原創性比對檢核表 55
附錄三 人體試驗核准證明 56

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