[ 摘要 ]

本研究目的為探討十週社區型負重式健走運動訓練對太魯閣族原住民第2型糖尿病患者健康狀況之影響。以自願參加之11位秀林鄉太魯閣族第2型糖尿病患者為研究對象(6位男性，5位女性)，平均年齡54.7 ± 13.5歲，利用漸進式中強度(最大心跳率50∼65%)之負重式健走運動介入，進行為期十週、每週5次、每次50分鐘的運動訓練計畫，並分別於運動介入前、後測量參與個案之身體組成、心跳、血壓、血糖及血脂肪等各項健康指標。所得資料以描述性統計、配對t檢定、皮爾森積差相關等統計方法進行分析。研究結果顯示：十週的社區型負重式健走運動介入前、後測顯著改善的健康指標包括：(1)身體組成指標（體重75.4 ± 15.2 kg vs. 72.2 ± 14.2 kg, p＜0.001、身體質量指數29.6 ± 4.5 kg/m2 vs. 28.4 ± 4.3 kg/m2, p＜0.001、體脂肪38.5 ± 10.0 % vs. 34.8 ± 8.1 %, p=0.019、腰圍99.4 ± 9.0 cm vs. 97.4 ± 8.0 cm, p=0.001）；(2)安靜時血壓（收縮壓137.5 ± 14.5 mm Hg vs. 122.2 ± 9.0 mm Hg, p=0.001、舒張壓85.6 ± 17.6 mm Hg vs. 75.5 ± 8.7 mm Hg, p=0.039）；(3)血糖（空腹血糖181.1 ± 46.1 mg/dl vs. 141.1 ± 19.3 mg/dl, p＜0.001、糖化血色素7.6 ± 0.9 % vs. 6.9 ± 0.7 %, p＜0.001）；(4)血脂肪（總膽固醇206 ± 21.4 mg/dl vs. 176.3 ± 25.3 mg/dl, p＜0.001、三酸甘油脂218 ± 99.5 mg/dl vs. 161.8 ± 91.2 mg/dl, p＜0.001、低密度脂蛋白膽固醇122.0 ± 22.6 mg/dl ± 100.5 ± 26.3mg/dl, p=0.039）。另外，在運動訓練期間，個案收縮壓(r= - 0.46, p＜0.001)、舒張壓(r= - 0.31, p＜0.001)及空腹血糖(r= - 0.32, p＜0.001)均與介入時間呈現負相關。本研究結論為：單純的負重式健走運動訓練，可以有效改善太魯閣族第2型糖尿病患者的身體組成、血壓、血糖和血脂肪的控制。



[ 英文摘要 ]

The purpose of this study was to investigate the effects of community based weight-bearing walking intervention on the health effects of Truku people with type 2 diabetes mellitus. Eleven voluntary Truku people with type 2 diabetes in Shou-Lin County were recruited as the subjects (6 male, 5 female, average aged 54.7 ± 13.5 yrs). Progressive moderate intensity (50∼65 % maximal heart rate) of walking with weight bearing, 5 times per week and 30∼50minutes per session, intervened for ten weeks. Health indicators such as body composition, heart rate, blood pressure, fasting blood glucose, and lipid profile were compared before and after intervention. Descriptive Statistics, paired t test, and Pearson product moment correlation were used to analyze the data. Results indicated:(1) body composition (weight 75.4 ± 15.2 kg vs. 72.2 ± 14.2 kg, p＜0.001; body mass index 29.6 ± 4.5 kg/m2 vs. 28.4 ± 4.3 kg/m2, p＜0.001; body fat 38.5 ± 10.0 % vs. 34.8 ± 8.1 %, p=0.019; waist 99.4 ± 9.0 cm vs. 97.4 ± 8.0 cm, p=0.001), (2) blood pressure (systolic blood pressure 137.5 ± 14.5 mm Hg vs. 122.2 ± 9.0 mm Hg, p=0.001; diastolic blood pressure 85.6 ± 17.6 mm Hg vs. 75.5 ± 8.7 mm Hg, p=0.039), (3) blood glucose (fasting blood glucose 181.1 ± 46.1 mg/dl vs. 141.1 ± 19.3 mg/dl, p＜0.001; glycosylated hemoglobin 7.6 ± 0.9 % and. 6.9 ± 0.7 %, p＜0.001), and (4) serum lipids (total cholesterol 206 ± 21.4 mg/dl and 176.3 ± 25.3 mg/dl, p＜0.001; triglyceride 218 ± 99.5 mg/dl and 161.8 ± 91.2 mg/dl, p＜0.001; low density lipoprotein cholesterol 122.0 ± 22.6 mg/dl and 100.5 ± 26.3 mg/dl, p=0.039) were significantly improved after intervention. The systolic blood pressure (r= - 0.46, p＜0.001), diastolic blood pressure (r= - 0.31, p＜0.001) and fasting blood sugar (r= - 0.32, p＜0.001) were shown significant negative correlation with the intervention time. Evidence drawn from this study confirmed that community based weight-bearing walking intervention was able to improve body composition, blood pressure, serum lipids and blood glucose control in Truku people with type 2 diabetes.