*中心館藏網址:http://tulips.ntu.edu.tw/record=b2222474*cht

[ 摘要 ]
中文摘 研究背景：台灣原住民婦女肥胖率高居全國第一位，而肥胖與心血管疾病、糖尿病、高血壓等慢性病的罹病率與死亡率有極大的正相關。肥胖者與非肥胖者對於營養相關因子是否有不同的看法，以及對於自我體型的不確定性和審美觀是否會影響控制體重的意願？ 研究方法：以橫斷研究法（cross-sectional study）來評估影響花蓮泰雅族中年婦女肥胖程度之相關因子，經由隨機取樣由花蓮縣某山地鄉之5個村落中選取A村及B村為研究地區，並針對30-64歲之中年婦女進行身高、體重的測量及結構性問卷訪談。 研究結果：三種不同肥胖定義下之肥胖分組情形有顯著的相關性，但肥胖率卻不相同，以身體質量指數所定義的肥胖者佔全部研究對象的65％，自認自我肥胖者只佔全部研究對象的35％，圖卡自認自我肥胖者佔全部研究對象的51％。以上的數據可以得知，研究對象趨於低估自己的肥胖度。此外，肥胖程度與高油脂飲食習慣、高油脂食物或點心之攝取頻率、高油脂與慢性病或食物之相關分數及肥胖與慢性病之相關分數的高低均沒有顯著的相關存在，但與減重動機有顯著的相關性。 結論：中年的原住民婦女對於常見之醫學及營養相關之知識及概念的認知程度普遍不高。因此，提高居民衛生教育常識是營造部落健康的基石。關鍵字：原住民、橫斷研究法、身體質量指數、肥胖

[ 英文摘要 ]
BACKGROUND: The prevalence rate of obesity for Taiwan aboriginal women is very high and obesity is highly correlated with the mortality and morbidity of cardiovascular disease, type 2 diabetes and hypertension. It is important to explore the differences in nutritional factors and body image between obese and non-obese women. SUBJECTS AND METHODS: The prevalence of obesity for Atayal women resided in Hualien county was assessed by a cross-sectional study. Body weight and height for 139 middle-aged women were measured and a structured questionnaire was performed by in-person interview for all participants. RESULT: Atayal women had a high prevalence of obesity, defining by body mass index (BMI), self-perception and body image pictures. There were significant relationships between any two of the criteria, however, the proportions of obese women defining by different criteria, were different. Approximately 65 % of Atayal women had a body mass index (BMI) greater then 26.4kg/m2. Thirty-five percent of the study subjects had obese concepts by themselves; and 51% of the study subjects had obese concepts by body image pictures. The motivation of losing weight in obese and non-obese subjects was significantly different. No statistically significant difference in nutritional factors between non-obese and obese subjects was observed. CONCLUSION: Reducing obese, especially in aboriginal women, defining the right combi- nation of foods/nutrients and health education, is presently imperative.Key words: aboriginal, cross-sectional study, body mass index, obese