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題名：氣喘幼童心肺功能測試模式之建立
書刊名：大專體育學刊
作者：黎俊彥 引用關係／林俊宏 引用關係／朱斯鴻／謝錦城 引用關係
作者(外文)：Lee, Alex J. Y.／Lin, Chun-hong／Chu, Szu-hung／Hsieh, City C. C.
出版日期：2007
卷期：9:3
頁次：頁117-126
主題關鍵詞：最大攝氧量；最大呼吸交換率；踏車運動測試；Maximal oxygen uptake；Maximal respiratory exchange ratio；Cycle ergometer testing
原始連結：連回原系統網址new window
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  • 共同引用共同引用:11
  • 點閱點閱:43
本研究目的為建立一種適用於氣喘幼童的漸增負荷心肺功能測試模式。22 位經小兒科醫師臨床診斷為輕至中度氣喘幼童（男女各11 位，平均年齡為6.86歲）為受試對象，心肺功能測試是以電磁阻抗踏車測功器(SportsArt C5150)，搭配全自動能量代謝系統(COSMED K4 b2)，來量測氣喘幼童於漸增負荷運動中之心肺生理變化。測試時以負荷40瓦特(W)踏車2分鐘作為開始，之後每2分鐘增加8W運動負荷，踏車頻率設定為每分鐘40轉。結果顯示所有受試者對於此運動測試模式皆無不適感，且約有82%之受試者達到攝氧量高原穩定狀態(VO2 plateau)，也有77%受試者達到最大呼吸交換率(RERmax)≥1的標準，但只有50%的受試者到達最大運動心跳預估值。本研究驗證此漸增負荷運動測試模式可應用於評估氣喘幼童之心肺功能。
This study established the feasibility of an incremental maximum exercise protocol in asthmatic children. It investigated whether this protocol made it possible to satisfy the criteria for maximal exercise generally required in adults. Twenty-two asthmatic children (11 boys and 11 girls, mean age 6.86 years old) with clinically diagnosed mild to moderate asthma participated in this study. The incremental maximum exercise protocol was performed using a cycle ergometer with an electromagnetic braking (SportsArt C5150). Ventilation and gas exchanges were measured with a breath-by-breath automatic metabolic measurement system (COSMED K4 b2). The protocol was started at 40 watts for 2 minutes and stepwise increments of 8 watts every 2 minutes were applied. The pedaling frequency was set at 40 rpm. This protocol was found to be well tolerated by all asthmatic children. Most of the children reached the VO2 plateau (82%). A total of 77% of children satisfied the criteria for maximal respiratory exchange ratio (RERmax) of ≥1.0. Only 50% of children reached the predicted HRmax. It was concluded that this protocol was suitable for asthmatic children. Some of the criteria used for maximal exercise described in adults are rarely satisfying in children. Besides the clinical exhaustion, the best two criteria for assessing the maximality of the tests were the VO2 plateau and RERmax.
期刊論文
1.Counil, F. P.、Varray, A.、Matecki, S.、Beurey, A.、Marchal, P.、Voisin, M.、Prefaut, C.(2003)。Training of aerobic and anaerobic fitness in children with asthma。Journal of Pediatrics，142(2)，179-184。  new window
2.Van Veldhoven, N. H.、Vermeer, A.、Bogaard, J. M.、Hessels, M. G.、Wijnroks, L.、Colland, V. T.(2001)。Children with Asthma and Physical Exercise: Effects of an Exercise Programme。Clinical Rehabitilitation，15(4)，360-370。  new window
3.陳俊華、陳坤檸(20040200)。預估9-12歲男童最大攝氧量之研究。大專體育學刊，6(1)，263-273。new window  延伸查詢new window
4.Matsumoto, I.、Araki, H.、Tsuda, K.、Odajima, H.、Nishima, S.、Higaki, Y.、Tanaka, H.(1999)。Effects of swimming training on aerobic capacity and exercise induced bronchoconstriction in children with bronchial asthma。Thorax，54(3)，196-201。  new window
5.蔡櫻蘭、邱思慈(20060300)。10-11歲女童20公尺漸速來回跑測驗的信度和效度。大專體育學刊，8(1)，125-131。new window  延伸查詢new window
6.蘇玫尹、林嘉志、謝伸裕(20060600)。以下肢長度調整階高之登階測驗的效度與信度之分析。大專體育學刊，8(2)，87-94。new window  延伸查詢new window
7.McLaughlin, J. E.、King, G. A.、Howley, E. T.、Bassett, D. R., Jr.、Ainsworth, B. E.(2001)。Validation of the COSMED K4 b2 portable metabolic system。International Journal of Sports Medicine，22(4)，280-284。  new window
8.王宇涵、周峻忠、林信甫(20070300)。不同騎乘姿勢對原地腳踏車運動攝氧量與肌電圖反應之影響。大專體育學刊，9(1)，103-113。new window  延伸查詢new window
9.Armstrong, N., Kirby, B. J., McManus, A. M.,、Welsman, J. R.(1995)。Aerobic fitness of prepubescent children。Ann Hum Biol，22(5)，427-441。  new window
10.Armstrong, N.、Welsman, J. R.(1994)。Assessment and interpretation of aerobic fitness in children and adolescents。Exerc. Sport Sci. Rev.，22，435-476。  new window
11.Armstrong, N., Welsman, J. R.,、Winsley, R.(1996)。Is peak VO2 a maximal index of children's aerobic fitness。Int J Sports Med，17(5)，356-359。  new window
12.Armstrong, N.、Williams, J.、Balding, J.、Gentle, P.、Kirby, B.(1991)。The peak oxygen uptake of British children with reference to age, sex and sexual maturity。European Journal of Applied Physiology and Occupati Physiology，62(5)，369-375。  new window
13.Buchfuhrer, M. J., Hansen, J. E., Robinson, T. E., Sue, D. Y., Wasserman, K.,、Whipp, B. J.(1983)。Optimizing the exercise protocol for cardiopulmonary assessment。J Appl Physiol，55(5)，1558-1564。  new window
14.Cooper, D. M.(1995)。Rethinking exercise testing in children: A challenge。Am J Respir Crit Care Med，152(4, Pt. 1)，1154-1157。  new window
15.Karila, C., de Blic, J., Waernessyckle, S., Benoist, M. R.,、Scheinmann, P.(2001)。Cardiopulmonary exercise testing in children: An individualized protocol for workload increase。Chest，120(1)，81-87。  new window
16.Lang, D. M., Butz, A. M., Duggan, A. K.,、Serw int, J. R.(2004)。Physical activity in urban school-aged children with asthma。Pediatrics，113(4)，341-346。  new window
17.Myers, J.,、Bellin, D.(2000)。Ramp exercise protocols for clinical and cardiopulmonary exercise testing。Sports Med，30(1)，23-29。  new window
18.Neder, J. A., Nery, L. E., Silva, A. C., Cabr al, A. L.,、Fernandes, A. L.(1999)。Short-termeffects of aerobic training in the clinical management of moderate to severe asthma inchildren。Thorax，54(3)，202-206。  new window
19.Pianosi, P. T.,、Davis, H. S.(2004)。Determinants of physical fitness in children with asthma。Pediatrics，113(3, Pt. 1)，225-229。  new window
20.Rowland, T., Goff, D., Martel , L.,、Ferrone, L.(2000)。Influence of cardiac functional capacity on gender differences in maximal oxygen uptake in children。Chest，117(3)，629-635。  new window
21.Rowland, T. W., Lee, N.,、Cunningham, D.(1997)。Developement of ventilatory responses to exercise in normal white children。Chest，111(2)，327-332。  new window
22.Rowland, T. W., Staab, J. S., Unnithan, V. B ., Rambusch, J. M.,、Siconolfi, S. F.(1990)。Mechanical efficiency during cycling in prepubertal and adult males。Int J Sports Med，11(6)，452-455。  new window
23.van Veldhoven, N. H., Wijnroks, L., Bogaard, J. M.,、Vermeer, A.(2000)。Effects of an exercise program (PEP) for children w ith asthma: Results of a pilot study。Pediatr Exerc Sci，12，244-257。  new window
24.Welsh, L.、Kemp, J. G.、Roberts, R. G.(2005)。Effects of physical conditioning on children and adolescents with asthma。Sports Medicien，35(2)，127-141。  new window
25.Welsman, J. R.,、Armstrong, N.(1996)。The measurement and interpretation of aerobic fitness in children: Current issues。J R Soc Med，89(5)，281-285。  new window
圖書
1.American College of Sports Medicine(2000)。ACSM's guidelines for exercise testing and prescription。Lippincott Williams & Wilkins: Wolters Kluwer company。  new window
 
 
 
 
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