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題名：不同比例負能量平衡監控介入對年輕肥胖女性體適能及心臟血液動力學的影響
作者：詹美玲 引用關係
作者(外文)：Chan, Mei-Ling
校院名稱：國立臺灣師範大學
系所名稱：體育學系
指導教授：方進隆
學位類別：博士
出版日期：2017
主題關鍵詞：肥胖；心輸出量；心搏出量；心室射血分數；能量平衡；Obesity；Cardiac Output；Stroke Volume；Ventricular Ejection；Energy Balance
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肥胖者較易導致心血管疾病和體適能不佳，而增加身體活動量和減少能量攝取是控制體重之原則，過去研究中，罕見以不同運動及飲食比例之負能量平衡監控系統來控制體重。目的：本研究主要在探討十二週不同負能量平衡比例監控介入對年輕肥胖女性身體適能及心臟血液動力學的影響。方法：本研究招募53位健康年輕肥胖女性(平均年齡21.74±1.8；BMI29.8±2.7)，隨機分派為：熱量限制監控組(CRM，100%飲食負平衡)、身體活動監控組(PAM，100%身體活動負平衡)、熱量限制及身體活動監控組(50% CRM + 50% PAM負平衡, CPM)三組實驗組及控制組(CG，不予控制)等四組；其中CRM, PAM, CPM三組實驗組進行12週介入，每週減重0.5公斤，並在第0(第1階段)、7(第2階段), 13(第3階段)週，進行體適能及心臟血液動力學評估；所收集資料統計方法以Two-Way Mixed ANCOVA、Repeat t test、One-Way ANOVA進行各項分析比較(α=.05)；結果：一、階段與群組差異：體重(W)、身體質量指數(BMI)、體脂肪%(FAT%)、腰圍(WC)、臀圍(HC)、3分鐘登階耐力指數(EI)等參數參數，明顯在第3階段優於CG組；二、前後差異：1. 身體組成參數：W, BMI、除脂肪量(FFM), W, HC在CRM, PAM, CPM三組; FAT%在PAM, CPM兩組; WHR在CG, CPM組介入後顯著改善； 2.體能參數：6分鐘走路距離(WD_6min)在CRM, PAM, CPM三組; 立定跳遠(LJ)、EI在CRM, CPM組;CU60s在PAM, CPM組介入後有明顯增加； 3.心臟血液動力學參數：第1-3階段在心搏出量(SV)、心搏指數(SVI)、收縮末期容積(ESV)、射血分數(EF%)僅在PAM組、第2-3階段SV, SVI僅在PAM組有明顯進步。三、前後變化量差異：1.身體組成變化量(Difference, _D)參數：W_D, BMI_D, FAT%_D, WC_D, HC_D等參數變化量在CRM, PAM, CPM三實驗組；腰臀圍比例(WHR_D)在CPM組皆明顯優於CG組；2. 體能變化量：CU60s_D在PAM組；EI_D在CRM, CPM組；WD_6min_D在CRM, PAM, CPM三組均明顯優於CG組。結論：十二週不同比例之身體活動及飲食負平衡監控介入皆能改善體適能，但只有PAM組顯著改善心臟血液動力學，於減重過程中，提高身體活動量較能改善心臟功能。
Obesity is likely to lead to cardiovascular disease and poor physical fitness (PF), and increase physical activity (PA) and reduce energy intake are the principles of weight control. However, few previous study designing negative energy balance monitoring system to control body weight and observe the cardiovascular performance. OBJECTIVE: This study was to investigate the effects of 12-week different proportion of negative energy balance monitoring interventions on PF and cardiac hemodynamic in young obese women. METHODS: The 53 healthy young obese women (mean age 21.72 ± 1.78; BMI 29.61 ± 3.42) were recruited and randomly assigned to the Calories Restriction Monitor (CRM, 100% diet negative balance), the PA Monitor (PAM, 100% PA negative balance), the Calorie Restriction and PA Monitor (50% CRM + 50% PAM negative balance, CPM) and control group (CG). The CRM, PAM, CPM experimental groups were undergone 12-week intervention with 0.5 kg weight loss per week. The PF and cardiac hemodynamic variables of all the subjects were assessed at week 0 (stage 1), 7 (stage 2) and 13 (stage 3). All the collected data collected were analyzed with Two-Way Mixed ANCOVA, Repeat t test and One-Way ANOVA. RESULTS: 1. Stage and group differences: In stage 3, Weight(W), Body Mass Index(BMI), Fat%, Waist Circumference(WC), Hip Circumference (HC), Endurance Index (EI) of CPM group was significantly better than that of CG. 2. Before and after difference: (1) Body composition: The W, BMI, Fat Free Mass(FFM) and Waist Circumference(WC), HC of CRM, PAM, CPM groups; the Fat% of PAM and CPM groups; and the Waist-Hip Ratio(WHR) of CG and CPM groups all improved significantly after intervention. (2) Physical Ability: The 6-minute walking distance (WD_6min) of CRM, PAM, CPM groups; Long Jump (LJ), EI of CRM and CPM groups; the Curl Ups for 60 seconds (CU60s) of PAM and CPM groups all had improved significantly after intervention. (3) The Cardiac Hemodynamics: The Stroke Volume (SV), Stroke Volume Index (SVI), End Systolic Volume, Left ventricle Ejection Fraction% of PAM group in 1-3 stage; and the SV, SVI of PAM group in 2-3 stage were all improved significantly. 3. Difference volume change (_D)before and after intervention: (1) Body Composition: The W_D, BMI_D, FAT% _D, WC_D, HC_D of CRM, PAM, CPM groups; the Waist-hip Ratio_D (WHR_D) of CPM were all significantly higher than that of CG group. (2) Physical Ability: The CU60s_D of PAM group; the EI_D of CRM, CPM groups; the WD_6min_D of CRM, PAM, CPM groups were all significantly better than that CG group. CONCLUSION: Most of the PF and body composition of 3 experimental groups with different proportion of same negative energy balance were improved after 12-week intervention. However, Only the PAM group had showed the positive effects on cardiac hemodynamic functions, more physical activity may require for better the cardiac dynamic function during weight loss program.
方進隆 (民103)。運動處方 (Vol. 1)，台北市：華督文化事業有限公司。
王英麗、劉華平、趙紅、陳傳 (民99)。有氧運動干預對北京某社區中老年超重/肥胖女性體重控制的效果。中國醫學科學院學報, 32(1), 29-31.。
朱嘉華、潘倩玉 (民100)。十二週耐力運動訓練對肥胖大學生動脈硬化程度之影響。屏東教大運動科學學刊, 7, 23-36。new window
林偉嘉 (民103)。飲食調整與有氧運動介入於過重青少年體重管理之成效 (未出版之碩士論文)。輔英科技大學，高雄市。
洪素鶯、簡辰霖、黃玨蓉、陳健智(民101)。心血管與肺部物理治療臨床手冊。台北市：台灣愛思唯爾有限公司。
張秦松、吳至行、張尹凡、吳坤陵、張智仁 (民92)。極低熱量飲食在肥胖治療上的角色。台灣家醫誌, 13, 1-16。
陳業鵬、謝禮全、林楨智、羅秉漢、張坤正、洪瑞松 (民98)。心電圖與心臟超音波診斷左心室肥厚的相關性。內科學誌, 20, 99-105。
黃羽彤 (民104)。有氧運動與營養教育介入對大學過重女學生減重及體適能之影響 (未出版之碩士論文)。義守大學，高雄市。
黃秋鍠 (民103)。14週健走運動介入與飲食習慣對國小肥胖學生健康體適能及血液生化值之影響 (未出版之碩士論文)。亞洲大學，台中市。
楊文仁、陳玉梅 (民101)。網路生理量測體重控制計畫效果研究－以某科技大學教職員生為例。健康促進暨衛生教育雜誌，34, 35-60。new window
詹美玲、孟範武、張世聰、曹健仲 (民95)。Microsoft Excel函數在體重控制系統的應用－每日飲食熱量攝取評估。嘉大體育健康休閒期刊, 5, 169-184。new window
蔡政霖、郭堉忻、林正常 (民103)。動態核心運動對呼吸肌訓練效果之探討。中華體育季刊, 28(4), 277-286。new window
衛生署福利部國民健康署 (民104)。BMI 測試 from http://health99.hpa.gov.tw/OnlinkHealth/Onlink_BMI.aspx.
Abdelaal, A. A., & Mohamad, M. A. (2015). Obesity indices and haemodynamic response to exercise in obese diabetic hypertensive patients: Randomized controlled trial. Obesity Research & Clinical Practice, 9(5), 475-486.
Abel, E. D., Litwin, S. E., & Sweeney, G. (2008). Cardiac remodeling in obesity. Physiological Reviews, 88, 389-419.
ACSM. (2006). ACSM'S Resource Manual for Guidelines for Exercise Testing and Prescription. FIFTH EDITION. New York: Lippincott Williams & Wilking.
Alpert, M. A., Omran, J., Mehra, A., & Ardhanari, S. (2014). Impact of Obesity and Weight Loss on Cardiac Performance and Morphology in Adults. Progress in Cardiovascular Diseases, 56(4), 391-400.
American Thoracic Society, ATS. (2002). ATS Statement: Guidelines for the Six-Minute Walk Test. American Journal of Respiratory and Critical Care Medicine, 166, 111-117.
Avelar, E., Cloward, T. V., & Walker, J. M. (2007). Left ventricular hypertrophy in severe obesity: interactions among blood pressure, nocturnal hypoxemia, and body mass. Hypertension, 49, 34-39.
Bombelli, M., Facchetti, R., Sega, R., Carugo, S., Fodri, D., Brambilla, G., . . . Mancia, G. (2011). Impact of body mass index and waist circumference on the long-term risk of diabetes mellitus, hypertension, and cardiac organ damage. Hypertension, 58, 1029-1035.
Brown, C. D., Higgins, M., Donato, K. A., Rohde, F. C., Garrison, R., Obarzanek, E., . . . Horan, M. (2000). Body mass index and the prevalence of hypertension and dyslipidemia. Obesity Research, 8, 605-619.
Cavuoto, L. A., & Maikala, R. V. (2016). Obesity and the Role of Short Duration Submaximal Work on Cardiovascular and Cerebral Hemodynamics. PLOS ONE, 1-14.
Cohen, J. B., & Cohen, D. L. (2015). Cardiovascular and Renal Effects of Weight Reduction in Obesity and the Metabolic Syndrome. Current Hypertension Reports, 17(5), 1-13.
Dannecker, K. L., Sazonova, N. A., Melanson, E. L., Sazonov, E. S., & Browning, R. C. (2013). A Comparison of Energy Expenditure Estimation of Several Physical Activity Monitors. Medicine & Science in Sports & Exercise, 45(11), 2105-2112.
David, G. L., Emmeline, R., Bertrand, O. F., Pierre, V., Olivier, C & Poirier., Paul. (2015). Obesity and Coronary Artery Disease: Evaluation and Treatment. Canadian Journal of Cardiology, 31, 184-194.
Despr, J. P., & Faha, F. (2015). Obesity and Cardiovascular Disease: Weight Loss Is Not the Only Target. Canadian Journal of Cardiology 31 (2015) 216e222, 31, 216-222.
Dipla, K., Kousoula, D., Zafeiridis, A., Karatrantou, K., Nikolaidis, M. G., Kyparos, A., . . . Vrabas, I. S. (2016). Exaggerated haemodynamic and neural responses to involuntary contractions induced by whole-body vibration in normotensive obese versus lean women. Exp Physiol, 101(6), 717-730.
Divitiis, O., Fazio, S., Petitto, M., Maddalena, G., Contaldo, F., & Mancini, M. (1981). Obesity and cardiac function. Circulation, 64(3), 477-482.
Donnelly, J. E., Blair, S. N., & Jakicic, J. M. (2009). Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. Medicine & Science in Sports & Exercise, 41, 459-471.
Eiman, J., Schutter, A. D., & Lavie, C. J. (2014). The relationship between obesity and coronary artery disease. Translational Research, 164(4), 336-344.
Fournier, S. B., Reger, B. L., Donley, D. A., Bonner, D. E., Warden, B. E., Wissam, G., & Chantler, P. D. (2014). Exercise reveals impairments in left ventricular systolic function in patients with metabolic syndrome. Experimental Physiology, 99(1), 149-163.
Gow, M. L., Doorn, N., Broderick, C. R., Hardy, L. L., Ho, M., Baur, L. A., & Garnett, S.P. (2016). Sustained improvements in fitness and exercise tolerance in obese adolescents after a 12 week exercise intervention. Obesity Research & Clinical Practice, 10(2), 178-188.
Harris, J., & Benedict, F. A. (1919). biometric study of basal metabolism in man. Washington D.C.
Haskell, W. L., Lee, I. M., & Pate, R. R. (2007). Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Medicine & Science in Sports & Exercise, 39, 1423-1434.
Heffernan, K. S., Fahs, C. A., Iwamoto, G. A., Jae, S. Y., Wilund, K. R., & Woods, J. A. (2009). Resistance exercise training reduces central blood pressure and improves microvascular function in African American and white men. Atherosclerosis, 207(1), 220-226.
Iwona, M., AnetA, Z., MAriAn, J., MichAł, Z., & MirosłAw, J. (2016). Programmed body weight loss in morbidly obese women and its influence on general physical fitness, knee status and every day life activity. Polish Journal of Public Health, 126(2), 88-90.
Jinko, S., Sayaka, O., Hirokazu, G., Shinobu, I., Fumie, I., Norihiko, T., & Keiichi, H. (2009). Effects of mild calorie restriction and high-intensity interval walking in middle-aged and older overweight Japanese. Experimental Gerontology, 44, 666-675.
Kingsley, J. D., & Figueroa, A. (2012). Effects of resistance exercise training on resting and post-exercise forearm blood flow and wave reflection in overweight and obese women. Journal of Human Hypertension, 26, 684-690.
Kuch, B., Hense, H. W., Greiling, B., Döring A., Muscholl, M., Bröckel, U., & Schunkert, H. (2000). Body composition of left ventricular hypertrophy. Circulation, 102, 405-410.
Lavie, C. J., Milani, R. V., & Ventura, H. O. (2009). Obesity and Cardiovascular Disease-Risk Factor, Paradox, and Impact of Weight Loss. Journal of the American College of Cardiology, 53(20), 1925-1932.
Lee, Gona, P., Vasan, R. S., Larson, M. G., Benjamin, E. J., Wang, T. J., & Levy, D. (2009). Relation of disease pathogenesis and risk factors to heart failure with preserved or reduced ejection fraction: insights from the framingham heart study of the national heart, lung, and blood institute. Circulation, 119, 3070-3077.
Lepretre, P. M., Carl, F., Koralsztein, J. P., & Billat, V. L. (2005). Heart Rate Deflection Point as a Strategy to Defend Stroke Volume during Incremental Exercise. Journal of Applied Physiology, 98, 1660-1665.
Levick, J. R. (2010). Cardiovascular Physiology: HODDER ARNOLD.
Licata, G., Scaglione, R., Barbagallo, M., Parrinello, G., Capuana, G., & Lipari, R. (1991). Effect of obesity on left ventricular function studied by radionuclide angiocardiography. International Journal of Obesity, 15(4), 295-302.
Marzena, C., Anna, S., Micha, H., & Krzyszt, N., (2013). Impact of obesity on cardiovascular health. Best Practice & Research Clinical Endocrinology & Metabolism, 27, 147-156.
Mathew, B., Francis, L, Kayalar, A., & Cone, J. (2008). Obesity: effects on cardiovascular disease and its diagnosis. The Journal of the American Board of Family Medicine, 21(6), 562-568.
Milsom, V. A., Malcolm, R. J., Johnson, G. C., Pechon, S. M., Gray, K. M., Karen, M. K., & O'Neil, P. M. (2014). Changes in cardiovascular risk factors with participation in a 12-week weight loss trial using a commercial format. Eating Behaviors, 15, 68-71.
Monique, M., Michalleta, A. S., Claudine, P., Patrick, L., Bernard, W., & Patrice, F., (2014). Exercise training improves breathing strategy and performance during the six-minute walk test in obese adolescents Respiratory Physiology & Neurobiology, 200, 18-24.new window
Natori, S., Lai, S., & Finn, J. P. (2006). Cardiovascular function in multi-ethnic study of atherosclerosis: normal values by age, sex, and ethnicity. American Journal of Roentagenology, 186, 357-365.
Nguyen-Duy, T. B., Nichaman, M. Z., Church, T. S., Blair, S, N.,, & Ross, R. (2003). Visceral fat and liver fat are independent predictors of metabolic risk factors in men. American Journal of Physiology Endocrinology and Metabolism, 284, E1065-1071.
Nichols, W. W. (2005). Clinical measurement of arterial stiffness obtained from noninvasive pressure waveforms. American Journal Hypertension 18(1-2), 3S-10S.
Palatini, P., Saladini, F., Mos, L., Benetti, E., Bortolazzi, A., Cozzio, S., & Casiglia, E. (2012). Obesity is a strong determinant of hypertensive target organ damage in young-to-middle-age patients. The International Journal of Obesity, 37(2), 224-229.
Powell, B. D., Redfield, M. M., Bybee, K. A., Freeman, W. K., & Rihal, C. S. (2006). Association of obesity with left ventricular remodeling and diastolic dysfunction in patients without coronary artery disease. American Journal of Cardiology, 98, 116-120.
Rader, D. J. (2007). Effect of insulin resistance, dyslipidemia, and intraabdominal adiposity on the development of cardiovascular disease and diabetes mellitus. American Journal of Medicine, 120, S12-18.
Rizza, W., Veronese, N., & Fontana, L. (2014). What are the roles of calorie restriction and diet quality in promoting healthy longevity? Ageing Research Reviews, 13, 38-45.
Rocha, S., Camacho, & Vasconcelos. (2015). Effects of long-term resistance training on obesity indicators: a systematic review. RBCDH Long term resistance training on obesity, 621-634.
Sabine, F., Marcus, F., Christina, S., Gerd, S., Thomas, L., Claas, L., & Baessler, A. (2015). Successful Weight Reduction Improves Left Ventricular Diastolic Function and Physical Performance in Severe Obesity. International Heart Journal, 56(2), 196-202.
Siebert, J., Zielińska, D., Trzeciak, B., & Bakuła, S. (2011). Haemodynamic response during exercise testing in patients with coronary artery disease undergoing a cardiac rehabilitation programme. Biology of Sport, 28, 189-193.
Sitia, S., Tomasoni, L., Atzeni, F., Ambrosio, G., Cordiano, C., Catapano, A., & Turiel, M. (2010). From endothelial dysfunction to atherosclerosis. Autoimmunity Reviews, 9(12), 830-834.
Strasser, B., Arvandi, M., Pasha, E. P., Haley, A. P., Stanforth, P., & Tanaka, H. (2015). Abdominal obesity is associated with arterial stiffness in middle-aged adults. Nutrition, Metabolism & Cardiovascular Diseases, 25, 495-502.
Swift, D. L., Johannsen, N. M., Lavie, C. J., Earnest, C. P., & Church, T. S. (2014). The Role of Exercise and Physical Activity in Weight Loss and Maintenance. Progress in Cardiovascular Diseases, 56, 441-447.
Todd, M., Lavie, C. J., & White, C. J. (2008). Impact of obesity on the pathogenesis and prognosis of coronary heart disease. Journal Cardiometab Syndrome, 3, 162-167.
Turkbey, E. B., McClelland, R. L., Kronmal, R. A., Burke, G. L., Bild, D. E., Tracy, R. P., & Bluemke, D. A. (2010). The impact of obesity on the left ventricle; the multi-ethnic study of atherosclerosis (MESA). Journal of the American College of Cardiology Cardiovascular Imaging, 3, 266-274.
Utz, W., Engeli, S., Haufe, S., Kast, P., Böhnke, J., Haas, V., & Schulz, M. J. (2013). Moderate dietary weight loss reduces myocardial steatosis in obese and overweight women. International Journal of Cardiology, 167, 905-909.
Walter, R. T., Neil, F. G., & Linda, S. P. (2010). ACSM's Guidelines for Exercise Testing and Prescription 8th edition.
Wofford, M. R., & Hall, J. E. (2004). Pathophysiology and treatment of obesity hypertension. Current Pharmaceutical Design, 10, 3621-3637.
Wong, C., & Marwick, T. H. (2007). Obesity cardiomyopathy: pathogenesis and pathophysiology. 2007;4:436-443. Nature Clinical Practice Cardiovascular Medicine, 4, 436-443.
Yamada, Y., Colman, R. J., Kemnitz, J. W., Baum, S. T., Anderson, R. M., Weindruch, R., & Schoeller, D. A. (2013). Long-term calorie restriction decreases metabolic cost of movement and prevents decrease of physical activity during aging in rhesus monkeys. Experimental Gerontology, 48, 1226-1235.
 
 
 
 
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