目的：研究醫院2007年研究發現桃園大溪鎮某都會原住民社區的高血壓相當盛行，所以，在2008年提供爲期5週，每週1次，每次60分鐘的健康體適能活動，評估對血壓、BMI、體脂肪下降及健康促進行爲提升的成效。方法：採單組前後測的介入研究。結果：36位都會原住民參加，女性23位(63.9%)、男性13位(36.1%)。平均年齡46.7歲。經過5週的健康體適能課程，參加者SBP、DBP分別下降4.4及1.2 mm Hg，且SBP的下降達統計顯著意義(p=.003)。BMI稍微下降，未達統計意義。體脂肪男性沒有改變，女性下降0.1%，也未達統計顯著意義。健康促進行爲量表中以運動行爲的改變量增加最多(2.00)，其次爲健康責任行爲(1.64)，且皆達統計顯著意義(p=<.001)。營養行爲只減少0.14。結論與建議：健康體適能活動的推動，在都會原住民的血壓及體位測量（BMI及體脂肪）及健康促進行爲（營養、健康責任及運動）均有改善。但部份項目未達統計顯著意義，建議未來對都會原住民族群推行健康促進活動設計應需考慮其原有的價值信念、生活型態、環境年齡發展因素等，並配合支持性團體或其生活重心的教會活動一起推動，以達到更顯著的成效。

Objective: Our previous study conducted on 2007 found that hypertension is common in urban aborigine in Dasi, Taoyuan. Hence, the study hospital in 2008 provided an exercise training program (60 minutes each session, one session every week and last for 5 weeks) in the community. This study was to evaluate the effect of exercise training program on reducing their blood pressure, BMI, body fat, and improving their health promotion lifestyle profile. Method: The single group pre- and post-experimental design was used. Results: A total of 36 participated the exercise training program, whereas 23 (63.0%) were females and 13 (36.1%) were males. The mean age of the participants was 46.7 years old. After 5-week exercise training program, only systolic blood pressure (-4.4 mmHg) showed significantly reduction (p=.003). Diastolic blood pressure (-1.2 mmHg), BMI (-0.03), body fat for males (no change) and body fat for females (-0.1%) change insignificantly, compared with the baseline. For the health promotion lifestyle profile, the subscale score of exercise (+2.00) and health responsibility (+1.64) increased significantly (p=<.001) but the subscale score of nutrition (-0.14) did not change significantly. Conclusion: Exercise training program given to urban aborigines can reduce blood pressure and anthropometric measurements (BMI and body fat), and increase the score of health promotion lifestyle profile although only partial items reach statistical significance. We recommend that factors (such as their value belief, living lifestyle, environment and age), support groups and religious activities should be considered when designing an activity of exercise training program.