代謝症候群個案在日常生活中需要有飲食與運動的健康管理，然而對於忙碌的醫療從業人員而言，執行自我健康管理卻是困難的。飛輪有氧訓練課程可以有效協助職場員工建立健康飲食及運動習慣，進而改善個人的健康，創造員工與組織雙贏的局面。本研究的主要目的在探討代謝症候群醫療從業人員在飛輪有氧健康促進課程介入後，其體適能與血液生化數值是否有明顯的改善。
本研究是以某醫學中心代謝症候群員工為研究對象，介入飛輪有氧訓練健康促進課程包含營養與健康飲食教育。研究採事前事後比較設計，於課程開始前及結束後，各進行一次體適能檢測、體位測量、血液生化檢查及醫師理學檢查，並以無母數統計方法進行分析比較。收案員工30人，完訓30人，然而，其中三名代謝症候群的工作者因個人身體因素而未完成體適能後測。
研究結果顯示在體適能方面，除了反應時間（p = 0.090）外，身體質量指數（p < 0.001）、骨骼肌重（p < 0.001）、體脂肪率（p < 0.001）、背肌力（p < 0.05）、握力（p < 0.001）、一分鐘屈膝仰臥起坐（p < 0.001）、坐姿體前彎（p < 0.001）與三分鐘登階（p < 0.01）均有顯著的改善。在身體健康狀況數值方面，腰圍（p < 0.01）與高密度酯蛋白膽固醇（p < 0.05），經課程介入後有顯著的改善，但收縮壓（p = 0.057）、舒張壓（p = 0.183）、空腹血糖值（p = 0.327）及三酸甘油酯（p = 0.711）並未有顯著的改善。
飛輪有氧健康促進課程有助於醫療院所代謝症候群員工進行健康促進，若能加入營養師進行營養控制措施，組成跨部門員工健康促進團隊，以推廣代謝症候群健康促進課程，透過溝通、合作和整合推動，其改變的成效會更佳，本研究結果可做為未來推動員工健康促進方案之參考。 Metabolic syndrome patients require health management such as diet control and exercises in their daily lives. However, it is difficult for busy medical staffs to perform proper health management by themselves. The spinning exercise intervention in workplaces can effectively help employees to establish exercise and diet habits for improving personal health and creating a win-win situation for employees and organizations. The purpose of this study is to explore whether there is a significant improvement in the physical fitness and blood biochemical values of medical staffs with metabolic syndrome after the intervention of a spinning exercise program.
Hospital staffs with metabolic syndromes in a medical center were research subjects and an interventional spinning exercise program including diet consultation was practiced. The design of before and after comparison was used in this study. Physical fitness tests, blood biochemical and physical examinations were investigated before and after the program. Collected data were analyzed and compared with nonparametric statistics methods. 30 medical staffs were involved in the study and all cases completed training, however, three cases due to personal physical conditions did not complete the physical fitness test after the program.
Results showed that there were significant differences in physical fitness indexes except reaction time (p = 0.090). Body Mass Index (p < 0.001), skeletal muscle weight (p < 0.001), body fat percentage (p < 0.001), back strength (p < 0.05), grip strength (p < 0.001), bent-knee sit-up in one minute (p < 0.001), the sitting forward flexion (p < 0.001), 3-min step test (p < 0.01) were significantly improved after the intervention. In physical and biochemical indexes, waist (p < 0.01) and high-density lipoprotein (p < 0.05) were significantly improved.
The spinning exercise intervention helps staffs with metabolic syndromes in a medical center to improve their physical fitness and health conditions. A health promotion program like spinning exercise can involve diet consultations for nutrition control. Inter-departmental staffs can be recruited in the health promotion team to effectively promote health of employees with metabolic syndromes through communication, collaboration and integration. Results of this study can be considered as a reference for future employee health promotion programs.
