| 摘要: | 本研究之目的在探討代謝症候群個案人口學特性與該症候群之相關性，以及營養教育及有氧舞蹈運動課程前後，該症候群診斷之身體組成的相關指標及血液生化值之變化。代謝症候群定義為身體質量指數(BMI)≧27；收縮壓≧130mmHg/舒張壓≧85mmHg；空腹血糖值≧100mg/dl；三酸甘油酯≧150mg/dl；高密度脂蛋白膽固醇偏低：男性<40mg/dl、女性<50mg/dl，符合其中三項(含)以上者。
本研究以南部某職場25-64歲員工為收案對象，共有45位個案參加，分成兩組，一組為代謝症候群的個案有24位，一組為非代謝症候群的個案有21位。課程內容包含營養教育及有氧舞蹈運動課程各8節課，每週一次，每次上課各60分鐘。本研究經過8週的研究計畫後，結果顯示，代謝症候群組個案在代謝症候群危險因子中的體重、身體質量指數、體脂肪、腰圍、及三酸甘油酯、空腹血糖值、球蛋白，以上7個測量變項，有顯著的差異。非代謝症候群組個案的體重、身體質量指數、體脂肪，以上3個測量變項，達顯著差異。再以Mann-Whitney U test分析兩組個案於研究計畫前後代謝症候群危險因子變化之差異，結果發現兩組在研究計畫前後除三酸甘油酯達顯著的差異，其餘危險因子變項之變化，並未達顯著差異。
在代謝症候群診斷指標變化方面，個案於研究計畫前代謝症候群指標符合≧3項有24位，個案於研究計畫後只有5位（20.8%）屬於代謝症候群。
本研究發現課程為期8週，每週各1次，每次60分鐘之營養教育、有氧舞蹈課程，對改善一般及代謝症候群個案身體組成、血壓、血液生化值有成效。
There are three major objectives in this study. The first goal is to investigate the demographic characteristics of people with metabolic syndrome. The second goal is to observe the changes of serum biochemical components in those people learning the programs of Nutrition and Aerobics activities. Furthermore, we analyse the changes of body parameters in those people who achieve the above learning programs.
The definition of metabolic syndrome includes body mass index ≧27, systolic pressure ≧ 130mmHg/diastolic pressure ≧ 85mmHg, fasting sugar ≧ 100mg/dl, fasting triglyceride ≧ 150mg/dl,and low HDL（male<40mg/dl, female <50mg/dl）. The inclusion criterion is that the participant has any three of the above items.
The 45 participants of this study are the employees between 25 and 64 years old in one workplace at southern Taiwan. They were recruited according to the results of physical examination. Twenty-four of these were defined as metabolic syndrome and 21 were defined as non-metabolic syndrome. The study program was composed of eight sessions of nutrition education and aerobic exercise respectively. All of the sessions were 60 minutes and once a week.
After 8 weeks of the program, there were significant differences on seven variances in metabolic syndrome group, including body weight, body mass index, fat mass, waist circumference, triglyceride, fasting glucose, and albumin. There were also significant differences on three variances in non-metabolic syndrome group, including body weight, body mass index, and fat mass. Using the Mann-Whitney U test for the differences before and after program on risk factors of metabolic syndrome, we found that there was no significant difference between two groups on the risk factors except triglyceride.
There were 24(53%) and 5 (20.8%) participants were defined as metabolic syndrome before and after the program respectively. We found that there were effective improvements on physical fitness, blood pressure, and blood test for general and metabolic syndrome groups after 8 weeks, once a week, and 60 minutes sessions of nutrition education and aerobic exercise . |
