頁籤選單縮合
題 名 | 自覺用力指數、代謝當量與達通氣閾值心跳率在肥胖糖尿病患者運動處方關聯性探討:初步研究=The Relationships between Using the Rating of Perceived Exertion, Metabolic Equivalent and Maximum Heart Rate at Ventilatory Threshold into Determine Appropriate Exercise Prescription for Intensity in Obese Diabetic Patients: A Preliminary Study |
---|---|
作 者 | 陳彥文; 梁志鴻; 蔡森蔚; 林時逸; 李奕德; 劉秀珍; 呂欣善; | 書刊名 | 臺灣復健醫學雜誌 |
卷 期 | 41:2 2013.06[民102.06] |
頁 次 | 頁105-112 |
分類號 | 528.9013 |
關鍵詞 | 自覺用力指數; 通氣閾值; 肥胖; 糖尿病; 運動處方; Rating of perceived exertion; Ventilatory threshold; Obesity; Diabetes; Exercise prescription; |
語 文 | 中文(Chinese) |
中文摘要 | 背景:自覺用力指數、最大心跳與通氣閾值在健康成年人常作為運動強度指引,但在糖尿病患者,自覺用力係數、最大心跳與通氣閾值之間的關係不清楚。目的:本研究主要針對肥胖糖尿病患者,探討通氣閾值與自覺用力係數及最大心跳之間關聯性,作為開立運動強度處方的依據。方法:本觀察性研究共收集20位身體質量指數大於24(公斤/平方公尺)的第二型肥胖糖尿病患者,病患均接受心肺運動測試,收集相關生理參數(最大攝氧量、最大心跳數、通氣閾值及自覺用力指數等),所有數據利用卡方檢定(chi-square test)與T檢定(student's t test)進行統計分析。結果:受試者平均年齡54.3±10.9歲,平均身體質量指數為30.3±3.7(公斤/平方公尺)。受試者最大攝氧量、最大心跳數、通氣閾值、自覺用力指數、達通氣閾值狀態下相關參數的變化在性別差異上均未達顯著差異(p>0.05)。達通氣閾值時平均代謝當量為4.1±0.9,達到通氣閾值時相對應的自覺用力係數為13.0±1.7。達通氣閥值所對應的心跳速率為117.3±14.5下/分鐘;通氣閥值所對應的心跳速率為年齡預測最大心跳(220-年齡)的70.6±8.3%,心率儲備率百分比為36.3±14.7%。結論:肥胖糖尿病患者在運動處方要決定運動強度時,男女之間沒有顯著性差異,可以利用自覺用力係數13(有一點吃力)或代謝當量約為4的運動量來作為運動強度指引依據。若以年齡預測最大心跳來做為運動處方開立標準時,建議以(220-年齡)*70%或心跳儲備率百分比的30~40%來作為運動強度參考。 |
英文摘要 | Background: The rating of perceived exertion (RPE), metabolic equivalent (MET) and maximum heart rate (HRmax) at ventilatory threshold (VT) are commonly used methods as physiological parameters for monitoring exercise intensity. However, the appropriate levels of training intensity for obese type 2 diabetic diabetes mellitus (type 2 DM) patients have not been established.Purpose: To examine the parameters in obese Type 2 DM patients at ventilatory threshold, the exercise capacity of obese Type 2 DM patients, and to determine the appropriate levels of exercise intensity for exercise prescription in obese type 2 DM patients was investigated.Methods: Twenty obese type 2 DM patients (body mass index >27) were recruited. The physiological parameters (maximum oxygen uptake, maximum heart rate [or simply HRmax], and RPE at ventilatory threshold) of these patients were measured and compared during the cardiopulmonary exercise test.Results: The mean age of the subjects was 54.3±10.9 years, and the mean body mass index was 30.3±3.7. There was no difference on gender, the maximum oxygen uptake, maximum heart rate, and RPE by gender effect (p>0.05). At ventilatory threshold level, the mean metabolic equivalent was 4.1±0.9, and the mean RPE was 13.0±1.7. The mean heart rate at VT was 117.3±14.5 beats/min, which is corresponded to 70.6±8.3% of the age-predicted HRmax, and the heart rate reserve was 36.3±14.7%.Conclusion: Our results indicate that the appropriate levels of exercise intensity for obese type 2 DM patients are 70% of the age-predicted HRmax, 30-40% of the heart rate reserve, MET of 4, and RPE of 13. |
本系統中英文摘要資訊取自各篇刊載內容。