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題 名 | A Field-Based Step Test on the Risk Assessment of the Metabolic Syndrome=登階測試評估代謝症候群風險的適用性 |
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作 者 | 蔡美文; 王子娟; 李雪楨; 黃秀鑾; 陳俊忠; | 書刊名 | 物理治療 |
卷 期 | 37:2 2012.06[民101.06] |
頁 次 | 頁146-156 |
專 輯 | 代謝症候群相關疾病與運動 |
分類號 | 415.593 |
關鍵詞 | 登階測試; 心肺適能; 代謝症候群; Step test; Cardiopulmonary fitness; Metabolic syndrome; |
語 文 | 英文(English) |
中文摘要 | 背景及目的:代謝症候群是心血管疾病的重要健康警訊,證據顯示其與心肺適能間有密切相關。而在社區、職場、及學校等許多場域經常是採用簡易的現場測試方法來評估心肺適能,如:登階測試,但是其是否適用於評估代謝症候群等健康狀況的風險則尚不確定。因此,本研究目的在於探討登階測試之體能指數和代謝症候群及其代謝異常因子的相關性。方法:我們與某專業健檢中心合作,將體能檢測融合於一般的健康檢查,共納入了2409位(63%為男性,平均年齡的43.7±9.0歲)的參與者。利用三分鐘登階測試進行心肺適能評估,量取測試後之恢復心率及實際登階步數計算登階體能指數(Step Physical Fitness Index, SPFI),再依國人常模將其分成5個體能等級(優、良、平均、尚可、差)。並由健檢結果判讀參與者的代謝異常因子狀況,包括:腰圍過大、血壓偏高、高血糖、三酸甘油酯過高、高密度脂蛋白膽固醇過低,並依衛生署公告之判定標準區分有無代謝症候群。結果:登階體能指數SPFI和代謝異常因子集群的數目間具有顯著地負相關(Spear-man's r=-0.16,p<0.01)。在調整年齡及性別後,體育等級為尚可和差的參與者有代謝症候群的風險顯著高於體能等級為優者(OR分別為2.07(95% CI=1.01~4.27)和2.96(95% CI=1.45~6.04));體能等級為差者有代謝症候群的風險仍高於體能等級平均者(調整後OR=2.03,95% CI=1.35~3.07)。結論:本研究採用簡易的現場測試方法估算登階體能指數以反映心肺適能,結果支持心肺適能與增加代謝異常因子的群集及患有代謝症候群風險的相關性,並能有效地評估反應代謝症候群的健康風險程度,建議可作為選用健康篩檢評估方法的參考。 |
英文摘要 | Background and Purpose: The field-based step test has been accepted as an alternative measure to reflect one's cardiopulmonary fitness, however, its role on risk assessment of health status is yet un known. The purpose of this study was to identify the association between step physical fitness index (SPFI) and the clustering metabolic risk factors associated with the metabolic syndrome (MS). Methods: The sample consisted of 2409 volunteers (63% men, mean age 43.7±9.0 years) who completed a comprehensive health examination and fitness evaluation. SPFI, derived from the recovery heart rate, duration of exercise and actual number of steps on a modified three-minute step test, was used to measure cardiopulmonary fitness and categorize the subjects into 5 ranks: excellent, good, average, fair, and poor. Subjects with the clustering three or more metabolic risk factors including hypertension, hyperglycernia, hypertriglycerides, lower HDL, and central obesity were classified as having the MS. Results: A negative correlation between SPFI and numbers of clustering metabolic risk factors was found significantly (Spearman's r=-0.16,1'<0.0I). Subjects in the low fitness categories of fair and poor had higher risk of having MS than subjects with the excellent fitness (odds ratio (OR), adjusted by age and sex, 2.07 (95%CI=1.01-4.27) and 2.96 (95%CI=1.45- 6.04) respectively). Subjects with poor fitness still had higher risk of having the MS than those with average fitness (adjusted OR=2.03, 95%CI=1.35-3.07). Conclusion: Step physical fitness index of a modified 3-minute step test, as an alternative measure of fitness, was associated with the risk of the metabolic syndrome independently of age and sex. Our results support that lower cardiopulmonary fitness is associated with increased clustering of metabolic risk factors, and suggest such a field-based step test could reflect one's risk of the metabolic syndrome and might be useful for health screening. |
本系統中英文摘要資訊取自各篇刊載內容。