| 摘要: | 目的
依「國際肥胖任務小組-IOTF」存有的28個國家中，臺灣的兒童及青少年過重及肥胖依男生的盛行率來排序與美國並列第七位，所以青少年過重已經是現今健康經濟和公共衛生中非常重要且須深入探討的課題之ㄧ。耳穴貼壓療護是一種被確認且有效減肥療法，它以傳統耳針治療為基礎再加以改良，使其更為簡便、無痛、副作用少和不易引起感染，是代替耳針的簡便療法。心率變異度(HRV)監測分析是一種簡易且非侵襲性觀察自主神經反應的方式。過去許多研究顯示針刺或按壓耳穴對自主神經有良性的調節作用，也許可以成為促進基礎代謝增加、減少食慾的作用。因此本研究的目的是藉由心率變異度、身體組成分析、紀錄每日飲食平均攝取熱量及身圍，來觀察接受耳穴貼壓者之成效與差異性。
方法
本研究運用王不留行籽和3M膠布耳穴按壓三個月療護措施的介入，招募三十位志願參加與試驗十六到十九歲的正常、過重或肥胖高中青少年為研究對象，來探討耳穴貼壓療護對青少年其心率變異度、身體組成、每日飲食平均攝取熱量及身圍之影響，提供過重青少年促進健康之參考。
結果
研究結果發現A組與B組經王不留行籽和3M膠布耳穴貼壓療護介入後，皆可以改善青少年的心律變異度（降低心跳速率、增加高頻功率HF %、減少低頻功率LF %）及身體組成（降低脂肪含量 kg、降低脂肪含量%、增加精肉含量 kg及精肉含量 %、增加水分含量 %、增加基礎代謝率%）及每日平均飲食攝取熱量，A組與B組的中後測與前測在統計上有顯著差異（P<0.05），但未改善青少年的身圍， A組與B組的中後測與前測在統計上未有顯著差異（P>0.05）。
結論
高中青少年經使用王不留行籽和3M膠布耳穴按壓療護措施的介入後，對心率變異度、身體組成分析、每日飲食平均攝取熱量有統計上顯著性差異，但身圍改變未達統計上顯著性差異，此研究結果能提供青少年促進健康之參考。
Objective
Among the 28 countries, which paritcipated in「International Obesity Task Force-IOTF」, the prevalence of overweight and obesity in children and adolescents in Taiwan was at the 7th place the same as America. The result indicated that overweight and obesity in children and adolescents had become an important issue of health economics and public health. Auricular acupressure treatment was an identified and efficient method for weight loss. The auricular acupressure treatment was based on and modified from traditional auricular acupuncture treatment, and had more convenient, painless, less side effect and lower infection rate. Compared to auricular acupuncture treatment, auricular acupressure is a more simple treatment. 「Heart rate variability- HRV」 analysis is a simple and non-invasive method for observation of autonomic nerve system. Many studies revealed that auricular acupressure or acupuncture had constructive regulation of autonomic nerve system, like increase of basic metabolic rate and decrease of appetite. In this study, we would discuss the effect of auricular acupressure through the measurement of HRV, body composition analysia, daily calorie intake and body circumference.
Method
This study recruited 30 volunteers for intervention of auricular acupressure treatment by Semen Vaccariae and 3M tape for 3 months. This volunteers included normal, overweight and obesity senior high school teenagers between 16 and 19 years old. We observed the the change of HRV, BCA, daily calorie intake and body circumference to search the effect of auricular acupressure treatment. We hope these parameters would be also references of children and adolescents health enhancement.
Result
After intervention of auricular acupressure treatment by Semen Vaccariae and 3M tape, the result showed improvement of HRV, BCA and daily calorie intake in both group A and group B. The improvement of HRV included decrease of heart rate, increase of HF% and decrease of LF%. The improvement of BCA included decrease of fat component, increase of lean and water component and increase of basic metabolic rate. The data showed significant different (P<0.05) between pre-intervention and inter- or post-intervention about HRV, BCA and daily calorie intake. However, the data showed no significant different (P>0.05) between pre-intervention and inter- or post-intervention about body circumference.
Conclusion
After intervention of auricular acupressure treatment by Semen Vaccariae and 3M tape, the data of senior high school students showed significant different (P<0.05) between pre-intervention and inter- or post-intervention about HRV, BCA and daily calorie intake, but no significant different (P>0.05) about body circumference. The result of this study might be references of children and adolescents health enhancement. |
