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請使用永久網址來引用或連結此文件:
http://ir.cmu.edu.tw/ir/handle/310903500/590
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| 題名: | 營養教育介入學童減重計畫對代謝症候群相關因子之影響;Effects of Nutrition Education Intervention on Metabolic Syndrome Related Risk Factors in Weight Control Program Among School Children |
| 作者: | 徐雯渟;Wen-Ting Hsu |
| 貢獻者: | 中國醫藥大學：營養學系碩士班 |
| 關鍵詞: | 兒童;肥胖;代謝症候群;營養教育;children;obesity;metabolic syndrome;nutriation education |
| 日期: | 2008-07-23 |
| 上傳時間: | 2009-08-11 15:30:59 (UTC+8) |
| 摘要: | 兒童肥胖與代謝症候群的發生有很大的關連，並且兒童時期也是生長發育及行為改變的關鍵時期，故本研究以營養教育為介入重點，並配合體能活動的增加，探討其對兒童代謝症候群相關因子的改善功效。研究對象為社區9-12歲之兒童，利用宣傳海報及單張的方式招募BMI達到肥胖標準之兒童共100名，採分層隨機的方式分為營養教育介入組與對照組各50人。兩組皆進行相同的體能活動每週3次，每次30分鐘，而營養教育介入組每週進行1次營養教育課程2小時，介入的時間為16週。研究的前後皆進行兒童之體位、體適能、血液生化檢驗以及問卷的測量。介入計畫結束後，全程完成並納入的個案共82人，其中營養教育介入組為40人，對照組為42人。研究結果指出，營養教育介入組兒童的體位有正向改善的成果，並且在代謝症候群危險因子如空腹血糖、三酸甘油酯以及血壓的改善成效較對照組為佳，體適能的項目兩組皆有增加的情形，至於在心血管疾病的危險因子包括總膽固醇、低密度脂蛋白膽固醇以及尿酸的數值，兩組也都有改善的情形，且以營養教育介入組之兒童改善的成效較對照組為佳。本研究亦發現經過營養教育的介入確實能增進兒童的營養知識、態度以及正向的飲食行為，反之對照組則沒有改善的情形。綜合以上所述，經由本研究介入可以使體位、體適能、代謝症候群及心血管疾病相關的危險因子得到改善，而經由營養教育的介入更可以加強其效果，並可以影響兒童對飲食的正向及對營養知識的瞭解。藉由本研究可以顯示出營養教育的重要性，可應用於兒童體重控制的計畫以增進改善各項危險因子的成效。
The occurance of metabolic syndrome is correlated with obesity. We resolve on nutrition education and the increase of physical activity as the intervention strategy by considering that paediatric period was the crucial state for children’s growth and behavior change. We recruited 100 children aged 9-12 whose body mass index cohered with the criteria of obesity, and devided them into nutrition education group and control group for 50 children each group by stratified random sampling. Both two groups took the same physical activity for 30 minutes thrice times a week. The nutrition education group took the nutrition class for 2 hours once a week. The study period was 16 weeks. Anthropometry, physical fitness, biochemical, and questionnaire data were collect at the beginning and the end of the study. There are 40 children in nutrition education group, and 42 in control group completed the study. The anthropometry data in nutrition education group were improved. The risk factors such as fasting blood glucose, triglyceride concentration, and blood pressure showed better reduced compared with the control group. The physical fitness was enhanced in both groups. The risk factors of cardiovascular disease such as serum total cholesterol concentration, low density of lipoprotein, and uric aicd also showed better improvement in nutrition education group. Moreover, instead of the control group, the nutritional knowledge, attitude, and practice were raised in nutrition education group. In conclusion, the anthropometry, physical fitness, risk factors of metabolic syndrome and cardiovascular disease can be improved through intervenetion. The present study believes that nutrition education is important to children, and can be further applied to promote the performance of the weight control program for children. |
| 顯示於類別: | [營養學系暨碩士班 ] 博碩士論文
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