國立臺灣大學醫學院復健科陳思遠2006-07-262018-07-132006-07-262018-07-132003-07-31http://ntur.lib.ntu.edu.tw//handle/246246/28977疾病預防與健康促進為近年來醫學界努力的重點。運動有益健康，研究老人的日常活 動量與健康的關係，更成為學者研究之重要問題。健康體能包括了心肺耐力、肌力與肌耐 力、柔軟度、身體組成(身體脂肪百分比)等四大要素，與一個人的健康狀態息息相關。健康 生活品質(Health-related quality of life)是對個人身體、心理、社會等功能做一綜合性評估， 近年來漸受醫學界重視。它可做為描述健康狀況的量化工具，並可應用來評估疾病治療效 果。因此本研究之目的想以世代研究之方式追蹤研究都會區老人老化過程中其日常活動 量、健康體能以及健康生活品質之變化，並探討日常活動量的多寡，是否為都會區老人健 康體能及健康生活品質變化之獨立預測因子。研究對象將邀請曾在民國88-89 年參加本研 究小組追蹤研究的622 位台北市中正區老人參加。研究方法則是利用「貝基氏日常活動量 量表（中文版）」、「Short Form –36 中文版」、「健康體能測試」、「心智功能評估」及「日 常生活功能評估」等測試工具對受試者進行評估。結果共有445 位老人在本研究計畫期間 再度前來醫院接受追蹤檢查，追蹤完成率達75.3%。完成追蹤者中，男性有308 位，平均 年齡為77.8±4.7 歲，女性有137 位，平均年齡為76.8±4.3 歲。本研究結果發現，老年男性 之身體活動量明顯高於女性，然而隨著年齡增加其身體活動量的下降也較女性明顯，健康 體能之退化現象男性與身體活動量之減少有相關性。在老年女性部分，身體活動量之變化 較不一致，可能與其身體活動量本來較低，加上近年來報章媒體鼓勵銀髮族從事運動之故。 而健康生活品質分數之變化與身體活動量之變化似無相關。本研究結果支持老年男性增加 日常活動量或經常從事運動，以減緩其健康體能之退化。Disease prevention and health promotion are the focus of interest among health-care professionals in recent years. Physical activity or exercise has been proved to be beneficial for health. For the elderly, the relationship between physical activities and health is becoming an important issue to be investigated. Health-related physical fitness, which is closely related to health, operationally has four main components including cardiorespiratory endurance, muscular strength and endurance, flexibility, and body composition. Health-related quality of life (HRQOL) is a summary measure of health status including physical, mental, and social functioning. HRQOL has been widely applied to quantitatively evaluate health or treatment efficacy in medical research. The aim of this study is to measure the change of mental function, independence in activities of daily living (ADL), amount of physical activities, health-related physical fitness, and health-related quality of life in a cohort of the urban elderly since the previous evaluation in 1999-2000. Study subjects were recruited from a cohort of 622 elderly persons who lived in Chung-Cheng District of Taipei City and received comprehensive evaluation by our study team 1999-2000. All study subjects were evaluated with “Modified Baecke Questionnaire (Chinese Version)”, “Short From –36 (Chinese Version)”, fitness test, mental function, and ADL function. There were 445 elderly people finished the above tests in this study with a follow-up rate of 75%. The mean age of our 308 older men was 77.8±4.7 years old and 76.8±4.3 years old for 137 older women. Our findings showed the amount of physical activity of older men was significantly higher than older women, but decrease of physical activity during follow-up was noted only in older men. The decrease of physical activity as aging was significantly correlated with the deterioration of health-related physical fitness among 2 older men. There was no detected correlation between the decrease of physical activity and the change of health-related quality of life among our study cohort.application/pdf79490 bytesapplication/pdfzh-TW國立臺灣大學醫學院復健科老人日常活動量健康體能健康生活品質世代研究agedphysical activityphysical fitnesshealth-related quality of lifecohort studyotherhttp://ntur.lib.ntu.edu.tw/bitstream/246246/28977/1/912314B002356.pdf