肥胖學童對運動及提升運動的看法－以運動階段為準備期之學童為例

Perceptions of Exercise and Exercise Promoting Strategies among Obese Children in the Preparation Stage of Exercise

10.7022/JHE.200706.0157

李碧霞(Pi-Hsia Lee)；周雨樺(Yu-Hua Chou)；賴香如(Hsiang-Ru Lai)

肥胖 ； 焦點團體 ； 準備期 ； 運動行為 ； 學童 ； exercise behavior ； focus group ； obesity ； preparation stage ； school children

衛生教育學報

27期（2007 / 06 / 01）

157 - 175

繁體中文

本研究旨在了解運動階段為準備期之肥胖學童的運動經驗和觀點，以及其對提升運動的看法。以臺北市某國小六年級學童共441名為研究對象，以運動階段量表及配合年齡、性別的BMI值，篩選處於準備期的肥胖學童參與焦點團體訪談，共有20名符合條件，最後有17名（男生10人、女生7人）參與兩場焦點團體訪談。結果發現這群學生能夠從運動中體察一些變化，包括身體反應與改變、心理感受與改變、社會感受與改變、主動關切運動、運動的多元體驗等。可以讓肥胖學童養成規律運動習慣的策略和方法包括個體自我改變和尋求運動社會支持。建議重視這群學童的運動感受和提升運動的看法，以協助培養規律運動行為。

This study aimed to understand the experiences and perceptions of exercise and promoting exercise among obese children in the preparation stage of exercise. The subjects were 441 sixth graders (12 year-old) at a school in Taipei city. Based on the stages of exercise and BMI values for age and sex, 20 obese children in the preparation stage of exercise were selected for focus group discussion, and 17 (10 boys and 7 girls) of them actually participated. It has turned out that the subjects could sense from exercising changes of themselves, including reactions and changes of the body, psychological sensations and changes, social sentiments and changes, becoming interested in exercise, as well as various kinds of exercise experience. The methods for obese children to cultivate the habits of exercise on a regular basis include self improvement and social support. It is thus recommended to help the obese children cultivate the habits of exercise on a regular basis by paying much attention to the perceptions of exercise and promoting exercise of these children concerned.

1. 黃淑貞、洪文綺、劉翠薇、李秋娓(2005)。青少女運動行爲之探討－焦點團體訪談法之應用。衛生教育學，23，39-68。
   連結：
2. 龍炳峰(2000)。國民小學學童規律運動行爲及其相關因素之研究。體育學報，29，81-91。
   連結：
3. Baur, L. A.(2002).Child and adolescent obesity in the 21st century: An Australian perspective.Asia Pacific Journal of Clinical Nutrition,11(3),524-528.
4. Berg, J. A.,Cromwell, S. L.,Arnett, M.(2002).Physical activity: Perspectives of Mexican American and Anglo American midlife women.Health Care for Women International,23(8),894-904.
5. Bradham, D. D.,South, B. R.,Saunders, H. J.,Heuser, M. D.,Pane, K. W.,Dennis, K. E.(2001).Obesity-related hospitalization costs to the U. S. Navy, 1993-1998.Military Medicine,166(1),1-10.
6. Chinn, S.,Rona, R. J.(2001).Prevalence and trends in overweight and obesity in 3 cross sectional studies of British children, 1974-94.British Medical Journal,322(7277),24-26.
7. Christensen, U.,Schmidt, L.,Budtz-Jorgensen, E.,Avlund, K.(2006).Group cohesion and social support in exercise classes: Results from a Danish intervention study.Health Education & Behavior,33(5),677-689.
8. Chu, N. F.(2001).Prevalence and trends of obesity among school children in Taiwan-the Taipei Children Heart Study.International Journal of Obesity & Related Metabolic Disorders: Journal of the International Association for the Study of Obesity,25(2),170-176.
9. Daley, A. J.,Copeland, R. J.,Wright, N. P.,Roalfe, A.,Wales, J. K.(2006).Exercise therapy as a treatment for psychopathologic conditions in obese and morbidly obese adolescents: A randomized, controlled trial.Pediatrics,118(5),2126-2134.
10. Eisenmann, J. C.,Bartee, R. T.,Wang, M. Q.(2002).Physical activity, TV viewing, and weight in U.S. youth: 1999 Youth Risk Behavior Survey.Obesity Research,10(5),379-385.
11. America`s children: Key national indicators of well-being 2006
12. Frenn, M.,Porter, C.(1999).Exercise and nutrition: What adolescents think is important.Applied Nursing Research,12(4),179-184.
13. Gortmaker, S. L.,Dietz, W. H.,Sobol, A. M.,Wehler, C. A.(1987).Increasing pediatric obesity in the United States.American Journal of Diseases of Children,141(5),535-540.
14. Graf, C.,Koch, B.,Bjarnason-Wehrens, B.,Sreeram, N.,Brockmeier, K.,Tokarski, W.,Dordel S.,Predel, H. G.(2006).Who benefits from intervention in, as opposed to screening of, overweight and obese children?.Cardiology in the Young,16(5),474-480.
15. Graf, C.,Koch, B.,Dordel, S.,Schindler-Marlow, S.,Icks, A.,Schuller, A.,Bjarnason-Wehrens, B.,Tokarski, W.,Predel, H. G.(2004).Physical activity, leisure habits and obesity in first-grade children.European Journal of Cardiovascular Prevention & Rehabilitation,11(4),284-290.
16. Hedley, A. A.,Ogden, C. L.,Johnson, C. L.,Carroll, M. D.,Curtin, L. R.,Flegal, K. M.(2004).Prevalence of overweight and obesity among US children, adolescents, and adults, 1999-2002.American Medical Association of Journal,291(23),2847-2850.
17. Heitzler, C. D.,Martin, S. L.,Duke, J.,Huhman, M.(2006).Correlates of physical activity in a national sample of children aged 9-13 years.Preventive Medicine,42(4),254-260.
18. Hesketh, K.,Waters, E.,Green, J.,Salmon, L.,Williams, J.(2005).Healthy eating, activity and obesity prevention: A qualitative study of parent and child perceptions in Australia.Health Promotion International,20(1),19-26.
19. Huttunen, N. P.,Knip, M.,Paavilainen, T.(1986).Physical activity and fitness in obese children.International Journal of Obesity,10(6),519-525.
20. Jebb, S. A.,Rennie, K. L.,Cole, T. J.(2004).Prevalence of overweight and obesity among young people in Great Britain.Public Health Nutrition,7(3),461-465.
21. Kaewthummanukul, T.,Brown, K. C.,Weaver, M. T.,Thomas, R. R.(2006).Predictors of exercise participation in female hospital nurses.Journal of Advanced Nursing,54(6),663-675.
22. Katzmarzyk, P. T.,Janssen, I.(2004).The economic costs associated with physical inactivity and obesity in Canada: An update.Canadian Journal of Applied Physiology,29(1),90-115.
23. Kautiainen, S.,Koivusilta, L.,Lintonen, T.,Virtanen, S. M.,Rimpela, A.(2005).Use of information and communication technology and prevalence of overweight and obesity among adolescents.International Journal of Obesity & Related Metabolic Disorders: Journal of the International Association for the Study of Obesity,29(8),925-933.
24. Krueger, R. A.(1994).Focus group: A practical guide for applied research.Thousand Oak, California:SAGE.
25. Marcus, B. H.,Selby, V. C.,Niaura, R. S.,Rossi, J. S.(1992).Self-efficacy and the stages of exercise behavior change.Research Quarterly for Exercise & Sport,63(1),60-62.
26. Meyer, A. A.,Kundt, G.,Lenschow, U.,Schuff-Werner, P.,Kienast, W.(2006).Improvement of early vascular changes and cardiovascular risk factors in obese children after a six-month exercise program.Journal of the American College of Cardiology,48(9),1865-1870.
27. Morgan, D. L.(1988).Focus group as qualitative research.Thousand Oak, California:SAGE.
28. Nigg, C. R.,Courneya, K. S.(1998).Transtheoretical Model: Examining adolecent exereise behavior.Journal of Adolescent Health,22(3),214-224.
29. Serdula, M. K.,Ivery, D.,Coates, R. J.,Freedman, D. S.,Williamson, D. F.,Byers, T.(1998).Do obese children become obese adults? A review of the literature.Preventive Medicine,22(2),167-177.
30. Shields, M.,Shooshtari, S.(2001).Determinants of self-perceived health.Health Reports,13(1),35-52.
31. Sothern, M. S.(2001).Exercise as a modality in the treatment of childhood obesity.Pediatric Clinics of North America,48(4),995-1015.
32. Sothern, M. S.,Hunter, S.,Suskind, R.M.,Brown, R.,Udall, J. N.,Blecker, U.(1999).Motivating the obese child to move: The role of structured exercise in pediatric weight management.Southern Medical Journal,92(6),577-584.
33. Sothern, M. S.,Udall, J. N.,Suskind, R. M.,Vargas, A.,Blecker, U.(2000).Weight loss and growth velocity in obese children after very low calorie diet, exercise, and behavior modification.Acta Paediatrica,89(9),1036-1043.
34. Stewart, D. W.,Shamdasani, P. N.(1990).Focus group: Theory and practice.Newbury Park, CA:SAGE.
35. Sturm, R.,Ringel, J. S.,Andreyeva, T.(2004).Increasing obesity rates and disability trends.Health Affairs,23(2),199-205.
36. Taras, H.,Datema-Potts, W.(2005).Obesity and student performance at school.Journal of School Health,75(8),291-295.
37. Taylor, W. C.,Yancey, A. K.,Leslie, J.,Murray, N. G.,Cummings, S. S.,Sharkey, S. A.,Wert, C.,James, J.,Miles, O.,McCarthy, W. J.(1999).Physical activity among African American and Latino middle school girls: Consistent beliefs, expectations, and experiences across two sites.Women & Health,30(2),67-82.
38. Thorpe, L. E.,List, D.G.,Marx, T.,May, L.,Helgerson, S. D.,Frieden, T. R.(2004).Childhood obesity in New York City elementary school students.American Journal of Public Health,94(9),1496-1500.
39. U.S. Department Health and Human Service(1998).Physical activity and health: A report of the surgeon general.Boston:Jones & Bartlett.
40. Van Baak, M. A.,Van Mil, E.,Astrup, A. V.,Finer, N.,Van Gaal, L. F.,Hilsted, J.,Kopelman, P. G.,Rossner, S.,James, W. P.,Saris, W. H.,STORM Study Group(2003).Leisure-time activity is an important determinant of long-term weight maintenance after weight loss in the Sibutramine Trial on Obesity Reduction and Maintenance (STORM trial).American Journal of Clinical Nutrition,78(2),209-214.
41. Young, D. R.,Gittelsohn, J.,Charleston, J.,Felix-Aaron, K.,Appel, L. J.(2001).Motivations for exercise and weight loss among African-American women: Focus group results and their contribution towards program development.Ethnicity & Health,6(3-4),227-245.
42. Zabinski, M. F.,Saelens, B. E.,Stein, R. I.,Hayden-Wade, H. A.,Wilfley, D. E.(2003).Overweight children`s barriers to and support for physical activity.Obesity Research,11(2),238-246.
43. 方進隆(1991)。運動與健康：滅巴健身與疾病的運動處方。臺北:漢文。
44. 行政院衛生署(1998)。81年－86年國民營養健康狀況變遷調查結果研討會，臺北:
45. 兒童與青少年肥胖定義及處理原則
46. 何佩玲(2004)。碩士論文(碩士論文)。台北市，國立師範大學衛生教育研究所。
47. 呂昌明、卓俊辰、黃松元(2002)。行政院國家科學委員會專題研究計畫成果報告行政院國家科學委員會專題研究計畫成果報告,未出版
48. 林月美、朱志良、洪清霖(1995)。臺灣地區青少年之營養狀態評估。第一報：身高與體重。中營會誌，10，91-105。
49. 施純宏、李宏昌(2002)。兒童肥胖。當代醫學，29(2)，45-52。
50. 胡幼慧(1996)。質性研究－理論、方法及本土女性研究實例。臺北:巨流。
51. 張瑞泰(2001)。規律運動的重要性。高師大體育，2，4+5-10。
52. 本部公布93學年度國民中小學學生健康狀況調查結果
53. 陳偉德(1994)。中華民國臺灣醫學會第87屆總會暨83年度臺灣區醫學會聯合學術演講會。臺北:
54. 陳偉德、吳康文、宓麗麗、劉瑞蘭(1993)。重高指數：簡易而準確之小兒體重評估法。臺灣醫誌，92，128-134。
55. 黃奕清、吳仁宇(2000)。臺灣地區6.5～18.5歲學生不同身高值之體重分析。公共衛生，27(3)，167-178。
56. 劉翠薇、黃淑貞、洪文綺、李秋娓(2005)。青少女運動行爲之探討。醒吾學報，30，139-164。
57. 藍辰聿(1997)。碩士論文(碩士論文)。台北市，國立師範大學衛生教育研究所。

1. 賴香如,周雨樺,李碧霞,李佩宜(2016).臺北市規律運動肥胖學童的運動知覺.新臺北護理期刊,18(1),45-57.