男性大學生身體質量指數、健康體能與睡眠品質之關係

Relationships among Body Mass Index, Physical Fitness and Sleep Quality in Male University Students

10.6162/SRR.2011.115.12

張世沛(Shih-Pei Chang)

身體組成 ； 肥胖 ； 匹茲堡睡眠品質量表 ； body composition ； obesity ； Pittsburgh Sleep Quality Index PSQI

大專體育

115期（2011 / 08 / 01）

80 - 87

繁體中文

睡眠品質對健康的影響，是目前肥胖人口逐漸增加的社會所關注的重要課題。本文目的為探討大學生身體組成、健康體能與睡眠品質之間的關係。以 372 位男性大一學生為研究對象，填寫同意書後進行健康體能檢測與匹茲堡睡眠品質量表，所得資料依據身體質量指數分成體重過輕組 (BMI ≦ 18.5)、標準體重組 (BMI18.5-23.9) 及體重過重組 (BMI ≧ 24) 等三組。結果發現：體重過重組在腹肌耐力、瞬發力與心肺耐力的表現上明顯比其他兩組差 (p < .05)；睡眠品質不良（睡眠總分 > 5）組的心肺功能明顯較差 (p < .05)；而睡眠效率、睡眠潛伏期及睡眠主觀感受等方面，體重過重組在睡眠時數上達顯著差異 (p < .05)。結論：由本調查可得知睡眠品質與健康體能的表現有關。超重者心肺功能表現上通常較差，沒有好的睡眠恢復，增加運動參與的門檻，造成惡性循環使肥胖發展每況愈下。

Poor sleep quality has now becoming an important health problem in the increasingly obese society. This study aimed to investigate the relationships among body compositions, physical fitness and sleep quality in college freshmen. In the study, three-hundred and seventy-two male students completed the human consent form and the Pittsburgh Sleep Quality Index (PSQI) questionnaire in conjunction with the physical fitness measurements. All participants were assigned into three groups based on 3 categories of body mass index (BMI): BMI ≦ 18.5, BMI 18.5-23.9 and BMI ≧ 24, respectively. Our results shows that the group of BMI ≧ 24 were more likely to have lower levels of muscular endurance, instantaneous force, and cardiovascular fitness than the other two groups (p＜.05). Participants with poor sleep quality had poor physical fitness, especially in cardiovascular fitness (p＜.05). Moreover, the overweight group (BMI ≧ 24) had the poorest sleep efficiency, sleep latency and sleep quality, especially in sleep duration (p＜.05). Conclusion: this study provides evidence of significant relationship between sleep quality and physical fitness. It appears that overweight individual tends to have poorer sleep quality. Without good recovery in sleep, poor physical fitness will further increase barrier for sports participation and establishes a viscous cycle causing obesity.

1. 宋孟遠、張世沛、步國財(2006)。不同身體質量指數與體適能表現差異研究－以國立勤益技術學院學生為例。運動休閒餐旅研究，1(1)，115-128。
   連結：
2. Holty, J. E., Parimi, N., Ballesteros, M., Blackwell, T.,Cirangle, P. T., Jossart, G. H., et al. (in press). Does surgically induced weight loss improve daytime sleepiness? Obesity Surgery.
3. Barnes, M.,Goldsworthy, U. R.,Cary, B. A.,Hill, C. J.(2009).A diet and exercise program to improve clinical outcomes in patients with obstructive sleep apnea-A feasibility study..Journal of Clinical Sleep Medicine,5(5),409-415.
4. Buysse, D. J.,Reynolds, C. F.,Monk, T. H.,Berman, S. R.,Kupfer, D. J.(1989).The Pittsburgher Sleep Quality Index: A new instrument for psychiatric practice and research.Psychiatric Research,282(2),193-213.
5. Chaput, J. P.,Després, J. P.,Bouchard, C.,Tremblay, A.(2007).Short sleep duration is associated with reduced leptin levels and increased adiposity: Results from the Québec family study..Obesity,15(1),253-261.
6. Chaput, J. R.,Brunet, M.,Tremblay, A.(2006).Relationship between short sleeping hours and childhood overweight/obesity: Results from the ‘Québec en Forme' Project..International Journal of Obesity,30(7),1080-1085.
7. Gupta, N. K.,Mueller, W. H.,Chan, W.,Meininger, J. C.(2002).Is obesity associated with poor sleep quality in adolescents?.American Journal of Human Biology,14(6),762-768.
8. Hasler, G.,Buysse, D. J.,Klaghofer, R.,Gamma, A.,Ajdacic, V.,Eich, D.(2004).The association between short sleep duration and obesity in young adults: A 13-year prospective study.Sleep,27(4),661-666.
9. 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.
10. Hong, S.,Dimsdale, J. E.(2003).Physical activity and perception of energy and fatigue in obstructive sleep apnea..Medicine and Science in Sport and Exercise,35(7),1088-1092.
11. Ko, G. T.,Chan, J. C.,Chan, A. W.,Wong, P. T.,Hui, S. S.,Tong, S. D.(2007).Association between sleeping hours, working hours and obesity in Hong Kong Chinese: The ‘better health for better Hong Kong' health promotion campaign..International Journal of Obesity,31(2),254-260.
12. Lee, A. J. Y.,Lin, W. H.(2007).Association between sleep quality and physical fitness in female young adults..Journal of Sports Medicine and Physical Fitness,47(4),462-467.
13. Marshall, N. S.,Glozier, N.,Grunstein, R. R.(2008).Is sleep duration related to obesity? A critical review of the epidemiological evidence..Sleep Medicine Review,12(4),289-298.
14. Mota, J.,Vale, S.(2010).Associations between sleep quality with cardiorespiratory fitness and BMI among adolescent girls..American Journal of Human Biology,22(4),473-475.
15. Ohayon, M. M.,Roberts, R. E.,Zulley, J.,Smirne, S.,Priest, R. G.(2000).Prevalence and patterns of problematic sleep among older adolescents..Journal of the American Academy of Child and Adolescent Psychiatry,39(12),1549-1556.
16. Patel, S. R.,Malhotra, A.,White, D. P.,Gottlieb, D. J.,Hu, F. B.(2006).Association between reduced sleep and weight gain in women..American Journal of Epidemiology,164(10),947-954.
17. Sato, T.,Demura, S.,Murase, T.,Kobayashi, Y.(2005).Quantification of relationship between health status and physical fitness in middle-aged and elderly male and females.Journal of Sports Medicine and Physical Fitness,45(4),561-569.
18. Sekine, M.,Yamagami, T.,Handa, K.,Saito, T.,Nanri, S.,Kawaminami, K.(2002).A dose-response relationship between short sleeping hours and childhood obesity: Results of the Toyama Birth Cohort Study..Child Care Health Development,28(2),163-170.
19. Taheri, S.,Thomas, G. N.(2008).Is sleep duration associated with obesity-where do U stand?.Sleep Medicine Reviews,12(4),299-302.
20. Tsai, P. S.,Wang, S. Y.,Wang, M. Y.,Su, C. T.,Yang, T. T.,Huang, C. J.(2005).Psychometric evaluation of the Chinese version of the pittsburgh Sleep Quality Index (CPSQI) in primary insomnia and control subjects.Quality of Life Research,14(8),1943-1952.
21. Vorana, R. D.,Winn, M. P.,Babineau, T. W.,Eng, B. P.,Fledman, H. R.,Ware, J. C.(2005).Overweight and obese patients in a primary care population report less sleep than patients with a normal body mass index.Archives of Internal Medicine,165(1),25-30.
22. Yang, C. M.,Wu, C. H.,Hsieh, M. H.,Liu, M. H.,Lu, F. H.(2003).Coping with sleep disturbances among young adults: A survey of first-year college students in Taiwan..Behavioral Medicine,29(3),133-138.

1. 蔡玉敏、陳智仁、郭俊廷(2014)。大學校院學生身體質量指數與國軍三項基本體能的相關性。中原體育學報，5，103-111。
2. 陳金海、張志銘、張世沛、施國森(2013)。臺灣地區大學生運動參與和睡眠品質相關之探討。成大體育，45(2)，1-22。
3. 陳妤瑄、陳弘順、張意德、張智涵(2015)。大專男子排球選手睡眠品質調查－以104 年聯賽為例。運動與遊憩研究，10(2)，107-117。
4. 黃素珍、陳明宏、陳妤瑄、張世沛、施國森(2012)。大學生體適能與睡眠品質調查研究─以中臺科技大學為例。嘉大體育健康休閒期刊，11(1)，158-169。
5. 黃素珍、陳妤瑄、張世沛、施國森(2012)。大專學生運動習慣與睡眠品質之調查研究。運動休閒餐旅研究，7(2)，119-131。
6. 駱俊霖,陳妤瑄,張艾君,吳慧芳(2019)。大學生的睡眠品質探討－以東吳大學選修籃球課學生為例。運動與遊憩研究，13(3)，79-88。
7. 吳慧芳(2019)。探討東吳大學運動代表隊選手的睡眠品質。運動休閒餐旅研究，14(3)，20-37。
8. 楊子嫺、黃娟娟(2015)。12 週環狀訓練對女性身體組成與睡眠品質的影響。嘉大體育健康休閒期刊，14(2)，102-114。
9. 張鼎乾、張意德、張世沛(2014)。德霖技術學院學生運動習慣與睡眠品質相關之研究。運動休閒餐旅研究，9(1)，36-50。
10. 趙宸紳、陳妤瑄、張艾君、吳慧芳(2018)。東吳大學體育課生的睡眠品質初探。運動休閒餐旅研究，13(4)，56-71。
11. (2024)。COVID-19疫情後對大學生之睡眠和生活品質的影響－以北部某醫學大學為例。運動與遊憩研究，19(2)，1-18。