遠距監測與不同身體活動量對中高齡女性高壓防治的評估

Effectiveness of Remote Monitoring Assessment and Different Amount of Physical Activity on Middle-Aged Women with Pre-Hypertension

10.5297/ser.1703.009

蔡國權(Kuo-Chuan Tsai)；洪彰岑(Chang-Tsen Hung)；黃錦源(Jin-Yuan Huang)；甘能斌(Neng-Pin Kan)

體重 ； 血壓 ； 步行運動 ； weight ； blood pressure ； walking exercise

大專體育學刊

17卷3期（2015 / 09 / 30）

353 - 363

繁體中文;英文

本研究目的是：一、探討遠距監測對改善高血壓及體重量測率之成效評估；二、探討不同的步行量對高血壓及體重指標的影響。研究對象以150名高血壓前期（收縮壓在130~139 mmHg或舒張壓在85~89 mmHg）女性，年齡介於55~64歲。並依其步行結果將其分為五個觀察組，每組30名。缺乏運動組（＜5,000步／天）；低運動組（5,000~7,499步／天）；基本運動組（7,500~9,999步／天）；活躍組（≥10,000步／天）；高度活躍組（≥12,500步／天）。所有受試者均需進行24週實驗及利用USB隨身碟自動儲存個人的血壓、體重及步行數據，並運用網路上傳至智慧生活健康管理平臺，以作為數據之比較和追蹤。研究結果顯示：一、遠距監測有效提升血壓及體重的量測率；二、缺乏運動組與低運動組對血壓及體重的效果並不顯著；基本運動組具有明顯降低血壓的效果，若要同時兼顧降低血壓與體重則以活躍組與高度活躍組的效果較好。本研究結論：遠距監測對提高血壓及體重之量測率具有正面效益；而步行運動量越大，血壓及體重因步行所獲得的保護力也越大。

The purposes of this study were: (1) to explore the effectiveness of remote monitoring assessment to regular measuring of hypertension and body weight. (2) to explore the influence of different walking amounts on hypertension and body weight indicators among middle aged women. One-hundred and fifty pre-hypertensive (systolic blood pressure between 130~139 mmHg and diastolic pressure between 85~89 mmHg) women aged between 55 and 64 years old were participated in this study. Based on their daily walking amount, participants were categorize into 5 groups (30 in each), including Lacking Exercise (＜5,000 steps/day), Low Exercise (5,000~7,499 steps/day), Basic Exercise (7,500~9,999 steps/day), Active (≥10,000 steps/day) and Highly Active (≥12,500 steps/day) groups. All participants were involved in whole 24 weeks of experiment, and their daily blood pressure, body weight (weekly) and daily walking amount were measured by USB to automatically save their information and data. The obtained data were uploaded to the intelligent living health management platform through the internet for being tracked and counseled. The key results indicated that: (1) Remote monitoring program effectively increased the percentage of individuals, who regularly measured their blood pressure and body weight. (2) Lacking Exercise and Low Exercise Groups showed no effects on blood pressure and body weight. However, participants from Basic Exercise Group showed significantly decreased blood pressure during the program. Notably, the decreased blood pressure and body weight were more prominent in Active and Highly Active Groups. These results conclude that remote monitoring can encourage individuals to get into the habit of regular measuring of their blood pressure and body weight. Furthermore, sufficient regular physical activity or longer walking amount is beneficial in lowering of blood pressure and body weight in the middle-age women.

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