题名

養生鄉村旅遊的商業創新模式-以糖尿病人的鄉村旅遊為例

并列篇名

Business Innovation Model of Health Village Tourism-- take Rural Tourism as an Example to Diabetics

作者

陳坤成(James K. C. Chen);疏冠智(Kuan-Chih Shu)

关键词

第二型糖尿病 ; 鄉村旅遊 ; 飲食治療 ; 運動治療 ; 自癒力 ; Type 2 Diabetes ; Rural Tourism ; Diet Therapy ; Exercise Therapy ; Self-Healing Ability

期刊名称

修平學報

卷期/出版年月

39期(2020 / 03 / 01)

页次

33 - 63

内容语文

繁體中文

中文摘要

研究目的:本研究的目的設計出良好的鄉村旅行方案,運用飲食控制及運動的方法,發展出提升糖尿病患的自癒能力的鄉村旅遊活動,使病人血糖正常,讓鄉村旅遊產業找到新的方向,創造雙贏,成為成功的商業創新模式。研究方法:本論文是以描述性研究法,找到糖尿病人提升自癒力的論文和鄉村旅遊產業的論文,做出分析比較及結合。研究結果:發現糖尿病人可以提升自癒力的方法以及糖尿病人因胃繞道手術後,胰高血糖素樣肽1(glucagon-like peptide-1)簡稱(GLP-1)的釋放,以及改善腸道糖異生(improved intestinal gluconeogenesis)的情況,也因為體重減輕所以葡萄糖急性刺激下胰島素反應喪失(Insulin resistance and loss of glucose-stimulated acute insulin response)簡稱(AIR)相關症狀消失,糖尿病人因自癒力提升而康復。依此理論基礎,可以藉由鄉村旅遊,來養生去病,鄉村旅行可以讓第二型糖尿病人運動流汗,提供健康的飲食,放鬆心情,常常到鄉村旅行,可以增進第二型糖尿病的自癒能力,養生鄉村旅行的市場將十分的廣大,要如何迎接這個廣大的市場,本研究也提出了解決方案。

英文摘要

Research purposes: The purpose of this study is to design a good rural tourism plan, use diet control and exercise methods to carry out tourism activities, improve the self-healing ability of diabetic patients, enable patients with normal blood sugar, and make rural tourism find new directions and create a win-win situation. The situation has become a successful business innovation model. Research methods:Based on descriptive research methods, this thesis finds papers on self-healing ability of diabetes patients and papers in the rural tourism industry, and analyzes, compares and combines them. RESULTS:Diabetes patients were found to improve their self-repairing ability and glucagon-like peptide-1 (GLP-1) release after gastric bypass surgery in diabetic patients, and to improve the intestinal tract in the case of intestinal gluconeogenesis. Symptoms Due to weight loss, insulin deficiency and glucose-stimulated acute insulin response (AIR) disappear, and the symptoms of diabetes are caused by self-healing. Improve and recover. Based on this theoretical basis, it is possible to stay healthy through rural tourism. Rural travel can make people with type 2 diabetes sweat, provide a healthy diet, relax, and travel to the countryside often to improve the self-development of type 2 diabetes. The greater the capacity, the health, and rural tourism market will be very large, how to meet this vast market, this research also proposes solutions.

主题分类 人文學 > 人文學綜合
基礎與應用科學 > 基礎與應用科學綜合
工程學 > 工程學綜合
工程學 > 機械工程
社會科學 > 社會科學綜合
参考文献
  1. Ahmed, A. M..History of diabetes mellitus.Saudi Med J,23(4),373-378.
  2. Ahola, A. J.,Groop, P. H.(2013).Barriers to self-management of diabetes.Diabet Med,30(4),413-420.
  3. Anderson, R. A.,Cheng, N.,Bryden, N. A.,Polansky, M. M.,Cheng, N.,Chi, J.,Feng, J.(1997).Elevated intakes of supplemental chromium improve glucose and insulin variables in individuals with type 2 diabetes.Diabetes,46(11),1786-1791.
  4. Anson, R. M.,Guo, Z.,de Cabo, R.,Iyun, T.,Rios, M.,Hagepanos, A.,Mattson, M. P.(2003).Intermittent fasting dissociates beneficial effects of dietary restriction on glucose metabolism and neuronal resistance to injury from calorie intake.Proc Natl Acad Sci U S A,100(10),6216-6220.
  5. Bazzano, L. A.,Li, T. Y.,Joshipura, K. J.,Hu, F. B.(2008).Intake of fruit, vegetables, and fruit juices and risk of diabetes in women.Diabetes care,31(7),1311-1317.
  6. Bessière, J.(1998).Local development and heritage: traditional food and cuisine as tourist attractions in rural areas.Sociologia ruralis,38(1),21-34.
  7. Bose, M.,Oliván, B.,Teixeira, J.,Pi-Sunyer, F. X.,Laferrère, B.(2009).Do incretins play a role in the remission of type 2 diabetes after gastric bypass surgery: what are the evidence?.Obesity surgery,19(2),217-229.
  8. Brand-Miller, J.,Hayne, S.,Petocz, P.,Colagiuri, S.(2003).Low–glycemic index diets in the management of diabetes.Diabetes care,26(8),2261-2267.
  9. Butler, A. E.,Janson, J.,Bonner-Weir, S.,Ritzel, R.,Rizza, R. A.,Butler, P. C.(2003).β-cell deficit and increased β-cell apoptosis in humans with type 2 diabetes.Diabetes,52(1),102-110.
  10. Ceriello, A.(2005).Postprandial hyperglycemia and diabetes complications: is it time to treat?.Diabetes,54(1),1-7.
  11. Cryer, P. E.,Davis, S. N.,Shamoon, H.(2003).Hypoglycemia in diabetes.Diabetes care,26(6),1902-1912.
  12. Dashti, H. M.,Mathew, T. C.,Khadada, M.,Al-Mousawi, M.,Talib, H.,Asfar, S. K.,Al-Zaid, N. S.(2007).Beneficial effects of ketogenic diet in obese diabetic subjects.Mol Cell Biochem,302(1-2),249-256.
  13. DeWalt, D. A.,Davis, T. C.,Wallace, A. S.,Seligman, H. K.,Bryant-Shilliday, B.,Arnold, C. L.,Schillinger, D.(2009).Goal setting in diabetes self-management: taking the baby steps to success.Patient Educ Couns,77(2),218-223.
  14. Esposito, K.,Maiorino, M. I.,Ceriello, A.,Giugliano, D.(2010).Prevention and control of type 2 diabetes by Mediterranean diet: a systematic review.Diabetes Res Clin Pract,89(2),97-102.
  15. Fisher, E. B.,Boothroyd, R. I.,Coufal, M. M.,Baumann, L. C.,Mbanya, J. C.,Rotheram-Borus, M. J.,Tanasugarn, C.(2012).Peer support for self-management of diabetes improved outcomes in international settings.Health Aff (Millwood),31(1),130-139.
  16. Frassetto, L. A.,Schloetter, M.,Mietus-Synder, M.,Morris, R. C., Jr.,Sebastian, A.(2009).Metabolic and physiologic improvements from consuming a paleolithic, hunter-gatherer type diet.Eur J Clin Nutr,63(8),947-955.
  17. Friedman, A. N.,Chambers, M.,Kamendulis, L. M.,Temmerman, J.(2013).Short-term changes after a weight reduction intervention in advanced diabetic nephropathy.Clin J Am Soc Nephrol,8(11),1892-1898.
  18. Funnell, M. M.,Anderson, R. M.(2004).Empowerment and self-management of diabetes.Clinical diabetes,22(3),123-127.
  19. Gannon, M. C.,Nuttall, F. Q.(2004).Effect of a high-protein, low-carbohydrate diet on blood glucose control in people with type 2 diabetes.Diabetes,53(9),2375-2382.
  20. Gregg, E. W.,Li, Y.,Wang, J.,Rios Burrows, N.,Ali, M. K.,Rolka, D.,Geiss, L.(2014).Changes in diabetes-related complications in the United States, 1990–2010.New England Journal of Medicine,370(16),1514-1523.
  21. Halberg, N.,Henriksen, M.,Soderhamn, N.,Stallknecht, B.,Ploug, T.,Schjerling, P.,Dela, F.(2005).Effect of intermittent fasting and refeeding on insulin action in healthy men.J Appl Physiol,99(6),2128-2136.
  22. Hamlin, C. R.,Kohn, R. R.,Luschin, J. H.(1975).Apparent accelerated aging of human collagen in diabetes mellitus.Diabetes,24(10),902-904.
  23. Henry, R. R.,Wallace, P.,Olefsky, J. M.(1986).Effects of weight loss on mechanisms of hyperglycemia in obese non-insulin-dependent diabetes mellitus.Diabetes,35(9),990-998.
  24. Jenkins, D. J.,Kendall, C. W.,Marchie, A.,Jenkins, A. L.,Augustin, L. S.,Ludwig, D. S.,Anderson, J. W.(2003).Type 2 diabetes and the vegetarian diet.The American journal of clinical nutrition,78(3),610S-616S.
  25. Kahn, C. R.(1994).Banting Lecture. Insulin action, diabetogenes, and the cause of type II diabetes.Diabetes,43(8),1066-1084.
  26. Khazrai, Y. M.,Defeudis, G.,Pozzilli, P.(2014).Effect of diet on type 2 diabetes mellitus: a review.Diabetes Metab Res Rev,30(Suppl S1),24-33.
  27. King, H.,Aubert, R. E.,Herman, W. H.(1998).Global burden of diabetes, 1995–2025:prevalence, numerical estimates, and projections.Diabetes care,21(9),1414-1431.
  28. Kizilay, F.,Gali, H. E.,Serefoglu, E. C.(2017).Diabetes and sexuality.Sexual medicine reviews,5(1),45-51.
  29. Kolata, G.(1987).Diabetics should lose weight, avoid diet fads.Science,235,163-165.
  30. Koppes, L. L.,Dekker, J. M.,Hendriks, H. F.,Bouter, L. M.,Heine, R. J.(2005).Moderate alcohol consumption lowers the risk of type 2 diabetes: a meta-analysis of prospective observational studies.Diabetes care,28(3),719-725.
  31. Kouvari, M.,Tyrovolas, S.,Panagiotakos, D. B.(2016).Red meat consumption and healthy ageing: A review.Maturitas,84,17-24.
  32. Kowalski, L. M.,Bujko, J.(2012).Evaluation of biological and clinical potential of paleolithic diet.Rocz Panstw Zakl Hig,63(1),9-15.
  33. Kruger, J.,Galuska, D. A.,Serdula, M. K.,Jones, D. A.(2004).Attempting to lose weight:specific practices among US adults.American journal of preventive medicine,26(5),402-406.
  34. Kuipers, R. S.,Luxwolda, M. F.,Dijck-Brouwer, D. A.,Eaton, S. B.,Crawford, M. A.,Cordain, L.,Muskiet, F. A.(2010).Estimated macronutrient and fatty acid intakes from an East African Paleolithic diet.Br J Nutr,104(11),1666-1687.
  35. Laakso, M.(1999).Hyperglycemia and cardiovascular disease in type 2 diabetes.Diabetes,48(5),937-942.
  36. Laaksonen, D. E.,Lindstrom, J.,Lakka, T. A.,Eriksson, J. G.,Niskanen, L.,Wikstrom, K.,Finnish diabetes prevention, s.(2005).Physical activity in the prevention of type 2 diabetes: the Finnish diabetes prevention study.Diabetes,54(1),158-165.
  37. Laferrère, B.,Teixeira, J.,McGinty, J.,Tran, H.,Egger, J. R.,Colarusso, A.,Lee, H.(2008).Effect of weight loss by gastric bypass surgery versus hypocaloric diet on glucose and incretin levels in patients with type 2 diabetes.The Journal of Clinical Endocrinology & Metabolism,93(7),2479-2485.
  38. Leese, G. P.,Wang, J.,Broomhall, J.,Kelly, P.,Marsden, A.,Morrison, W.,Collaboration, D. M.(2003).Frequency of severe hypoglycemia requiring emergency treatment in type 1 and type 2 diabetes: a population-based study of health service resource use.Diabetes care,26(4),1176-1180.
  39. Levy, A. S.,Heaton, A. W.(1993).Weight control practices of US adults trying to lose weight.Annals of internal medicine,119(7_Part_2),661-666.
  40. Lindau, S. T.,Tang, H.,Gomero, A.,Vable, A.,Huang, E. S.,Drum, M. L.,Chin, M. H.(2010).Sexuality among middle age and older adults with diagnosed and undiagnosed diabetes: A national, population-based study.Diabetes care
  41. Marsh, K.,Brand-Miller, J.(2011).Vegetarian diets and diabetes.American Journal of Lifestyle Medicine,5(2),135-143.
  42. Martin, B.,Mattson, M. P.,Maudsley, S.(2006).Caloric restriction and intermittent fasting:two potential diets for successful brain aging.Ageing Res Rev,5(3),332-353.
  43. Mattson, M. P.,Wan, R.(2005).Beneficial effects of intermittent fasting and caloric restriction on the cardiovascular and cerebrovascular systems.J Nutr Biochem,16(3),129-137.
  44. McCoy, R. G.,Van Houten, H. K.,Ziegenfuss, J. Y.,Shah, N. D.,Wermers, R. A.,Smith, S. A.(2012).Increased mortality of patients with diabetes reporting severe hypoglycemia.Diabetes care,35(9),1897-1901.
  45. McVeigh, G. E.,Brennan, G. M.,Johnston, G. D.,McDermott, B. J.,McGrath, L. T.,Henry, W. R.,Hayes, J. R.(1993).Dietary fish oil augments nitric oxide production or release in patients with type 2 (non-insulin-dependent) diabetes mellitus.Diabetologia,36(1),33-38.
  46. Mingrone, G.,Castagneto-Gissey, L.(2009).Mechanisms of early improvement/resolution of type 2 diabetes after bariatric surgery.Diabetes Metab,35(6 Pt 2),518-523.
  47. Nicholson, A. S.,Sklar, M.,Barnard, N. D.,Gore, S.,Sullivan, R.,Browning, S.(1999).Toward improved management of NIDDM: a randomized, controlled, pilot intervention using a lowfat, vegetarian diet.Preventive medicine,29(2),87-91.
  48. Oppermann, M.(1996).Rural tourism in southern Germany.Annals of tourism research,23(1),86-102.
  49. Paoli, A.,Rubini, A.,Volek, J. S.,Grimaldi, K. A.(2013).Beyond weight loss: a review of the therapeutic uses of very-low-carbohydrate (ketogenic) diets.Eur J Clin Nutr,67(8),789-796.
  50. Park, D.-B.,Yoon, Y.-S.(2009).Segmentation by motivation in rural tourism: A Korean case study.Tourism management,30(1),99-108.
  51. Poplawski, M. M.,Mastaitis, J. W.,Isoda, F.,Grosjean, F.,Zheng, F.,Mobbs, C. V.(2011).Reversal of diabetic nephropathy by a ketogenic diet.PLoS One,6(4),e18604.
  52. Pories, W. J.,Swanson, M. S.,MacDonald, K. G.,Long, S. B.,Morris, P. G.,Brown, B. M.,Barakat, H. A.(1995).Who would have thought it? An operation proves to be the most effective therapy for adult-onset diabetes mellitus.Annals of surgery,222(3),339.
  53. Retnakaran, R.,Cull, C. A.,Thorne, K. I.,Adler, A. I.,Holman, R. R.,Group, U. S.(2006).Risk factors for renal dysfunction in type 2 diabetes: U.K..Prospective Diabetes Study Diabetes,55(6),1832-1839.
  54. Saris, W. H.(2001).Very-low-calorie diets and sustained weight loss.Obes Res Suppl,4(9 Suppl 4),295S-301S.
  55. Schrauwen, P.,Hesselink, M. K.(2004).Oxidative capacity, lipotoxicity, and mitochondrial damage in type 2 diabetes.Diabetes,53(6),1412-1417.
  56. Sharpley, R.(2002).Rural tourism and the challenge of tourism diversification: the case of Cyprus.Tourism management,23(3),233-244.
  57. Snoek, F. J.,Skinner, T. C.(2006).Psychological aspects of diabetes management.Medicine,34(2),61-62.
  58. Tack, J.,Deloose, E.(2014).Complications of bariatric surgery: dumping syndrome, reflux and vitamin deficiencies.Best Pract Res Clin Gastroenterol,28(4),741-749.
  59. Tapia, P. C.(2006).Sublethal mitochondrial stress with an attendant stoichiometric augmentation of reactive oxygen species may precipitate many of the beneficial alterations in cellular physiology produced by caloric restriction, intermittent fasting, exercise and dietary phytonutrients:“Mitohormesis” for health and vitality.Medical hypotheses,66(4),832-843.
  60. Thaler, J. P.,Cummings, D. E.(2009).Minireview: Hormonal and metabolic mechanisms of diabetes remission after gastrointestinal surgery.Endocrinology,150(6),2518-2525.
  61. Trapp, C. B.,Barnard, N. D.(2010).Usefulness of vegetarian and vegan diets for treating type 2 diabetes.Curr Diab Rep,10(2),152-158.
  62. Ukleja, A.(2005).Dumping syndrome: pathophysiology and treatment.Nutr Clin Pract,20(5),517-525.
  63. van Dam, R. M.,Willett, W. C.,Manson, J. E.,Hu, F. B.(2006).Coffee, caffeine, and risk of type 2 diabetes: a prospective cohort study in younger and middle-aged U.S. women.Diabetes care,29(2),398-403.
  64. van Loon, L. J.,Greenhaff, P. L.,Constantin-Teodosiu, D.,Saris, W. H.,Wagenmakers, A. J.(2001).The effects of increasing exercise intensity on muscle fuel utilisation in humans.J Physiol,536(1),295-304.
  65. West, K. M.(1974).Diabetes in American Indians and other native populations of the New World.Diabetes,23(10),841-855.
  66. West, K. M.(1978).Epidemiology of diabetes and its vascular lesions.Elsevier.
  67. West, K. M.,Kalbfleisch, J. M.(1971).Influence of nutritional factors on prevalence of diabetes.Diabetes,20(2),99-108.
  68. Westman, E. C.,Yancy, W. S., Jr.,Mavropoulos, J. C.,Marquart, M.,McDuffie, J. R.(2008).The effect of a low-carbohydrate, ketogenic diet versus a low-glycemic index diet on glycemic control in type 2 diabetes mellitus.Nutr Metab (Lond),5(1),36.
  69. Westman, E. C.,Yancy, W. S.,Mavropoulos, J. C.,Marquart, M.,McDuffie, J. R.(2008).The effect of a low-carbohydrate, ketogenic diet versus a low-glycemic index diet on glycemic control in type 2 diabetes mellitus.Nutrition & metabolism,5(1),36.
  70. Wolfram, T.,Ismail-Beigi, F.(2010).Efficacy of high-fiber diets in the management of type 2 diabetes mellitus.Endocrine practice,17(1),132-142.
  71. Yancy, W. S., Jr.,Foy, M.,Chalecki, A. M.,Vernon, M. C.,Westman, E. C.(2005).A low-carbohydrate, ketogenic diet to treat type 2 diabetes.Nutr Metab (Lond),2(1),34.
  72. Zammitt, N. N.,Frier, B. M.(2005).Hypoglycemia in type 2 diabetes: pathophysiology, frequency, and effects of different treatment modalities.Diabetes care,28(12),2948-2961.