身體活動對老化及慢性疾病之影響

Physical Activity Effects on Aging and Chronic Diseases

10.6980/NUTCPE.201405_(10).0016

郭世傑(Shih-Chieh Kuo)；楊子孟(Tzyy-Meng Yang)

運動 ； 慢性疾病 ； 老化 ； 死亡 ； exercise ； chronic disease ； ageing ； mortality

臺中科大體育學刊

10期（2014 / 05 / 01）

187 - 196

繁體中文

人類從中年以後身體各器官及生理機能逐漸老化衰退，加上所處環境、日常飲食及生活習慣等內外在的影響，如一稍不慎，便容易引發中老年常見之三高，高血壓、高血脂及高血糖等危險因子之聚集與侵蝕，而慢性疾病所引發身體一系列症狀，甚至死亡，便是生活於現代富裕環境中的常見現象，在面對此生理之自然轉變，是否可藉由保持良好的生活習慣，特別是藉由規律的身體活動方式來預防或延遲罹患慢性疾病，以延長壽命。而針對中老年人的身體生理及其肢體反應狀況，對身體活動方式及劑量是否有更低的需求，就能達到一定的效果，實在是值得進一步深入探討。

Aging is a gradual, continuous process of natural change that usually begins during middle life, and is characterized by many bodily functions that begin to gradually decline. Environment, dietary and lifestyle are probably major factors influence susceptibility to many diseases. These factors may result in high risk of chronic diseases, and even premature death. Thus it is important to have a life course perspective of chronic diseases and risk factors which recognize the interactive and cumulative impacts of social environment and biological influences throughout life. Being physically active plays an essential role on improving health and reducing risk factors for chronic diseases. However, the body function and physiological situation in middle-aged and older people should be considered, At last whether less physical activity than the recommended three times a week can have life expectancy benefits is needed further research.

1. National Health Council. (2012). About chronic disease. Washington, DC: Author..
2. Public Health Agency of Canda. (2013). Chronic disease risk factors. Ottawa, Ontario: Author..
3. US National Center for Chronic Disease Prevention and Health Promotion. (2012). Four common causes of chronic disease. Atlanta, GA: Author..
4. World Health Organization. (2012). 10 facts on ageing and the life course. Geneva, Switzerland: Author..
5. US Department of Health and Human Services. (2011). A profile of older Americans: 2011. Washington, DC: Author.
6. World Health Organization. (2011). Global status report on noncommunicable disease 2010. Geneva, Switzerland: Author.
7. 中央研究院（2009）。2005-2008國民營養健康狀況變遷調查。臺北市：行政院衛生署。
8. 中央研究院（2011）。1993-1996國民營養健康狀況變遷調查。臺北市：行政院衛生署。
9. 台灣流行病學會（2007）。2007年台灣地區高血壓、高血糖、高血脂之追蹤調查研究。臺北市：行政院衛生署國民健康局。
10. 行政院衛生署（2013）。台灣地區主要死亡原因。臺北市：作者。
11. Bodenheimer, T.,Chen, E.,Bennett, H. D.(2009).Confronting the growing burden of chronic disease: Can the U.S. health care workforce do the job?.Health Affairs,28,64-74.
12. Bovens, A. M.,Van Bank, M. A.,Vrencken, J. G.,Wijnen, J. A.,Saris, W. H.,Verstappen, F. T.(1993).Physical activity fitness and selected risk factors for CHD in active men and women.Medicine & Science in Sports & Exercise,25,572-576.
13. Centers for Disease Control and Prevention(2011).,Atlanta, GA:Author..
14. Charansonny, O. L.(2011).Physical activity and aging: a life-long story.Discovery Medicine,12,177-185.
15. Gill, J. M.,Malkova, D.(2006).Physical activity, fitness and cardiovascular disease risk in adults: interactions with insulin resistance and obesity.Clinical Science,110,409-425.
16. Hu, G.,Sarti, C.,Jousilahti, P.,Silventoinen, K.,Barengo, N. C.,Tuomilehto, J.(2005).Leisure time, occupational, and commuting physical activity and the risk of stroke.Stroke,35,1994-1999.
17. Jakicic, J. M.,Marcus, B. H.,Gallagher, K. L.,Napolitano, M.,Lang, W.(2003).Effect of exercise duration and intensity on weight loss in overweight sedentary women.The Journal of American Medical Association,290,1323-1330.
18. Rankinen, T.,Bouchard, C.(2007).Invited commentary: Physical activity, mortality and genetics.American Journal of Epidemiology,166,260-263.
19. Samitz, G.,Egger, M.,Zwahlen, M.(2011).Domains of physical activity and all-cause mortality: systematic review and dose-response meta-analysis of cohort studies.International Journal of Epidemiology,40,1382-1400.
20. Siscovick, D. S.,Weiss, N. S.,Hallstrom, A. P.,Inui, T. S.,Peterson, D. R.(1982).Physical activity and primary cardiac arrest.The Journal of American Medical Association,248,3113-3117.
21. Stewart, K. J.(2005).Physical activity and aging.Annals New York Academy of Sciences,1055,193-206.
22. Wannamethee, S. G.,Shaper, A. G.,Walker, M.(2000).Physical activity and mortality in older men with diagnosed coronary heart disease.Circulation,102,1358-1363.
23. World Health Organization(2009).Global health risks: mortality and burden of disease attributable to selected major risks.Geneva, Switzerland:Author..
24. World Health Organization(2010).Global recommendations of physical activity for health.Geneva, Switzerland:Author.
25. World Health Organization(2011).Noncommunciable diseases country profiles 2011.Geneva, Switzerland:Author..
26. 行政院經濟建設委員會(2012)。中華民國2012年至2060年人口推計。臺北市:作者。