|a英文題名:The Effects of Health Promotion on Weight Control Program among University Students
|a近年來國人的生活型態及飲食習慣的改變，造成過重及肥胖盛行率逐年攀升，而使肥胖已成為各國關注的健康議題。本研究主要目的在於探討過重及肥胖之大學生參與學校體重控制計畫後，對其體位、血液生化值、營養知識、態度及行飲食為之影響。本研究以BMI≧24 kg/m2且自願參與計畫之大學生為對象，分為對照組（n=46）及體控組（n=36）兩組。對照組及體控組兩組皆參與健康存摺活動，而體控組在八週體重控制計劃期間會進行三次課程及連續八週的飲食紀錄，並給予計步器及皮尺鼓勵自發性運動及自我檢測腰圍。課程內容包含：運動介紹、食物六大分類與熱量計算以及外食的訣竅與飲食行為改變。計畫結束後分析其體位、血液生化值、營養知識、態度及行為之變化情形。結果顯示，體控組經計劃介入後，在體型意識方面，對自己體型非常不滿意的人數顯著由41%減少至8.3% (p<0.001)，對於健康狀況非常滿意之人數顯著由11.1%增加至38.9% (p<0.001)。而飲食攝取部份，體控組在不吃宵夜的人數顯著由19.4%增加至41.7% (p=0.003)。在體位部份，體控組在介入後其體重顯著下降3.28±3.21 kg (p<0.001)、BMI顯著下降1.18±1.16 kg/m2(p<0.001)、腰圍顯著下降7.27±6.42 cm (p=0.001)、臀圍顯著下降5.78±11.33 cm (p<0.001)及體脂肪顯著下降2.70±4.74 %(p=0.002)。知識、態度及行為部分，體控組整體知識顯著提升1.25±2.52分(p=0.005)，在均衡飲食知識的部分提升最為顯著(p<0.001)，且在均衡飲食知識部份提升的幅度較對照組顯著(p=0.047)。而行為部份，體控組體重控制行為顯著提升及高熱量飲食攝取頻率上顯著下降(p<0.001; p<0.001)，且改善的幅度較對照組多(p=0.023; p=0.045)。血液生化值部份，體控組之收縮壓、舒張壓及GPT有顯著下降之情形((p<0.001; p<0.001; p<0.001)。體控組經課程介入後，其營養知識與體重控制態度呈正相關，營養知識與體重控制行為呈正相關，與高熱量飲食攝取頻率呈負相關。由以上結果得知，體重控制計劃的介入可有效降低體重、BMI、血壓及GPT，並改善營養知識、體重控制行為及高熱量飲食攝取頻率。|uObesity is a major public health problem worldwide. The aim of this study is to evaluate the effects of health promotion on weight control program among university students. Students with BMI≧24 kg/m2 and volunteed to participate in the program were selected as subjects. Total of 82 students participated in this study, with 36 in the weight-control group (E group) and 46 in the control group (C group). E group attended three weight control education courses and was required to record eight-week diet diary. Weight, height, body fat, hip circumference, waist circumference, nutrition knowledge-attitude-behavior questionnaire and biochemical measurements were collected before and after weight control program. After intervention, the result shows that the percentage of body-image dissatisfaction was significantly decreased 32.7%(p<0.001), the percentage of self-perceived was significantly increased 27.8% (p<0.001), and the percentage of not eating midnight snack was significantly decreased 21.7% (p=0.003) in the E group. Among E group, the weight significantly decreased 3.28±3.21 kg (p<0.001), BMI significantly decreased 1.18±1.16 kg/m2 (p<0.001), body fat significantly decreased 2.70±4.74 %(p=0.002), hip circumference significantly decreased 5.78±11.33 cm (p<0.001), waist circumference significantly decreased 7.27±6.42 cm (p=0.001), systolic blood pressure significantly decreased 8.71±14.57mmHg (p<0.001), Diastolic blood pressure significantly decreased 14.21±14.66 mmHg (p<0.001), and GPT significantly decreased 5.17±12.29 U/L(p<0.001). The high-calorie food intake frequency was significantly decreased (p=0.002), and the total nutrition knowledge, balanced diet knowledge and weight control behavior were significantly improved (p=0.005; p<0.001; p<0.001) in the E group. Compare with C group, BMI and high-calorie food intake frequency have significantly decrease in E group (p=0.045), the balanced diet knowledge and weight control behavior have significantly improved in E group (p=0.047; p=0.023). There was a positive correlation between nutrition knowledge and weight control attitudes and weight control behavior. A negative correlation between nutrition knowledge and high-calorie food intake frequency was found in the post-test, among E group.
|aThe Effects of Health Promotion on Weight Control Program among University Students