研究生: |
林瑞興 Lin, Jui-Hsing |
---|---|
論文名稱: |
運動訓練及飲食教育計畫介入對體重過重大學生的效果探討 EFFECTS OF 12 WEEKS EXERCISE TRAINING AND DIET EDUCATION ON SELECTED PARAMETERS OF OVERWEIGHT UNIVERSITY STUDENTS |
指導教授: |
方進隆
Fang, Chin-Lung |
學位類別: |
博士 Doctor |
系所名稱: |
體育學系 Department of Physical Education |
論文出版年: | 2003 |
畢業學年度: | 91 |
語文別: | 中文 |
論文頁數: | p. 140 |
中文關鍵詞: | 運動訓練 、身體組成 、BMI 、MRI |
英文關鍵詞: | exercise training, body composition, BMI, MRI |
論文種類: | 學術論文 |
相關次數: | 點閱:242 下載:88 |
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本研究探討12週運動訓練及飲食教育計畫介入對體重過重大學生之影響,以36位國立屏東師範學院的健康學生為研究對象,均未受過訓練且身體質量指數(BMI) > 24,分配12人至運動訓練組(E組,6男6女)、12人至運動訓練+飲食教育組(E+D組,5男7女)及12人至控制組(C組,8男4女)。E及E+D組的運動強度為攝氧峰值的70%、每週三天為期十二週,每次由20分鐘漸增至45分鐘的騎腳踏車訓練,C組需維持正常飲食及作息。訓練前、後及停訓12週後分別進行一次測驗,項目包括:體重、BMI、攝氧峰值、水中秤重法量體脂肪百分比及應用MRI技術來測量人體內臟脂肪量、血液分析三酸甘油酯(TG)、總膽固醇(TC)、高密度脂蛋白膽固醇(HDL-C)、低密度脂蛋白膽固醇(LDL-C)、總膽固醇與高密度脂蛋白膽固醇比值(TC/HDL-C)、尿酸(UA)及胰島素(Insulin),統計方法以共變數分析(one-way ANCOVA)及二因子混合設計變異數分析考驗三組的前、後測及追縱是否有顯著的介入效果。結果發現12週的介入計畫後,E+D組的體重、BMI、體脂肪百分比、Insulin、皮下脂肪橫切面積、內臟脂肪橫切面積、總脂肪橫切面積均顯著的下降,而攝氧峰值相對值及HDL-C均顯著的上升(p<0.05),且此改善效果在體重、BMI、體脂肪百分比、Insulin、攝氧峰值相對值、皮下脂肪橫切面積、內臟脂肪橫切面積、總脂肪橫切面積均有延續至停訓十二週後的現象。運動訓練配合飲食教育介入計畫是長期體重控制的有效方法,可改善體重過重者的身體組成、心肺耐力、血液分析值及腹部脂肪量。
The purpose of this study was to examine the effects of 12 weeks exercise training and diet education on selected parameters of overweight university students. Thirty six untrained healthy students and BMI >24 were recruited as subjects from the National Ping Tung Teachers College and assigned to three groups. The training group (Group E), exercise training and diet education group (Group E+D) and control group (Group C) included 6 male and 6 female, 5 male and 7 female and 8 male and 4 female, respectively. All the subjects were asked to maintain their habitual lifestyle throughout the whole period of the study. The 12 weeks exercise training program was performed 3 days per week, duration increased from 20 to 45 minutes gradually each session at 70% of VO2peak of bicycle exercise. All subjects underwent the following measurements: weight(WT), body mass index(BMI), VO2peak, percent body fat(PBF) by underwater weight, visceral adipose tissue (VAT), subcutaneous adipose tissue(SAT) and total abdominal fat(TAF) assessment by magnetic resonance imaging (MRI) and blood lipid profiles were evaluated before, after 12 weeks exercise training and follow 12 weeks detraining. The data were analyzed by one-way ANCOVA and Two-way analysis of variance(Group×time) with repeated measures to examine any changes after training and follow detraining. Within and among the trail, a statistical decrease (p<0.05) in WT, BMI, PBF, Insulin, VAT, SAT and TAF was observed in Group E+D. An increase (p<0.05) in VO2peak and HDL-C was observed in Group E+D.The improvement of WT, BMI, PBF, VO2peak, Insulin, VAT, SAT and TAF continued to exist after 12 weeks of detraining. Exercise training and diet education was a good method for long-term weight control of overweight university students in body composition, cardiovascular endurance fitness, blood parameters and abdominal fat distribution.
中文部份:
丁文琴、謝伸裕(民84)。水中秤重、生物電阻和皮脂厚測量法對體脂肪百分比之評估比較。中華民國體育學會體育學報,19輯,157-168。
方進隆(民86)。健康體能的理論與實際。台北:漢文出版社。
何維華(民91)。台彎男性青年人與運動員之人體肢段參數研究。國立體育學院博士論文(未出版)。
李寧遠(民90)。食品營養與體重控制。體適能指導手冊,243-252。
李寬容、李三剛、何永仁、沉戊忠、李覃、楊康寧、韓念祖、蘇友吉(民79)。磁振造影診斷學。台北:華榮出版社。
林文煌(民85)。以MRI法測量人體脂肪密度之初探。雲林工專學報,15輯,177-193。
林正常(民84)。運動生理學實驗指引。台北:師大書苑。
林瑞興(民88)。青少年血壓偏高者與正常者體型及心肺耐力之差異比較。中華民國大專院校八十八年度體育學術研討會專刊,221-226。
林瑞興、方進隆(民89a)。增加身體活動量或運動訓練對肥胖者的效果探討。大專體育,50期,31-37。
林瑞興、方進隆(民89b)。12週不同型式快走訓練對血壓偏高青少年血壓值及血液分析值的效果探討。中華民國體育學會體育學報,29輯,115-125。
林瑞興、龍田種(民85)。血壓偏高男童與一般男童的皮脂厚及心肺耐力之差異比較。中華民國八十五年度大專運動會學術研討會專刊,467-471。
曹德弘(民86)。身體組成測量方法的新動向。中華體育,43期,49-54。
曹德弘(民87)。腰圍和腰臀圍比與內臟脂肪的相關研究。臺灣省學校體育雙月刊,43期,38-42。
曹德弘(民90)。長期規律運動對腹部脂肪分佈與瘦身蛋白的影響。國立臺灣師範大學博士論文。
陳元和、林正常(民90)。八週減肥計畫介入對高中超重女生血清瘦身蛋白濃度之影響。中華民國體育學會體育學報,31輯,305-316。
陳坤檸(民91)。應用運動生理學。台北:五南。
錢桂玉、李寧遠(民86)。運動對局部減肥的可能性。體育與運動,103期,21-24。
謝伸裕譯(民91)。ACSM體適能手冊。台北:九洲。
英文部份:
American College of Sports Medicine. (2000). ACSM'S Guidelines for exercise testing and prescription, Williams & Wilkines, Philadephia, 6th edtion.
Baulain, U. (1997). Magnetic resonance imaging for the in vivo determination of body composition in animal science. Computers and Electronics in Agriculture, 17, 189-203.
Blair, S. N., & Brodney, S. (1999). Effects of physical inactivity and obesity on morbidity and mortality: current evidence and research issues. Medicine and Science in Sports and Exercise, 31(11), S646-S662.
Blair, S., Horton, E., Leon, A. S., Lee, I. M., Drinkwater, B. L., Dishman, R. K., Mackey, M., & Kienholz, M. L. (1996). Physical activity, nutrition, and chronic disease. Medicine and Science in Sports and Exercise, 28(3), 335-349.
Blüher, M., Hentschel, B., Rassoul, F., & Richter, V. (2001). Influence of dietary intake and physical activity on annual rhythm of human blood cholesterol concentrations. Chronobiology International, 18(3), 541-557.
Brambilla, P., Manzoni, P., Agostini, G.,, Beccaria, L., Ruotolo, G., Sironi, S., Maschio, D., & Chiumello, G. (1998). Persisting obesity starting before puberty is associated with stable intraabdominal fat during adolescence. International Joournal of Obesity, 23, 299-303.
Brooks, G. A., Fahey, T. D. & White, T. P. (1996). Obesity, body composition, and exercise. Exercise physiology: Human bioenergetics and its applications. (pp. 512-535). California: Mayfield Publishing Company.
Buemann, B., & Tremblay, A. (1996). Effect of exercise training on abdominal obesity and related metabolic complications. Sports Medicine, 21(3), 191-212.
Busetto, L., Tregnaghi, A., Bussolotto, M., Sergi, G., Beninca, P., Ceccon, A., Giantin, V., Fiore, D., & Enzi, G. (2000). Visceral fat loss evaluated by total body magnetic resonance imaging in obese women operated with laparascopic adjustable silicone gastric banding. International Journal of Obesity, 24, 60-69.
Colditz, G. A. (1999). Economic costs of obesity and inactivity. Medicine and Science in Sports and Exercise, 31(11), S663-S667.
Denke, M. (1996). Lipids, estrogen status, and coronary heart disease risk in women. Medicine and Science in Sports and Exercise, 28(1), 13-14.
DeStefano, R. A., Caprio, S. Fahey, J. T., Tamborlane, W. V., & Goldberg, B. (2000). Changes in body composition after a 12-wk aerobic exercise program in obese boys. Pediatric Diabetes, 1, 61-65.
Douchi, T., Yamamoto, S., Oki, T., Maruta, K., Kuwahata, R., Yamasaki, H., & Nagata, Y. (2000). The effects of physical exercise on body fat distribution and bone mineral density in postmenopausal women. Maturitas, 35, 25-30.
Eisenmann, J. C., Womack, C. J., Reeves, M. J., Pivarnik, J. M., & Malina, R. M. (2001). Blood lipids in young distance runners. Medicine and Science in Sports and Exercise, 33(10), 1661-1666.
Elrick, H. (1996). Exercise is medicine. The Physician and Sportsmedicine, 24(2), 72-78.
El-Sayed, M. S., & Rattu, J. M. (1996). Change in lipid profile variables I response to submaximal and maximal exercise in trained cyclists. European Journal of Applied Physiology, 73, 88-92.
Epstein, L. H., & Goldfield, G. S. (1999). Physical activity in the treatment of childhood overweight and obesity: current evidence and research issues. Medicine and Science in Sports and Exercise, 31(11), S553-S559.
Fagard, R. H. (1999). Physical activity in the prevention and treatment of hypertension in the obese. Medicine and Science in Sports and Exercise, 31(11), S624-S630.
Flegal, K. M. (1999). The obesity epidemic in children and adults: current evidence and research issues. Medicine and Science in Sports and Exercise, 31(11), S509-S514.
Gaesser, G. A. (1999). Thinness and weight loss: beneficial or detrimental to longevity? Medicine and Science in Sports and Exercise, 31(8), 1118-1128.
Goldfine, H., Ward, A., Taylor, P., Carlucci, D., & Rippe, J. M. (1991). Exercising to health. The Physician and Sportsmedicine, 19(6), 81-91.
Gordon, P. M., Fowler, S., Warty, V., Danduran, M., Visich, P., & Keteyian, S. (1998). Effect of acute exercise on high density lipoprotein cholesterol and high density lipoprotein subfractions in moderately trained females. British Journal of Sports Medicine, 32, 63-67.
Grandjean, P. W., Oden, G. L., Crouse, S. F., Brown, J. A., & Green, J. S. (1996). Lipid and lipoprotein changes in women following 6 months of exercise training in a worksite fitness program. Journal of Sports Medicine and Physical Fitness, 36(1), 54-59.
Gronemeyer, S. A., Steen, R. G., Kauffman, W. M., Reddick, W. E., & Glass, J. O. (2000). Fast adipose tissue (FAT) assessment by MRI. Magnetic Resonance Imaging, 18, 815-818.
Grundy, S. M., Blackburn, G., Higgins, M., Lauer, R., Perri, M. G., & Ryan, D.(1999). Physical activity in the prevention and treatment of obesity and its comorbidities: evidence report of independent panel to assess the role of physical activity in the treatment of obesity and its comorbidities. Medicine and Science in Sports and Exercise, 31(11), 1493-1500.
Gutin, B., Cucuzzo, N., Islam, S., Smith, C., & Stachura, M. (1996). Physical training, lifestyle education, and coronary risk factor in obese girls. Medicine and Science in Sports and Exercise, 28(1), 19-23.
Haddock, B. L., Hopp, H. P., Mason, J. J.,Blix, G., & Blair, S. N. (1998). Cardiorespiratory fitness and cardiovvascular disease risk factors in postmenopausal women. Medicine and Science in Sports and Exercise, 30(6), 893-898.
Hagan, R. D., Upton, S. J., Wong, L., & Whittam, J. (1987). The effects of aerobic conditioning and/or calorie restriction in overweight men and women. Medicine and Science in Sports and Exercise, 18, 87-94.
Hagberg, J. M., Graves, J. E., Limacher, M., Woods, D. R., Leggett, S. H., Cononie, C., Gruber, J. J., & Pollock M. L. (1989). Cardiovascular responses of 70- to 79-yr-old men and women to exercise training. Journal of Applied Physiology, 66(6), 2589-2594.
Hagberg, J. M., Park, J. J., Brown, M. D. (2000). The role of exercise training in the treatment of hypertension. Sports Medicine, 30(3), 193-206.
Han, T. S., Kelly, I. E., Walsh, K., Greene, R. M. E., & Lean, M. E. J. (1997). Relationship between volumes and areas from single transverse scans of intra-abdominal fat measured by magnetic resonance imaging. International Journal of Obesity, 21, 1161-1166.
Han, T. S., McNeill, G., Seidell, J. C., & Lean, M. E. J. (1997). Predicting intra-abdominal fatness from anthropometric measures: the influence of stature. International Journal of Obesity, 21, 587-593.
Hardman, A. E. (1996). Exercise in the prevention of atherosclerotic, metabolic and hypertensive diseases: A review. Journal of Sports Science, 14, 201-218.
Hardman, A. E., & Hudson, A. (1994). Brisk walking and serum lipid and lipoprotein variables in previously sedentary women-effect of 12 weeks of regular brisk walking followed by 12 weeks of detraining. British Journal of Sports Medicine, 28(4), 261-266.
Herd, S. L., Gower, B. A., Dashti, N., & Goran, M. I. (2001). Body fat, fat distribution and serum lipids, lipoproteins and apolipoproteins in African-American and Caucasian-American prepubertal children. International Journal of Obesity, 25, 198-204.
Hu, G., Pekkarinen, H., Hanninen, O., Yu, Z., Guo, z., &Tian, H. (2002). Commuting, leisure-time physical activity, and cardiovascular risk factors in China. Medicine and Science in Sports and Exercise, 34(2), 234-238.
Hurley, B. F., Hagberg, J. M., Goldberg, A. P., Seals, D. R., & Ehsani. A. A. (1988). Resistive training can reduce coronary risk factors without altering VO2peak or percent body fat. Medicine and Science in Sports and Exercise, 20(1), 150-154.
Jakicic, J. M., Gallagher, K. I. (2003). Exercise considerations for the sedentary, overweight adult. Exercise and Sport Sciences Reviews, 31(2), 91-95.
Janz, K. F., Burns, T. L., & Mahoney, L. T. (1995). Predictors of left ventricular mass and resting blood pressure in children: The muscatine study. Medicine and Science in Sports and Exercise, 27, 818-825.
Kamel, E. G., McNeill, G., & Wijk, M. V. (2000). Change in intra-abdominal adipose tissue volume during weight loss in obese men and women: correlation between magnetic resonance imaging and anthropometric measurements. International Journal of Obesity, 24, 607-613.
Kamel, E. G., McNeill, G., Han, T. S., Smith, F. W., Avenell, A., Davidson, L., & Tothill, P. (1999). Measurement of abdominal fat by magnetic resonance imaging, dual-energy X-ray absorptiometry and anthropometry in non-obese men and women. International Journal of Obesity, 23, 686-692.
Klebanoff, R., Miller, V. T., & Fernhall, B. (1998). Effect of exercise and estrogen therapy on lipid profiles of postmenopausal women. Medicine and Science in Sports and Exercise, 30(7), 1028-1034.
Lan, c., Lai, J. S., Chen, S. Y., & Wong, M. K. (1997). 12-month Tai Chi training in the elderly: its effect on health fetness. Medicine and Science in Sports and Exercise, 30(3), 345-350.
Leddy, J., Horvath, P., Rowland, J., & Pendergast, D. (1997). Effect of a high or a low fat diet on cardiovascular risk factors in male and female runners. Medicine and Science in Sports and Exercise, 29(1), 17-25.
Leon, A. S. (1987). Age and other predictors of coronary heart disease. Medicine and Science in Sports and Exercise, 19(2), 159-167.
Leung, S. S. F., Chan, Y. L., Lam, W. W. K., Peng, X. H., Woo, K. S., & Metreweli, C. (1998). Body fatness and serum lipids of 11-year-old Chinese Children. Acta Pædiatr, 87, 363-367.
Mandigout, S., Lecoq, A. M., Courteix, D., Guenon, P., & Obert, P. (2001). Effect of gender in response to an aerobic training programme in prepubertal children. Acta Pædiatr, 90, 9-15.
Marks, S. J., Moore, N. R., Ryley, N. G., Clark, M. L., Pointon, J. J., Straus, B. J. G., & Hockaday, T. D. R. (1997). Measurement of liver fat by MRI and its reduction by dexfenfluramine in NIDDM. International Journal of Obesity, 21, 274-279.
Marks, S. J., Chin, S., & Strauss, B. J. G.(1998). The metabolic effects of preferential reduction of visce5ral adipose tissue in abdominally obese men. International Journal of Obesity, 22, 893-898.
Marniemi, J., Kronholm, E., Aunola, S., Toikka, T., & Mattlar, C. E. (2002). Visceral fat and psychosocial stress in identical twins discordant for obesity. Journal of Internal Medicine, 251, 35-43.
Martin, J. E., Patten, C. A., & Armstrong, C. A. (1993). Association between physical activity and blood pressure in normotensive adults. Perceptual and Motor Skill, 76, 701-702.
Mayo, M. J., Grantham, J. R., & Balasekaran, G. (2003). Exercise induced weight loss preferentially reduces abdominal fat. Medicine and Science in Sports and Exercise, 35(2), 207-213.
Moreau, K. L., Degarmo, R., Langley, J., Mcmahon, C., Howley, E. T., Bassett, D. R., & Thompson, D. L. (2001). Increasing daily walking lowers blood pressure in postmenopausal women. Medicine and Science in Sports and Exercise, 33(11), 1825-1831.
Motoyama, M., Sunami, Y., Kinoshita, F., Kiyonaga, A., Tanaka, H., Shindo, M., Irie, T., Urata, H., Sasaki, J., & Arakawa, K. (1998). Blood pressure lowering effect of low intensity aerobic training in elderly hypertensive patients. Medicine and Science in Sports and Exercise, 30(6), 818-823.
Mougios, V., Kouidi, E., Kyparos, A., Deligiannis, A. (1998). Effect of exercise on the proportion of unsaturated fatty acids in serum of untrained middle aged individuals. British Journal of Sports Medicine, 32, 58-62.
Nicklas, B. J., Ryan, A. J., Treuth, M. M., Harman, S. M., Blackman, M. R., Hurley, B. F., & Rogers, M. A. (1995). Testosterone, growth hormone and IGF-I responses to acute and chronic resistive exercise in men aged 55-70 years. International journal of sports medicine, 16(7), 445-450.
Okosun, I. S., Choi, S., Hash, R., & Dever, G. E. A. (2001). Apolipoprotein B, ratio of total cholesterol to HDL-C, and blood pressure in abdominally obese white and black American women. Journal of Human Hypertension, 15, 299-305.
Paffenbarger, R. S., Kampert, J. B., Lee, I. M., Hyde, R. T., Leung, R. W., & Wing, A. L. (1994). Changes in physical activity and other lifeway patterns influencing longevity. Medicine and Science in Sports and Exercise, 26(7), 857-865.
Pihl, E., & Jürimäe, T. (2001). Relationships between body weight change and cardiovascular disease risk factors in male former athletes. International Journal of Obesity, 25, 1057-1062.
Quinn, T. J., Sprague, H. A., Vanhuss, W. D., & Olson, H. W.(1990). Caloric expenditure, life status, and disease in former male athletes and non-athletes. Medicine and Science in Sports and Exercise, 22(6), 742-750.
Raitakari, O. T., Taimela, S., Porkka, V. K., Telama, R., valmaki, I., Akerblom, H. K., & Viikari, S. A. (1997). Associations between physical activity and risk factors for coronary heart disease: The cardiovascular risk in young Finns study. Medicine and Science in Sports and Exercise, 29(8), 1055-1061.
Rauramaa, R., & Leon, A. S. (1996). Physical activity and risk of cardiovascular disease in middle-aged individuals. Sports Medicine, 22(2), 65-69.
Ready, A. E., Naimark, B., Ducas, J., Sawatzky, J. A. V., Boreskie, S. L., Drinkwater, D. T., & Oosterveen, S. (1996). Influence of walking volume on health benefits in women post-menopause. Medicine and science in sports and exercise, 28(9), 1097-1105.
Rimmer, J. H., Looney, M. A. (1997). Effect of an aerobic activity program on the cholesterol levels of adolescents. Research Quarterly for Exercise and Sport, 68(1), 74-79.
Ross, R., & Janssen, I. (1999). Is abdominal fat preferentially reduced in response to exercise-induced weight loss? Medicine and Science in Sports and Exercise, 31(11), S568-S572.
Seidell, J. C., Visscher, L. S., & Hoogeveen, R. H. Overweight and obesity in the mortality rate data: current evidence and research issues. Medicine and Science in Sports and Exercise, 31(11), S597-S601.
Shephard, R. J., & Bouchard, C. (1995). Relationship between perceptions of physical activity and health-related fitness. The Journal of Sports Medicine and Physical Fitness, 35(3), 149-158.
Stefanick, M. L. (1999). Physical activity for preventing and treating obesity-related dyslipoproteinemias. Medicine and Science in Sports and Exercise, 31(11), S609-S618.
Stensel, D. J., Lin, F. P., Ho, T. F., & Aw, T. C. (2001). Serum lipids, serum insulin, plasma fibrinogen and aerobic capacity in obese and non-obese Singaporean boys. International Journal of Obesity, 25, 984-989.
Suzanne, A., Gronemeyer, R., Grant, S., William, M., Kauffman, W., Reddick, E., Glass, J. O. (2000). Fast adipose tissue(FAT) assessment by MRI. Magnetic Resonance Imaging, 18, 815-818.
Suzuki, I., Yamada, H., Sugiura, T., Kawakami, N., & Shimizu, H. (1998). Cardiovascular fitness, physical activity and selected coronary heart disease risk factors in adults. The Journal of Sports Medicine and Physical Fitness, 38(2), 149-157.
Szabo, C., Babinszky, L., Verstegen, M. W. A., Vangen, O., Jansman, A. J. M., & Kanis, E. (2000). The application of digital imaging techniques in the in vivo estimation of the body composition of pigs: a review. Livestock Production Science, 60, 1-11.
Taubert, K. A., Moller, J. H., & Washington, R. L. (1996). The current status of children cardiovascular health. Journal of Health Education September/October, 27(5), s12-s16.
Tolfrey, K., Campbell, I. G., & Batterham, A. M. (1998). Exercise training induced alterations in prepubertal children's lipid-lipoprotein profile. Medicine and Science in Sports and Exercise, 30(12), 1684-1692.
Treuth, M. S., Ryan, A. S., Pratley, R. E., Rubin, M. A., Miller, J. P., & Nicklas, B. J. (1994). Effects of strength training on total and regional body composition in older men. Strength Training and Body Composition, 77(2), 614-620.
Tsetsonis, N. V., & Hardman, A. E. (1996). Reduction in postprandial lipemia after walking: influence of exercise intensity. Medicine and Science in Sports and Exercise, 28(10), 1235-1242.
Vaccaro, P., & Mahon, A. (1989). The effect of exercise on coronary heart disease risk factors in children. Sports Medicine, 8(3), 139-153.
Visich, P. S., Goss, F. L., Gordon, P. M., Robertson, R J., Warty, V., Denys, B. G., & Metz, K. F. (1996). Effects of exercise with varying energy expenditure on high-density lipoprotein-cholesterol. European Journal of Applied Physiology, 72, 242-248.
Cleroux, J., Peronnet, F., & Champlain, J. (1987). Effect of exercise training on plasma catecholamines and blood pressure in labile hypertensive subjects. European Journal of Applied Physiology, 56, 550-554.
Cononie, C. C., Graves, J. E., Pollock, M. L., Phillips, M. I., Sumners, C., & Hagberg, J. M. (1991). Effect of exercise training on blood pressure in 70- to 79-yr-old men and women. Medicine and Science in Sports and Exercise, 23(4), 505-511.
Dyer, S. M. (1994). Physiological effects of a 13-week physical fitness program on Down Syndrome subjects. Pediatric Exercise Science, 6, 88-100.
Mechelen, W. V., Twisk, W. R., Vanlenthe, F., Post, G. B., Snel, J., & Kemper, C. G. (1998). Longitudinal relationships between resting heart rate and biological risk factors for cardiovascular disease: The Amsterdam Growth and Health Study. Journal of Sports Sciences, 16, S17-S23.
Pardaens, K., Reybrouck, T., Thijs, L., & Fagard, R. (1996). Prognostic Significance of peak oxygen uptake in hypertension. Medicine and Science in Sports and Exercise, 28(7), 794-800.
Rocchini, A. P., Katch, V., Anderson, J., Hinderliter, J., Becque, D., Martin, M., & Marks, C. (1988). Blood pressure in obese adolescents : Effect of weight loss. Pediatrics, 82, 16-23.
Stewart, K. J. (1998). Exercise and hypertension. In J. L. Roitman(Ed.). ACSM’S resource manual for guidelines for exercise testing and prescription. (pp. 275-280). Maryland: Williams & Wilkins.
Wallace, M. B., Mills, B., & Browning, C. (1997). Effects of cross-training on markers of insulin resistance / hyperinsulinemia. Medicine and Science in Sports and Exercise, 29(9), 1170-1175.
Williams, M. A. (1996). Cardiovascular risk-factor reduction in elderly parents with cardiac disease. Physical Therapy, 76(5), 469-480.
Wing, R. R. (1999). Physical activity in the treatment of the adulthood overweight and obesity: current evidence and research issues. Medicine and Science in Sports and Exercise, 31(11), S547-S552.
Yurgalevitch, S. M., Kriska, A. M., Welty, T. K., Go, O., Robbins, D. C., & Howard, B. V. (1998). Physical activity and lipids and lipoproteins in American Indians ages 45-74. Medicine and Science in Sports and Exercise, 30(4), 543-549.
Ziogas, G. G., Thomas, T. R., & Harris, W. S. (1997). Exercise training, postprandial hypertriglyceridemia, and LDL subfraction distribution. Medicine and Science in Sports and Exercise, 29(8), 986-991.