研究生: |
黃憲鐘 Hsien-Chung Huang |
---|---|
論文名稱: |
運動訓練對B型肝炎帶原者肝功能及心肺耐力與肌力之影響 Effects of Running and Weight Training on Liver Function,Aerobic Capacity, and Muscular Strength in Hepatitis B Carriers |
指導教授: |
林正常
Lin, Jung-Charng 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: | 2002 |
畢業學年度: | 90 |
語文別: | 中文 |
論文頁數: | 67 |
中文關鍵詞: | 運動型態 、B型肝炎帶原者 、肝功能指數 、心肺耐力 、肌力 |
英文關鍵詞: | training type, hepatitis B, liver function, aerobic capacity, muscular strength |
論文種類: | 學術論文 |
相關次數: | 點閱:373 下載:9 |
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本研究主要目的在探討不同運動型態訓練對B型肝炎帶原者肝功能及心肺耐力與肌力之影響。受試者為40名自願參與本研究之男性B型肝炎帶原者,隨機分配於四組不同運動型態,包括:一、高強度跑步訓練組(HR組;22.5 ±3.58 歲):85% VO2max,20分鐘;二、低強度跑步訓練組(LR組;22.1 ±2.77 歲):50% VO2max,30分鐘;三、重量訓練組(WT組;22.2 ±1.72 歲):15RM,八種動作;四、控制組(C組;24.4 ±4.48 歲),進行八週,每週三次的訓練。於訓練前(T1)、訓練四週(T2)、八週後(T3)及停止訓練四週後(T4)採血以分析肝功能,並於T1、T3及T4測驗心肺耐力及肌力。研究所得之肝功能檢驗值以正常值作為判定標準;而心肺耐力及肌力等數值則以混合設計二因子變異數及相依樣本單因子變異數分析進行檢定。結果發現:一、肝功能部分:四個不同運動訓練組,在T1、T2、T3及T4所測得的肝功能檢驗值皆落在正常範圍內。二、心肺耐力部分:VO2max在HR組中,於T3顯著增加,而在T4則顯著下降;另外,在LR組中,T1、T3及T4間皆無顯著差異。三、肌力部分:八項動作的肌力於T3顯著提升而仰臥推舉、大腿踢伸及正握拉槓等動作於T4顯著下滑。本研究顯示,B型肝炎帶原者經過八週,每週三次的85% VO2max跑步訓練及15RM重量訓練後,分別能有效提升心肺耐力及肌肉適能,且對肝功能並無不良影響。
Purpose: The purpose of this study was to compare the effects of running and weight training on liver function, aerobic capacity, and muscular strength in hepatitis B carriers. Methods: Forty subjects were randomly assigned to four groups: 1) High intensity running group (HG, age = 22.5 ±3.58 yrs): 85% VO2max, 20 minutes; 2) Low intensity running group (LG, age =22.1 ±2.77 yrs): 50% VO2max, 30 minutes; 3) Weight training group (WG, age =22.2 ±1.72 yrs): 15RM, eight exercises; 4) Control group (CG, age =24.4 ±4.48 yrs). Blood samples were collected before the training(T1), after week four(T2) and eight(T3) of training, and after a 4-week of detraining(T4). Aerobic capacity and muscular strength were examined at T1, T3, and T4. Liver-examined values were diagnosed by normal range; aerobic capacity and muscular strength were analyzed by mixed design two-way ANOVA and repeated design one-way ANOVA. Results: 1) Liver function: All liver-examined values in four different training groups were within normal range at T1, T2, T3, and T4. 2) Aerobic capacity: VO2max was significantly increased at T3 in HG; however, it decreased at T4. In contrast, there were no significant changes at T1, T3, and T4 in LG. 3) Maximal muscular strength of all exercises raised significantly at T3. Bench press, leg extension, and lat pulldown were reduced at T4 when compared with T3. Conclusion: Hepatitis B carriers seem to tolerate running training of 85% and 50% VO2max and 15RM weight training well. They can improve aerobic capacity after 85% VO2max running training and increase maximal muscular strength after 15RM weight training.
中華民國行政院衛生署。(1999)。台灣省主要癌症死亡原因衛生統計表。http://www.doh.gov.tw/new/sp/88kill/TMCAN88.htm.
林正常。(1995)。運動生理學實驗指引。台北市:師大書苑。
林正常。(1998)。運動生理學。台北市:師大書苑。
林正常、黃國晉和黃憲鐘。(2001)。慢性肝炎者在不同強度下運動對人體各項生理指數變化之研究。大會手冊(第43頁)。台灣省,台北市:中華民國運動醫學學會九十年度會員大會暨學術研討會。
林昇峰。(1991)。病理學。台北市:合記圖書出版社。
金井弘一。(1999)。肝臟病—沈默的臟器會說話。台北市:益群書局股份有限公司。
黃憲鐘與林正常。(2000)。最大漸增運動對健康B型肝炎帶原者肝功能的影響。中華民國體育學會學報第二十九輯,105-113。
財團法人肝病防治學術基金會。(2000a)。肝病防治會刊,9。台北市:財團法人肝病防治學術基金會
財團法人肝病防治學術基金會。(2000b)。肝病防治會刊,12。台北市:財團法人肝病防治學術基金會。
國防部軍醫局。(2001)。體位判定標準。http://www.mnd.gov.tw/medical/Service/bureau/index.htm.
蔡順隆。(1992)。慢性B型肝炎患者T淋巴細胞對B行肝炎病毒抗原之免疫反應:特別注意e抗原陰轉之機轉及T細胞受體變異區基因應用之探討。未出版之博士論文,國立台灣大學醫學院臨床醫學研究所,台北市,台灣。
Agusti, AGN., Roca, J., Rodrigues-Roisin, R., Mastai, R., Wagner, P.D.& Bosh, J.(1989). Pulmonary hemodynamics and gas exchange during exercise in liver cirrhosis. American Reviews of Respiratory Disease, 139,485-491.
American College of Sports Medicine.(1998). The recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness, and flexibility in healthy adults. Medicine and Science in Sports and Exercise , 30(6), 975-991.
American College of Sports Medicine.(2000). ACSM’s guidelines for exercise testing and prescription (6th ed.). Baltimore, Maryland: Williams& Wilkins.
Bompa, T. O. & Cornacchia, L.(1998). Serious strength trainning (pp. 269-276). Champaign, IL: Human Kinetics.
Campillo, B., Paul, F., Jean, C. B.& Guy, A.(1990). Submaximal oxygen consumption in liver cirrhosis. Journal of Hepatology,10,163-167.
Chalmers, T. C., Echkardt, R. D.& Reynold, W. E.(1955). The treatment of acute infectious hepatitis: controlled studies of the effects of diet, rest, and physical reconditioning on the acute course of disease on the incidence of relapses and residual abnormalities. Journal of Clinical Investigation, 34, 1163-1194.
DeLorme, T. L.(1945). Restoration of muscle power by heavy resistance exercise. Journal of Bone Joint Surgeon, 27, 645-667.
DeLorme, T. L., & Watkins, A. L.(1948). Technics of progressive resistance exercise. Archaic Physical Medicine, 29, 263-273.
Feigenbaum, M. S. & Pollock, M. L.(1999). Prescription of resistance training for health and disease. Medicine and Science in Sports and Exercise , 31(1), 38-45.
Ferrari, C., Penna, A., Antoni, D.&Fiaccadori, F.(1988). Cellular immune response to hepatitis B virus antigens. Journal of Hepatology,7,21-33.
Harrington, D. W.(2000). Viral hepatitis and exercise. Medicine and Science in Sports and Exercise , 32(7) supplement, s422-s430.
Hass, C. J., Feigenbaum, M. S. & Franklin, B. A.(2001). Prescription of resistance training for healthy populations. Sports Medicine,31(14), 953-964.
Ishida, A., Sumiya, N. &Ueno, F.(1996). The effects of physical activity on rehabilitation for acute hepatitis. Tokai Journal of Experimental Clinic Medicine,21 ,1-6.
Kann, M., Lu, X. &Gerlich, W, H.(1995). Recent studies on replication of hepatitis B virus. Journal of Hepatology,22(suppl 1),9-13.
Koff, R. S.(1993). Hepatitis B today: clinical and diagnostic overview. Pediatrician of Infection Dissertation, 12, 428-432
Koofnagle, J. H. (1981). Type B hepatitis: virology, serology and clinical course. Seminal and Liver Dissertation, 1, 7-14.
Kumer, V., Cotran, R. & Robbins, S.(1997). Basic Pathology(6th ed.).Philadelphia, Pennsylvania: W. B. Saunders Co.
Maugham , R. J. & Shirreffs , S. M.(1998). Dehydration , rehydration and exercise in the heat . International Journal of Sports Medicine19, S167 – 168.
Mujika, I.(1998). The influence of training characteristics and tapering on the adaptation in highly trained individuals: A review. International Journal of Sports Medicine, 19, 439-446.
Nambu, M. &Iijima, T.(1990). Indocyanine green(ICG)test before and after exercise in patients with chronic liver disease . Gastroenterologia Japanica,25,212-217.
Nefzger, M. D.&Chalmers, T. C.(1963) The treatment of acute infectious hepatitis: ten-year follow-up study of effects of diet and rest . American Journal of Medicine,35,299-309.
Neville, J. B.(1986). Laboratory immunology and serology (2nd ed.). Philadelphia, Pennsylvania: W. B. Saunders Co.
Noakes,T.,D.(1993) Fluid replacement during exercise. Medicine and Science in Sports and Exercise Reviews,21,297-330.
Notelovitz, M., Martin, D., Tesar, R., Khan, F. Y., Probart, C., Field, C. & Mckenzie, L.(1991). Estrogen therapy and variable-resistance. Journal of Bone and Mineral Research, 6(6),583-590.
Powers, S. K., & Howley, E. T.(2001). Exercise physiology:Theory and application to fitness and performance (4th ed.). New York: McGraw-Hill Publishers.
Repsher, L. H. & Freebern, R. K.(1969). Effects of early and vigorous exercise on recovery from infectious hepatitis. The New England Journal of Medicine, 18, 1393-1396.
Ritland, S.(1988). Exercise and liver disease. Sports Medicine,6,.121-126.
Ritland, S., Petlund, C. F., Knudsen, T. &Skrede, S.(1983). Improvement of physical capacity after long-term training in patient with chronic active hepatitis. Scandinavian Journal of Gastroenterology,18,1083-1087.
Ritland, S., Foss, N., E. &Gjone, E.(1982). Physical activity in liver disease and liver function in sportsmen. Scandinavian Journal of Social Medicine,(suppl 29),221-226.
Scandalis, T. A., Berliner, J. C., Helman, L. L. & Wells, M. R.(2001).Resistance training and gait function in patient with Parkinson’s disease. American Journal of physical medicine and rehabilitation, 80(1), 38-43.
Smith, J. A.(1994). Guidelines, standards, and perspectives in exercise immunology. Medicine and Science in Sports and Exercise,27(4),497-506.
Stevens, A. & Lowe, J.(2000). Pathology (2nd.ed.). London: Mosby.
Stone, M. H., Fleck, S. J., Triplett, N. T. & Kraemer, W. J.(1991). Health- and performance-related potential of resistance training. Sports Medicine, 11(4), 210-231.
West, D. J., Calandra, G. B.& Ellis, R.W.(1990). Vaccination of infants and children against hepatitis B. Pediatrician Clinical Northern America,37,585-601.
Wilmore, J. H., Costill , D. L.(1994). Physiology of Sport and Exercise. United States: Human Kinetics.