簡易檢索 / 詳目顯示

研究生: 蕭淑芬
Shu-Feng Hsiao
論文名稱: 中老年人運動行為與醫療就診記錄關係之研究
Relationship between Exercise Behavior and Medical Treatment on the Middle-Aged Population
指導教授: 卓俊辰
Jwo, Jiunn-chern
學位類別: 碩士
Master
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: 126
中文關鍵詞: 中老年規律運動行為醫療就診記錄
英文關鍵詞: Middle-Aged Population, Exercise Behavior, Medical Treatment
論文種類: 學術論文
相關次數: 點閱:251下載:7
分享至:
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報
  • 本研究的主要目的是瞭解中老年人的運動行為,並探討運動行為與醫療就診記錄的關係。本研究以900位中老年人為研究對象,實施運動行為與醫療就診問卷調查,共得有效問卷844份回收率達93.78﹪,包括男性中老年446位(52.84%)及女性中老年398位(47.16%),樣本遍佈於台閩地區。
    本研究所得資料分別以描述性統計、卡方分析、獨立樣本T考驗、單因子變異數分析及多元迴歸等統計分析處理後,得重要結論如下:
    (一)本研究之中老年人有47.87%具有規律運動習慣,其中男性規律運動人口為50.45% ,女性則有44.97%。
    (二)探究沒有規律運動的主要原因是「沒有時間運動」,佔67.05%,其次為「沒有環境運動」,佔16.36﹪。
    (三)61.02﹪的中老年人選擇以低強度運動,33.81﹪選擇中強度運動,仍有5.81﹪的中老年人選擇高強度的運動為主要的運動型態。37.80﹪的中老年人每週運動3次以上,而每次運動時間維持在30分鐘以上的中老年人佔41.82﹪。
    (四)中老年人從事運動的目的以健康、興趣為主,男女的比例分別為76.91﹪及73.37﹪。運動後所獲得的收獲為健康及快樂,佔74.88﹪,與運動前的目標一致。
    (五)年齡在61歲以上之中老年人有規律運動習慣者高於其他年齡層(p<0.05)。
    (六)本研究之中老年人全年平均醫療次數是7.16次。其中男性全年平均醫療就診次數為6.37次,顯著低於女性的8.04次(p<0.05)。
    (七)有規律運動習慣之男、女性全年平均醫療就診次數(5.06次與6.32次)顯著低於無規律運動習慣者(7.67次與9.44次)(p<0.05)。
    (八)從事中、高強度運動者全年醫療就診次數(5.02次與5.08次),顯著低於從事低強度運動者(8.49次)(p<0.05)。
    (九)每週運動3次的中老年人全年醫療就診次數(4.76次)顯著低於其他運動次數者(p<0.05)。
    (十)每次運動持續41~50分鐘者,全年醫療就診次數(2.94次)顯著低於其他運動時間者(p<0.05)。

    總結本研究發現,中老年人規律的運動行為的確可以減少醫療就診次數,降低醫療資源的支出,而未有規律運動習慣之中老年人比例仍在50﹪左右,可改善空間極大值得相關單位及體育專業人員共同努力推廣。

    The purpose of this study was to understand the exercise behavior of middle-aged population and to investigate the relationship between exercise behavior and the records of medical treatment of middle-aged population in Taiwan. The subjects included 446 males and 398 females whose age were over 40 years old. The data were collected from a questionnaire which containd their exercise behavior and the records of medical treatment. By using descriptive statistics, chi- square test, independent sample t test. one-way ANOVA and multiple regressions to analyzethose data respectively. The conclusions were:
    1. 47.87 percent of the subjects in this study were involving in regular physical activities per week, the percentage of the regular exerciser of the male and female subjects were 50.45 percent and 44.97percent respectively.
    2. The primary reason cause the most of the subjects who failure to exercise two or three times per week in this study was “too busy to exercise”. And the second excuse was “no environment to exercise “
    3. In this study, about 37.80 percent of the subjects exercised at least three times per week, 41.82 percent of the subjects could exercise at least thirty minutes every time, and 61.02 percent of the subjects more likely enjoyed light strained exercise, 33.81 percent chosed moderate strained exercise, still 5.81 percent chosed high strained.exercise.
    4. In the regular exercise group, 73.37 percent female and 76.91 percent male involved in physical activities primitively intended for healthy consideration and for interest reason. 74.88 percent of them really got health and happiness after the exercise, as what they thought.
    5. The group who were over 61 years old is the highest ratio of regular exercises than any other groups (p<0.05), when the subjects were divided by age.
    6. The average number of the medical treatment of the subjects in this study was 7.16 times per year. The average number of male’s medical treatments were 6.37 times lower than the female’s 8.04 times per year. (P<0.05)
    7. The average number of the male and female subjects who were not regular exerciser each required medical care 7.67 and 9.44 times per year. Both are more frequent of medical treatment than the regular male and female exerciser (p<0.05), who needed medical treatments 5.06 and 6.32 times per year respectively.
    8. The subjects who always involved in high or moderate strained exercise needed less medical cares than those who always involved in light strained exercise (p<0.05). The average numbers of medical treatments of the two groups were 5.02 times and 8.49 times respectively.
    9. The subjects who involved in physical activities three times per week were less frequent for medical care than other subjects. (P<0.05)
    10. The subjects who exercise last 41 to 50 minutes every time were less frequent for medical treatment than other subjects who were not (P<0.05).
    In the study we found that the middle-aged people who had exercised regularly really decreased the munber of medical cares and saved medical expense. But there still had around 50% of middle-aged people didn’t have regular exerciser. Such was not really a good situation for medical expense and can be improved a lot. We hope the government and physical educational experts can work together and benefit to all peoples in the future.

    前序部分 口試委員與系主任簽字證書 I 授權書 II 中文摘要 I Abstract III 目錄 V 圖目錄 VII 表目錄 VII 第一章 緒論 1 一、研究背景 1 二、研究的必要性 9 三、研究目的 10 四、研究範圍與限制 10 五、名詞操作性定義 11 第二章 文獻探討 14 一、運動行為與健康 14 (一)運動的定義 14 (二)運動行為與健康 14 (三)運動的測量 16 二、生活型態與健康 18 三、運動行為與疾病 23 四、社經背景與運動行為 27 五、人口結構與醫療就診狀況 31 第三章 研究方法與步驟 33 一、研究流程 33 二、研究假設 34 三、研究設計 35 (一)研究對象 35 (二)問卷設計 35 (三)調查資料整理分析 35 第四章 結果 37 一、樣本結構分析 37 二、中老年運動行為現況分析 39 (一)規律運動習慣分析 39 (二)運動型態分析 40 (三)運動次數分析 41 (四)運動時間分析 42 (五)規律運動的態度分析 43 三、醫療就診記錄分析 45 (一)就診方式分析 45 (二)醫療就診次數分析 45 (三)罹患慢性疾病情形 46 (四)醫療就診科別分析 47 四、中老年人基本資料與運動行為 49

    一、中文部分
    (依作者姓氏筆畫為序)
    于漱(民77)‧臺北市20~60歲居民預防性健康行為之調查研究‧公共衛生,14(4),391-406。
    中央健保局(民89)。2000全民健康保險統計。中央健保局編印。
    中央健保局(民90)。2001全民健康保險統計。中央健保局編印。
    中央健保局(民92)。http://www.nhi.gov.tw/00chinese/c-index.htm。
    內政部(民85)。中華民國八十五年台閩地區老人健康狀況調查報告。內政部統計處編印。
    內政部(民89)。中華民國八十九年台閩地區老人狀況調查報告。內政部統計處編印。
    方進隆(民82)。健康體能的理論與實際。漢文書局。台北市。
    方進隆,卓俊辰,錢紀明,黃永任(民88)。台灣地區大專院校學生體適能常模研究。中華民國體育學會。
    王昭正,朱瑞淵(民88)。調查研究方法。弘智文化出版公司。台北市。
    王瑞霞,邱啟潤(民83)‧社區老年人健康體能活動參與及其相關因素的探討。衛生署研究計畫報告。
    行政院體育委員會(民88)。我國國民健康促進之研究。行政院體育委員會。
    行政院體育委員會(民89)。中華民國體育統計。行政院體育委員會。
    沈文祥(民83)。東吳大學學生健康體適能及其知識與態度相關研究。台北。文鶴出版公司。
    呂鋒洲,徐台閣,徐廣明,鄭鴻文(民89)。穀胱甘鈦對運動的影響。中華體育第13卷第4期。頁85-90。
    李蘭、季瑋珠、江永盛、楊志良、呂槃(民78)‧家庭結構年齡和性別影響成人健康行為之探討。中華衛誌,9(1),1-13。
    李蘭,陸杓齡,李隆安,黃美維,潘伶燕,鄧肖琳(民84)。臺灣地區成人的健康行為探討:分佈情形、因素結構和相關因素。公共衛生雜誌14:4。頁358-368。
    余玉眉(民82)。老人健康促進與預防保健服務之策略與措施。社區發展季刊第64期。頁66-70。
    李碧霞(民90)。中年人運動階段、身體活動及其影響因素之研究~以臺北市中山區居民為例。國立台灣師範大學衛教研究所博士論文。
    卓俊辰(民71)。長期游泳對中老年人的心肺適能與身體組成的年間變化。體育學報第四期。頁205-209。
    卓俊辰(民81)。體適能。國立台灣師範大學體育學會。台北市。
    卓俊辰(民89)。體適能教學的重要架構與內涵。教育部中等教育司。高中教育,13:12-19。
    林正常(民81a)‧臺北市30~39歲中年就業人口運動量及健康體能常模之測定‧行政院衛生署八十一年度委託研究計畫。
    林正常(民81b)‧中年就業人口運動量及健康體能常模之測定‧行政院衛生署八十一年度委託研究計畫。
    林貴福,林正常(民85)。中年男子走路運動訓練強度的研究。國立台灣師範大學體育研究所博士學位論文。
    林麗蓉(民91)。太極拳運動訓練對輕度高血壓患者血壓,血脂肪濃度及焦慮成效之探討。台北醫學大學護理研究所碩士論文。
    林正介(民88)。台灣地區老人健康照顧問題。第八屆台美醫學交流會專題演講。北美洲台灣人醫師學會。洛杉磯。
    吳慧君(民78)。中老年人體適能的推展。國民體育季刊18卷第2期。頁44-48。
    美兆診所(民91)。90年健康檢查報告書。
    http://health.healthonline.com.tw/news/n430.html
    胡玉蕙(民91)。傳統氣功健康促進方法對醫療使用之影響。台灣東森新聞報,2002/12/27。
    姜逸群,呂槃,江永盛,黃雅文(民77)‧民眾的健康意識及中老年病預防之健康行為調查。衛生教育雜誌,9,67-81。
    高毓秀,黃奕清(民89)。成年人運動行為影響因素之徑路分析。護理研究,8(4),435-445。
    季瑋珠,符春美(民81)。社區民眾從事運動之研究。中華衛誌,11(4),328-339。
    徐台閣,徐廣明,林明鉐,李建明,林孝義,謝伸裕(民88)。中等強度運動對脂質過氧化的影響。大專體育學刊第1卷第1期。頁29-37。
    張紘炬(民91)。統計學。華泰書局。台北市。
    張彩秀(民81)。中老年運動型態、體適能與健康狀況之研究。國立陽明大學公共衛生研究所碩士論文。
    張彩秀(民84)。不同運動行為的中老年人主觀健康狀況之研究。弘光醫專學報第25期。頁1-20。
    張瑞泰,黃奕清,戴遠成,林琮智,李心白(民89)。規律慢跑和桌球運動對老年人生理特質及骨質密度的影響。體育學報第29期。頁127-136。
    張正發(民89)‧臺北縣新莊市國小學生家長運動參與行為及其影響因素之研究‧國立體育學院體育研究所碩士論文。
    張彩秀(民81)‧中老年人運動型態、體適能及健康狀況之研究‧國立陽明大學公共衛生研究所碩士論文。
    陳玉英(民82)。長距離跑者與非跑者上呼吸到感染之研究。國立台灣師範大學體育研究所碩士論文。
    陳俊忠(民82)。中年就業人口運動量及健康體能常模之測定。行政院衛生署八十二年度委託研究計畫。
    陳俊忠(民91)。哈佛經驗。易利圖書有限公司。台北市。
    陳蓓蒂(民91)。規律耐力運動訓練對高血壓患者血壓控制與生活品質改善成效之探討。台北醫學大學護理學研究所碩士論文。
    陳秀珠(民88)。老人運動行為及其相關因素之研究研究----以臺北市基督長老教會松年大學五十五歲以上學員為例。國立臺灣師範大學衛生教育研究所碩士論文。
    曾國雄,鄧振源(75)。多變量分析(一)理論應用篇。松崗電腦圖書資料公司。
    黃永任(民83b)。運動與免疫。運動科學講座。台北市:八熊星出版社。
    黃永任(民87)。運動、體適能與疾病預防。國民體育季刊26卷2期,5-13。
    黃勢峰,陳俊忠(民83)。中老年人從事外丹功運動之心肺生理反應。國術研究第6期。頁41-50。
    黃雅文,姜逸群,藍忠孚,方進隆,劉貴雲(民80)。中年人健康行為之探討。公共衛生,18(2):133-147。
    賴美淑(民89)。運動、體適能與健康的流行病學與生理機轉。國家衛生研究院編印。
    謝伸裕(民86)。運動訓練的生化適應。基礎運動生物化學。力大圖書公司。台北市。
    藍青,賴金鑫,黃美涓(民88)。太極拳對中老年心肺功能之促進與維持效果。中華復健醫誌,27(2):63-69
    蕭淑芬,陳玉英,卓俊辰(2002)。淡江大學師生運動行為與身體狀況調查研究。2002產官學運動與休閒管理研討會論文集。
    蕭淑芬(民92)。大學生運動行為與健康體適能及醫療就診記錄之關係。文景書局有限公司。台北市。
    蘇振鑫(民88)‧運動健康信念與運動行為之關係研究‧國立體育學院體育研究所碩士論文。

    二、英文部分
    American College of Sports Medicine (2000). ACSM’s Guidelines for exercise testing and prescription, 6th Eds. Baltimore: Williams and Wilkins: 64-68.
    Anderson, R. E., Crespo, C. J., Bartlett, S. J. (1998). Relationship of physical activity and television watching with body weight and level of fitness among children: results from the Third National Health and Nutrition Examination Survey. The Journal of the American Medical Association. 279(12): 938-42.
    Aniansson, A., Gustafson. (1981). Physical training in elderly men with special reference to quadriceps muscle strength and morphology. Clin Physical. 1: 87.
    Arthur Quinney, H., Gauvin, A. E. (1994). Toward active living- Proceedings of the international conference on physical activity fitness and health. Human Kinetics Publishers.
    Belloc, N.B, Breslow, L. (1972) Relationship of physical health status and health practice. Preventive Medicine 3,1,409-421
    Blair, S. N., Goodyear, N. M., Gibbons, L. W. & Cooper, K. H. (1984). Physical fitness and incidence of hypertension in healthy and normotensive men and women. Journal of the American Medical Association. 252: 487- 490.
    Blair, S. N., Jacobs, D. R., & Powell, K. E. (1985). Relationships between exercise or physical activity and other health behaviors. Public Health Reports, 100(2),172-180.

    Blair, S. N., Kom, H. W., Paffenbarger, R. S. (1989). Physical fitness and all-cause mortality-A prospective study of healthy men and women. JAMA.262 (17) . Nov 2.
    Blair, S. N., Kampert, J. B., Kohl, H. W. (1996). Influences of cardiorespiratory fitness and other precursors on cardiovascular disease and all-cause mortality in men and women. The Journal of the American Medical Association. 276: 205- 210.
    Blair, S. N., Kohl, H. W., Paffenbarger, R. S. (1989) Physical fitness and all-cause mortality. The Journal of the American Medical Association. 262: 2395- 2401.
    Breslow, L. & Enstrom, J.E. (1980). Persistence of health habits and their relationship to mortality. Preventative Medicine, 9, 469-483.
    Britain’s Imperial Cancer Research Fund, ICRF
    http://science.cancerresearchuk.org/
    Bouchard, C., and Despre, J. P. (1995). Physical activity and health: Atherosclerotic, metabolic, and hypertension disease. Research Quarterly for Exercise and Sports. 66: 268- 275.
    Bouchard, C., Pate, R. R, Rratt, M., Blair, S. N., Haskell, W. L., Maccera, C.A, Bchner, D., Ettinger, W., Heath,. W., King, A. C., Kriska, A., Leon, A. S., Marcus, B. H., Morris, J., Paffenbarger, R. S.(1995).Physical activity and public health: A recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. Journal of the American Medicine Association. 273: 402- 407.
    Bouchard, C., Shephard, R. J., and Stephens, T.(1994). Physical Activity, Fitness, and Health. International Proceedings and Conference Statement. Champion, IL: Human Kinetics.
    Bouchard, C., Despres, J. P. (1995). Physical Activity and Health: Atherosclerotic, Metabolic. and Hypertensive Diseases. Research Quarterly for Exercise and Sport. Vol. 66, No. 4, pp. 268-275.
    Casperson, C. J., Montoye, H. J., Laporte, R. E. (1985). Assessment of physical activety in epidemiology research: Problems and Propects. Public Health Rep., 100. 131-146.
    Clark, D. C. (1997). Physical activity efficacy and effectiveness among older adults and minorities. Diabetes Care; 20(7): 1176-82.
    Connelly, J. C., Blair, S. N. (1996). How Much Physical Activity Should We Do? The Case for Moderate Amounts and Intensities of Physical Activity. Research Quarterly for Exercise and Sport. Vol. 67, No. 2, pp.193- 205.
    Crespo, C. J., Ainsworth,B.E., Keteyian,S.J., Heath,G.W., & Smit,E. (1999). Prevalence of physical inactivity and its relation to social class in U.S. adults: results from the Third National Health and Nutrition Examination Survey. Medicine & Science in Sports & Exercise, 31(12), 1821-1827。
    Despres J-P & Marette A (1994) Relation of components of insulin resistance syndrome to coronary disease risk. Current opinion in Lipidilogy 5:274–289.
    DeVaries, H. A. (1970) Physiological effects of an exercise training regimen upon men aged 52 to 88. J Geront. 25 : 325.
    Dillon, W. R., Goldstein, M. (1984), Multivariate Analysis: Mathods and Applications, John Wiley and Sons.
    Dishman (1988). Overcoming Exercise Barriers in older AdultsJames Dunlap, MD; Henry C. Barry, MD, MS The Physician and sports medicine vol.27- 11,1999
    Ferraro, DeFronzo RA, Ferrannini E. (1991) Insulin resistance. A multifaceted syndrome responsible for NIDDM, obesity, hypertension, dyslipidemia, and atherosclerotic cardiovascular disease. Diabetes Care; 14:173-94.
    Folsom,A. R., Caspersen, C. J., Taylor, H. L., Jacob,D. R., Luepker,R.V., Gomez-Marin,O., Gillum,R. F., & Blackburn, H. (1985). Leisure time physical activity and its relationship to coronary risk factors in a population-based sample. The Minnesota Heart Survey. American Journal of Epidemiology, 121 (4), 570-579.
    Folsom, A. R., Cook, T. C., Sprafka, J. M., Burke, G. L., Norsted, S. W., & Jacobs, D. R. (1991). Differences in leisure-time physical activity levels between blacks and whites in population based samples: the Minnesota Heart Survey. Journal of Behavioral Medicine. 14(1), 1-9.
    Fox E. L. (1984) Sports Physiology. 2nd ed. New York:Saunders Company;1-7.
    Fripp R, I Hodgson(1987). Effect of resistive training on plasma lipid and lipoprotein levels in male adolescents. Journal of Pediatrics. Vol. 111: 926-934.
    Grimm, R. H., Grandits, G. A., Cutler, J. A. (1997). Relationships of quality-of-life measures to long-term lifestyle and drug treatment in the Treatment of Mild Hypertension study. Archives of Internal Medicine; 157(6): 638-648.
    Hagerg, J. M., Montain, S. J., & Martin, W. H.(1987). Blood pressure and hemodynamic response after exercise in old hypertensives. Journal of Applied Physiology. 63: 270- 276.
    Hancock, T., Duhl, L. J. (1985). Healthy Cities: Promoting health in the urban context. A background working paper for the Healthy Cities symposium, Lisbon Copenhagen: WHO.
    Harris, S. S., Caspersen, C. J., DeFriese, G .H. Estes, E. H. (1989). Physical activity counseling for healthy adults as a primary preventive intervention in the clinical setting. JAMA. June p261(24).3590-3597
    Harris, D. M., & Guten, S. (1979). Health protective behavior: an exploratory study. Journal of Health and Social Behavior, 20, 17-29.
    Hsieh, S. D., Yoshinaga, H., Muto, T. (1998). Regular physical activity and coronary risk factors in Japanese men. Circulation; 97(7): 661-5.
    Hoeger, Werner W. K., Hoeger, Sharon A. (1992). Lifetime Physical Fitness and Wellness, Third edition, Motor Publishing Company, Englewood, Colorado.
    Kanter, M. M., L. A. Nolte, and J. O. Holloszy (1993), Effects of an antioxidant vitamin mixture on lipid peroxidation at rest and post-exercise. Journal of Applied Physiology, 74:965-969.
    Kasch, J. W., Boyer, j. l. (1990). The effect of physical activity and inactivity on aerobic power in older men. The Physician and Sportsmedicine 16:73-83.
    King A. C, Haskell, l., Taylor, C. B. (1991) Group- vs home-based exercise training in healthy older man and women. The Journal of the American Medical Association. 266:1535- 1542.
    King, A. C., Tribble, D. D. (1991). The role of exercise in weight regulation in nonathletes. Sports Medicine 11(5): 331-349.
    King,A.C., Carl,F., Birkel,L., & Haskell,W.L. (1988). Increasing exercise among blue-collar employees: the tailoring of worksite programs to meet specific needs. Preventive Medicine, 17(3), 357-365。
    Klesges, R. C., Eck, L. H., Isbell, T. R. (1991). Physical activity, body composition, and blood pressure: A multi-method approach. Medicine and Science in Sports and Exercise, 23(6): 759-765.
    Krick, J.P. Sobal J. (1990) Relationships between health protective behaviors. J. Community health :(54) P19-34.
    Kriska, A.M., Blair, S.N., and Preeira, M. A.(1994) . The potential role of physical activity in the prevention of noninsulin dependent diabetes nellitus: The epidemiological evidence in Holloszy. Exercise and Sports Science Reviews. 22: 121-143
    Kujala, U. M., Daprio, J. Sarna, S. (1998). Relationship of leisure-time physical activity and mortality: the Finnish twin cohort. The Journal of the American Medical Association; 279(6): 440-444.
    LaCroix, A. Z., Leveille, S. G., Hecht, J. A. (1996). Does walking decrease the risk of cardiovascular disease hospitalizations and death in older adults? Journal of the American Geriatrics Society; 44(2): 113-120.
    Lalonde, M. (1974). A New Perspective on The Health of Canadians. Working document of national Health and Welfare.
    Lamb, D. R. (1984). Physiology of Exercise:Responses and Adaptations. 2nd Ed. New York:Macmillan Publishing Company,9.p.15
    Lan, C., Lai, J. S., Wong, M. K. (1996). Cardiorespiratory function, flexibility, and body composition among geriatric Tai Chi Chuan practitioners. Archives of physical medicine & Rehabilitation; 77(6): 612- 616.
    Larson, L. (1982). Physical training effects on muscle morphology in sedentary males at different age. Med Sci Sports Exer.14 (3): 203-206.
    Lee, I.M., Hsieh, C. C., Paffenbarger, R. S. (1995). Exercise intensity and longevity in men: The Harvard Alumni Health Study. The Journal of the American Medical Association. 273(15): 1179-84.
    Lee, I. M. (1995). Exercise and Physical Health: Cancer and Immune Function. Research Quarterly for Exercise and Sport. Vol. 66, No. 4, pp. 286-291.
    Leitzmann, M. F., Giovannucci, E.L., Rimm, E. B. (1998). The relation of physical activity to risk for symptomatic gallstone disease in men. Annals of Internal Medicine; 128(6): 417-25.
    Mayer-Davis EH, D., Agostino, R., Darter, A. J. (1998). Intensity and amount of physical activity in American. Medical Association; 279(9): 669-74
    Moritani, T.,DeVaries,H.A.(1980). Potential for gross muscle hypertrophy on older men. J Geront.35 (4): 672-682.
    Myers, A.M., Weigel, C., & Holliday,P.J. (1989). Sex- and age-linked determinants of physical activity in adulthood. Canadian Journal of Public Health, 80(4),256-260.
    Nieman D. C. (1994). Exercise, upper respiratory tract infection, and the immune system. Medicine and Science in Sports and Exercise, 26,128-139.
    Niess, A. M., A. Hartmann, M. Grunert-Fuch, B. Poch, and G. Speit (1996), DNA damage after exhaustive treadmill running in trained and untrained men. International Journal of Sports Medicine, 17:397-404.
    Paffenbarger, R. S., Hyde, R. T., Wing, A. L. (1993). The association of changes in physical-activity level and other lifestyle characteristics with mortality among men. New England Journal of Medicine; 328: 538-545.
    Paffenbarger, R. S, Hyde, R. T., Wing, A. L. (1986). Physical activity, all-cause mortality, and longevity of college alumni. New England Journal of Medicine; 314: 605-13.
    Paffenbarger, R. S., Lee, I. M. (1996). How Much Physical Activity Is Optimal for Health? Methodological Considerations. Research Quarterly for Exercise and Sport. Vol. 67, No. 2, pp. 206-208.
    Palmore, E. (1970). Health practices and illness among the aged. The Gerontologist, 10, 313-316.
    Pan, X. R., Yang, Y., Li, G. W. (1997). Prevalence of diabetes and its risk factors in China. National Diabetes Prevention and Control Cooperative Group. Diabetes Care; 20(11): 1664-9.
    Pate, R. R. (1995). Physical Activity and Health: Dose- Response Issues. Research Quarterly for Exercise and Sport. Vol. 66, No. 4, pp.313- 317.
    Pratt, C. (1971). Issue Dimensions in the 1963 united Nations General Assembly, Journal of multivariate Behavioral Research, Volume 5, No.3 .
    Ralph, S., Paffenbarher, E. (1996). Life Fit-An effective exercise program for optimal health and a longer life. Human Kinetics Publishers.
    Raynor, D. A., Coleman, K. J., Epstein, L. H. (1998). Effects of Proximity on the Choice to be Physically Active or Sedentary. Research Quarterly for Exercise and Sport. Vol. 69, No. 1, pp.99- 103.
    Reaven, P. D., Barrett-Connor, E., Edelstein, S. (1991). Relation between leisure time physical activity and blood pressure in older women. Circulation, 83(2): 559-665
    Sallis, J. F., Haskell, W. L., Wood, P. D., Fortmann, S.P., Rogers, T., Blair, S.N., & Paffenbarger, R. S. (1985). Physical activity assessment methodology in the five-city project. American Journal of Epidemiology, 121(1), 91-106.
    Sallis, J. F., McKenzie, T. L., Alcaraz, J. E. (1997). The effects of a 2-year physical education program (SPARK) on physical activity and fitness in elementary school students. Sport, Play and Active Recreation for Kids. American Journal of Public Health; 87(8): 1328-34.
    Scharff, D.P., Homan, S., Kreuter, M., & Brennan, L. (1999). Factors associated with physical activity in women across the life span: implications for program development. Women & Health, 29(2),115-34.
    Schoenborn, C. A. (1986). Health habits of U.S. adults,1985 : the“Alameda 7”revisited. Public Health Reports, 101(6), 571-80.
    Slattery, M. L. (1996). How much Physical Activity do we need to maintainHealth and Prevent Disease Different Diseases. Different Mechanisms. Research Quarterly for Exercise and Sport. Vol. 67, No. 2, pp. 209-212.
    Shephard, R. J.(1995). Physical Activity, Health, and Well-Being at Different Life Stages. Research Quarterly for Exercise and Sport Vol. 66, No. 4, pp.298-302
    Shephard, R. J.(1987)Exercise and Physical Activity for Older Adults , Medicine & Science in Sports & Exercise&reg;Volume 30, Number 6,June 1998,Position Stand.
    Siscovick, D. S., Fride, L., Mittelmark. M. (1997). Exercise intensity and subclinical cardiovascular disease in the elderly. The Cardiovascular Health Study. American Journal of Epidemiology; 145(11): 977-86.
    Stephens, T., Jacob, D.R., & White, C.C. (1985). A descriptive epidemiology of leisure-time physical activity. Public Health Reports, 100(2), 147-158.

    Steptoe, A., Rink,E., & Kerry,S. (2000). Psychosocial predictors of changes in physical activity in overweight sedentary adults following counseling in primary care. Preventive Medicine, 31(2 Pt 1), 183-194。
    Sternfeld,B., Cauley,J., Harlow,S., Liu,G., & Lee, M. (2000). Assessment of physical activity with a single global question in a large, multiethnic sample of midlife women. American Journal of Epidemiology, 152(7), 678-687。
    Thune, I., Brenn, T., Lund, E. (1997). Physical activity and the risk of breast cancer. New England Journal of Medicine; 336(18): 1269-75.
    Tipton, C. M. (1991). Exercise, Training Hypertension-an update. Exercise and Sports Science Reviews. 19,447-506.
    Vena, J. E. Graham, S., Zielezny, M. (1985). Lifetime occupation exercise and colon cancer. American Journal of Epidemiology. 122: 357- 365.
    Verhoef, M. J., & Love, E. J. (1992). Womens exercise participation: The relevance of social roles compared to non-role-related determinants. Canadian Journal of Public Health, 83(5), 367-370.
    Verschuur, R., & Kemper,H.C.G. (1985). The pattern of daily physical activity. Medicine Sport Science, 20, 169-186.
    Vita, A. J., Terry, R. B., Hubert, H. B., Fries, J. F. (1998). Aging, Health Risks, and Cumulative Disability. New England Journal of Medicine; 338: 1035-1041
    Vuori, I., (1995). Exercise and Physical Health:Musculoskeletal Health and Functional Capabilities. Research Quarterly for Exercise and Sport. Vol. 66. No. 4. p.p 276-285.
    White,C. C., Powell,K. E., Hogelin,G. C., Gentry,E. M., & Forman,M.R. (1987). The behavioral risk factor surveys: Ⅳ. The descriptive epidemiology of exercise. American Journal of Preventive Medicine, 3(6), 304 –310.
    Williams, P.T. (1997). Relationship of distance run per week to coromary heart disease risk factors in 8283 male runners. The National Runners Health Study. Archives of Internal Medicine; 157(2): 191-8.
    Wood, P. D., Stefanick, M. L., Williams, P. T., (1991). The effects on plasma lipoproteins of prudent weight-reducing diet, with or without exercise, in overweight men and women. New England Journal of Medicine. 325: 461- 466.
    Zollner, G.A. (1998). How old people watch television. Telemetric data on the TV use in Germany in 1996. Gerontology, 44(3) ,176-181.

    QR CODE