本研究之目的在探討室內健走運動介入對第二型糖尿病患體適能表現及血液生化反應之影響。研究之對象為基隆市衛生局辦理社區闔家歡健康檢查，經衛生所篩選轉介患有第二型糖尿病患者，經研究者說明後願意實施運動者31人，平均年齡62.9 ± 9.8歲，進行12週，每週3天，每次暖身運動15分鐘、室內健走運動30分鐘、及緩和運動15分鐘，共60分鐘運動，每次運動最大心跳率介於50%~75%負荷之中低強度運動。在室內健走運動介入前、後進行體適能及血液生化檢測，資料以SPSS for Windows 12.0進行描述性統計、成對樣本t檢定分析。研究結果發現第二型糖尿病患接受12週室內健走運動訓練後生理指標多與運動前呈顯著的改善，尤其在降低體重、身體質量指數、腰圍、臀圍、腰臀圍比、總膽固醇及提升柔軟度、心肺適能、高密度脂蛋白反應等皆有顯著改善(p<.05)。
本研究以計劃性進行室內健走運動課程，研究結果可以增進第二型糖尿病患身體活動量及健康體適能的提升，改善血液生化值，預防及延緩糖尿病併發症的發生。希望藉此研究結果讓臨床上更瞭解第二型糖尿病患從事適當運動訓練的重要性，並提供患者正確、安全之運動處方。
The purpose of this research was to investigate the impact of indoor brisk walking intervention on physical fitness and blood biochemical responses of the patients with type 2 diabetes. The participants were those citizens who were detected in the screening of the Happy Family Health Examination provided by Keelung City Public Health Bureau and received following medical referral arranged by the Public Health Center. After the researcher’s explanation, 31 patients agreed to administer this indoor brisk walking program. The average age of the participants was 62.9 ± 9.8. This program was conducted for twelve weeks; three days a week; 60 minutes each time, including: warm-up for 15 minutes, indoor brisk walking for 30 minutes and cool-down for 15 minutes. The exercise intensity was at low-medium level with a maximum heart rate between 50% and 75%. Before and after the indoor brisk walking intervention, physical fitness and blood biochemical responses were measured. The researcher adopted SPSS 12.0 for Windows for descriptive statistics; Paired Samples T Test, for analysis of all data collected. After the twelve-week brisk walking program, significant differences (p<.05) were indicated on many physical indices of the participants; especially notable decreases on weight loss, body mass index, waist circumference, hip circumference, wait to hip ratio exercise, total cholesterol; as well as important increases on scores of cardiopulmonary fitness, body flexibility and high-density lipoprotein cholesterol.
This research performed a planned indoor brisk walking program.The results of this research indicated that this program effectively enhanced the physical activity and physical fitness of patients with type 2 diabetes; improved blood biochemical values; prevented and postponed diabetes complications. This research, hopefully, can provide a better understanding of the importance of proper exercise training to clinical practice and propose a correct and safe exercise prescription to type 2 diabetic patients as well.
