摘要

本研究旨在比較冠狀動脈心臟病患與健康族群休閒身體活動量與冠心病危險因子之差異及關係。以桃園地區某綜合醫院心臟血管預防醫學中心300名檢查個案為對象，其中冠心病組150人及健康組150人，冠心病組平均年齡60.02 ± 12.09歲，身高163.45 ± 4.13公分，體重68.89 ± 6.04公斤。健康組平均年齡54.69 ± 9.26歲，身高163.65 ± 7.61公分，體重61.65 ± 7.64公斤。研究以橫斷式（cross-sectional）調查休閒身體活動量與冠心病危險因子等資料，採描述性統計、卡方檢定（χ2）、獨立樣本t檢定（independent t-test）及皮爾森積差相關（Pearson correlation）等統計方法分析。結果顯示年齡、性別、身體質量指數、空腹血糖、總膽固醇、三酸甘油酯、高密度脂蛋白膽固醇、心縮壓、心舒壓及吸菸人口等變項，冠心病組與健康組有顯著差異，且健康組危險因子顯著少於冠心病組（p＜0.05）。然而不論冠心病組或健康組，高休閒身體活動量者的高密度脂蛋白膽固醇顯著高於低休閒身體活動量者（t = -2.06 vs. -2.27, p＜0.05），而其他危險因子則無顯著差異。其次，休閒身體活動量與冠心病危險因子相關分析，顯示休閒身體活動量與低密度脂蛋白膽固醇具有顯著正相關（r = 0.3 vs. 0.23, p＜0.05），推論可能是冠心病組或健康組之休閒身體活動量未達顯著差異，且兩組低密度脂蛋白膽固醇均屬正常範圍所導致。本研究認為冠心病患經手術治療後的日常生活，並未善加控制冠心病危險因子，尤其是規律運動習慣的養成。

Abstract

The purpose of this study was to compare leisure time physical activity (LTPA) and coronary artery disease (CAD) risk factors between CAD patients and essentially healthy adults. Subjects were 150 CAD patients (age 60.02 ± 12.09 yr; height 163.45 ± 4.13 cm; weight 68.89 ± 6.04 kg) and 150 essentially healthy participants (age 60.02 ± 12.09 yr; height 163.65 ± 7.61 cm; weight 61.65 ± 7.64 kg). Cases were recruited from EBT Cardiovascular Medicine Center at a hospital in Tao-Yuan. Cross-sectional design was adopted in this research. Data were analyzed by descriptive statistics, χ2 test, independent t-test, and Pearson product moment correlation. Result showed significant differences in age, gender, BMI, fasting glucose, total cholesterol, triglyceride, high density lipoprotein cholesterol, systolic blood pressure, diastolic blood pressure, and cigarette smoking between the two groups, and the healthy group had fewer risk factors (p<0.05). Moreover, despite having CAD or not, subjects with high LTPA had significant higher HDL-C than their counterparts (t = -2.06 vs. -2.27, p<0.05). Besides, LTPA was positively correlated with LDL-C (r = 0.3 vs. 0.23, p<0.05), which might due to the two groups both have similar LTPA and normal LDL-C. In conclusion, CAD patients didn’t control CAD risk factors well after returning to normal life, especially LTPA. Therefore, developing regular physical activity habit was suggested.

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