2020年2月15日 星期六

老人家的體適能定義

American College of Sports Medicine (ACSM) 美國運動醫學會
Physical fitness has been defined in several ways, but the generally accepted definition is the ability to carry out daily tasks with vigor and alertness, without undue fatigue, and with ample energy to enjoy leisure-time pursuits and meet unforeseen emergencies. Physical fitness is composed of various elements that can be further grouped into health-related and skill-related components which are defined in Box 1.

Box 1.
Health-Related and Skill-Related Components of Physical Fitness Health-Related
Physical Fitness Components
1.    Cardiorespiratory endurance: the ability of the circulatory and respiratory system to supply oxygen during sustained physical activity
2.    Body composition: the relative amounts of muscle, fat, bone, and other vital parts of the body
3.    Muscular strength: the ability of muscle to exert force
4.   Muscular endurance: the ability of muscle to continue to perform without fatigue
5.   Flexibility: the range of motion available at a joint
Skill-Related Physical Fitness Components
1.   Agility: the ability to change the position of the body in space with speed and accuracy
2.    Coordination: the ability to use the senses, such as sight and hearing, together with body parts in performing tasks smoothly and accurately
3.    Balance: the maintenance of equilibrium while stationary or moving
4.    Power: the ability or rate at which one can perform work
5.    Reaction time: the time elapsed between stimulation and the beginning of the reaction to it
6.   Speed: the ability to perform a movement within a short period of time

使用pubmed搜尋
"physical fitness"[All Fields] AND (older[All Fields] OR ("aged"[MeSH Terms] OR "aged"[All Fields] OR "elderly"[All Fields]))
 
1.   於老年人
(1)      Physical fitness is a set of attributes that people have—or can—achieve, and physical activity is related to the movements that people perform(Caspersen et al., 1985).
(2)      The components of physical fitness, such as muscle strength, aerobic endurance, flexibility, body composition, dynamic balance, and agility, were assessed by using the Senior Fitness Test (Rikli & Jones, 2013).
(3)      Both levels of fitness (aerobic power, strength, flexibility and functional capability) and measures of physical activity involvement decline with age, and the extent to which this is due to a biological ageing processes or disuse (physical inactivity) is critically examined (Taylor et al., 2004).

2.   於中風
Physical fitness describes a set of physiological attributes that a person has or achieves, which confers the ability to perform physical activities with the range from day‐to‐day tasks to leisure activities, without undue fatigue. The most important components of physical fitness are those responsible for muscular work, as follows
Cardiorespiratory fitness is the ability to transport and use oxygen and is usually expressed as maximal oxygen uptake (VO2 max). Cardiorespiratory fitness confers 'endurance', that is the ability to perform physical activity for an extended period.
Muscle strength refers to the ability of a specific muscle or muscle group to exert force. Strength is associated with the ability to perform forceful movements such as pushing or lifting.
 Muscle power refers to the rate at which muscular work can be performed during a single explosive contraction. Power is associated with the ability to carry out forceful movements, in particular those that are dynamic.
In addition, other components of fitness can influence the ability to perform physical activities, including flexibility (range of motion about a specific joint), balance (ability to maintain stability and posture), and body composition (for example relative amounts of fat and fat‐free mass) (Saunders et al., 2016)


3.   於15–16 years正常年輕人
Fitness was measured by sit‐ups, sit‐and‐reach, five‐jump, back‐and‐forth jumping, ball skills, coordination and endurance shuttle run tests (Fogelholm, Stigman, Huisman, & Metsämuuronen, 2008).
4. 於精神疾患
This approach has several advantages. For instance, whilst physical fitness and physical activity indicates that physical fitness is a mediator of the effects physical activity on health outcomes (Bouchard, Shepard, Stephens, Sutton, & McPherson, 1990). Also, physical fitness is a relatively static parameter compared to physical activity and can be more reliably captured by a single objective measurement of cardiorespiratory fitness (CRF) (Tacchi, Heggelund, & Scott, 2019).

參考文獻
Bouchard, C., Shepard, R. J., Stephens, T., Sutton, J. R., & McPherson, B. D. (1990). Exercise, fitness, and health. Champaign, IL: Human Kinetics Books.
Fogelholm, M., Stigman, S., Huisman, T., & Metsämuuronen, J. (2008). Physical fitness in adolescents with normal weight and overweight. Scandinavian Journal of Medicine & Science in Sports, 18(2), 162-170. doi:10.1111/j.1600-0838.2007.00685.x
Rikli, R. E., & Jones, C. J. (2013). Development and validation of criterion-referenced clinically relevant fitness standards for maintaining physical independence in later years. Gerontologist, 53(2), 255-267. doi:10.1093/geront/gns071
Saunders, D. H., Sanderson, M., Hayes, S., Kilrane, M., Greig, C. A., Brazzelli, M., & Mead, G. E. (2016). Physical fitness training for stroke patients. The Cochrane database of systematic reviews, 3(3), CD003316-CD003316. doi:10.1002/14651858.CD003316.pub6
Tacchi, M. J., Heggelund, J., & Scott, J. (2019). Predictive validity of objective measures of physical fitness for the new onset of mental disorders in adolescents and young adults. Early Intervention in Psychiatry, 13(6), 1310-1318. doi:10.1111/eip.12783
Taylor, A. H., Cable, N. T., Faulkner, G., Hillsdon, M., Narici, M., & Van Der Bij, A. K. (2004). Physical activity and older adults: a review of health benefits and the effectiveness of interventions. J Sports Sci, 22(8), 703-725. doi:10.1080/02640410410001712421



2020年1月10日 星期五

2020/1/6-11進度

1/6-12本周進度
1.投稿期刊前言一段(完成30%)
2.完成投稿亞洲研討會文章*1(跑步機)
3.資料分析(mind-body exercise)預投亞洲研討會(完成30%)

1/13-19下周進度
1.投稿期刊完成前言部分
2.完成投稿亞洲研討會文章*1(mind-body exercise)
3.體適能評估工具於精障者的文獻回顧(完成30%),1/25討論

2017年1月24日 星期二

碩一上期末心得

休假規劃
1.休假:1/27-2/17
2.出國:2/7-2/17
3.開學:2/20(一)

一、生統一
(一)  心得
我覺得老師上課講義好亂,不易抓重點,所以一開學就借了一本統計書來研究,書整理得很好,還額外補充很多課堂中沒說到的,我覺自行去找資料的學習效率比只聽老師上課的效率高很多。
(二)   需加強部分:
1.     R還不太會用,但如果之後有用到再慢慢上網查資料就好了,現在學了也忘記。
2.   期中考可以一周前就開始準備,多練習題增加速度,才不會有不寫不完的情形發生。

二、認知科學
(一)  心得
上這堂課感覺像是補充更廣的認知範疇知識,雖然上課某些領域非常多學理,但也很多是跟生活有關的研究,有些滿有趣的。這堂課沒有考試,比較沒有全部都要學會的壓力,可以針對自己有興趣的部分去做深入研究,老師也補充很多資料可供參考。
上課很多分組討論,可訓練思考邏輯和表達能力,我覺得這是這堂課最大的收穫!!
(二) 需加強部分
老師補充的資料盡量在上課前看完,可增加個人的知識,但這點有點困難。

三、文獻評析
(一)  心得
這一堂課看了很多自己和同學的文獻,讓我們大致上知道一篇好的文獻應該要有哪些東西,也提醒自己應該要寫道哪些點才能加強論文的質和量,且不要犯某些常見錯誤。
(二)  需加強部分
1.   應多看四類型文獻品質較好的文章,才知道某類型的文獻該如何去批判。剛開始有好的範例非常重要,但我好像沒有看很多,變成評析的點還不夠多也不夠精確。
2.   口頭報告練習多看台下的老師同學。

四、進階職能治療
(一)  心得
喜歡自己找相關理論的期末作業,因為能主動去尋找自己想知道想確認的東西,可以發現前人許多豐富的研究,就很像在挖掘寶藏一樣,希望未來有更多這種可以大量閱讀整理的機會。
雖然期末作業沒有花很多時間,做起來也滿輕鬆愉快的,但經過老師的修改後發現我可能再重複檢查還不足夠,句意不夠明確,前後也不夠連貫,可能下次還需要再多花一點時間把缺少的細節補上。
(二)   需加強部分
1.     快速抓到文獻中自己想要的資料
2.     句意明確,段落前連貫
3.     寫完多檢查,多思考是否還有遺漏之處
      
五、總體論述
這學期過的真是充實愉快,但也懷疑自己是不是還不夠用心,所以才沒有痛苦的感覺,研究所的課程不管是報告還是考試,我都是開心準備開心完成,我也覺得這樣生活很快樂很好,但我決定我要幫自己訂高一點的目標,有實際的成果出來,或許是成績或是自己的論文,或許現在可以好好替下學期計畫一下。


2017年1月22日 星期日

1/23-1/26進度

日期
任務
已完成
未完成
105/1/23
105/1/26
注意力測驗收案
進行中
剩1後側
總邀請人數:190位
參與研究人數:64位
前後測完成人數:53位
前測完成人數: 1位
中徒退出人數:11位
輸入收案資料


進階ot
期末報告
修正

2017年1月4日 星期三

1/1-1/6任務

日期
任務
已完成
未完成
105/1/1
105/1/5
注意力測驗收案
進行中
新進2位
2位答應(因評鑑尚未測)
本周進度:2位前側/0位後側
總邀請人數:180位
參與研究人數:63位
前後測完成人數:53位
前測完成人數: 0位
中徒退出人數:11位
進階ot
期末報告*1












本周四(1/15)早上去臨床遇到醫院評鑑
請假: 寒假2/7-2/17出國玩11天

2016年12月21日 星期三

12/18-12/23任務

日期
任務
已完成
未完成
105/12/18
105/12/23
注意力測驗收案
進行中
新進2位
2位答應
本周進度:2位前側/0位後側
總邀請人數:174位
參與研究人數:63位
前後測完成人數:51位
前測完成人數: 2位
中徒退出人數:11位
進階ot
文獻報告*1

2016年12月14日 星期三

12/12-12/16工作任務

日期
任務
已完成
未完成
105/12/12
105/12/16
注意力測驗收案
進行中
新進3位
2位答應
1位狀況差
本周進度:2位前側/0位後側
總邀請人數:172位
參與研究人數:61位
前後測完成人數:48位
前測完成人數: 2位
中徒退出人數:11位
文獻評析
12/19下周評析報告*1