脂肪肝末梢血管病变高血压心肌梗塞黑色棘皮症Treatmentof.PPTVIP

0115010821 Ballantyne MD 從身體活動角度談代謝症候群的治療 台北醫學大學．雙和醫院 復健醫學部 劉燦宏 造成肥胖日益嚴重的原因 活動量降低 肥胖基因 飲食習慣 Treatment of Metabolic SyndromeTreatment of Central Obesity MRI 腹部縱剖面圖說明 MRI 腹部縱剖面圖說明 Obesity Is Caused by Long-Term Positive Energy Balance Treatment Pyramid Human Evolution Sedentary Behaviors and Metabolic Syndrome Bertrais et al. Obes Res 2005;13:936  Effect of Decreasing Sedentary Activities vs Increasing Physical Activities on Body Weight in Children 6-12 Years Old MetS Risk Factors (RF) Vs. METs Mean WBC Vs. METs MetS Risk Factors Association of Muscular Strength with Incidence of Metabolic Syndrome in Men Jurca et al. Med Sci Sports Exerc 2005;37:1849 Exercise Recommendations for Weight Loss 1. 減少慢性病發生的建議量 --每天至少30分鐘的中等強度運動 2. 減肥或維持體重的建議量 --每天60分鐘的中等到激烈強度的運動 3. 減肥後的體重維持或要繼續減肥 --每天60～90分鐘的中等到激烈強度的運動 Considerable Physical Activity is Necessary for Weight Loss Maintenance Definition Physical activity, is any bodily movement produced by the contraction of skeletal muscles resulting in caloric expenditure, includes LTPA and OPA. Exercise, is a sub-category of physical activity and is activity which is planned, structured and repetitive. Metabolic Calculations BMR=BM × 24 × 1.05 kcal/day (H-B equation or indirect measure maybe needed for specific individuals) TEE = BMR × activity factor activity factor = 1.2 for sedentary activity factor = 1.4 for moderately active Based on energy deficit of 1,000 kcal/day Diet control = TEE – 600 kcal/day Exercise prescription = 400 kcal/day or 2,800 kcal/wk Losing Weight through Structured Exercise Pre-test screen (PAR-Q) Chronic condition Build up gradually for sedentary individuals Cross train to reduce overuse injuries Exercise prescription for weight loss Primary cardiovascular (aerobic) activities 200-300 min per week or 2000 kcal/wk 55-70% of maximal heart rate Exercise Prescription Exercise Prescription What intensity? Too low Takes too long to achieve energy expenditure target Inadequate stimulus for