摘要

為了解國內體重過重與肥胖成人之體重控制行為，並探討是否因其個人特性之不同而有差異，利用中央研究院華人家庭動態資料庫所提供之全國性代表樣本進行分析，有效樣本1,266人。研究結果顯示，體重過重者，輕度肥胖者與中、重度肥胖者分別有27.1%、38.4%與44.1%在從事減重行為，另有34.5%、23.5%與23.0%在從事維持目前體重行為。從整體結果來看，高所得、高BMI、認為肥胖可能導致慢性病或癌症，以及認為肥胖對個人婚姻關係、人際關係、事業或升遷、個人形象、個人健康有負面影響者，其從事體重控制行為之可能性較高。但是，性別、年齡（男性）、教育程度、婚姻狀況與體重控制行為在統計上並無顯著差異。本研究結果可供相關單位作為有關政策制定之參考。
關鍵詞：體重過重、肥胖、身體質量指數（BMI）、體重控制行為、減重行為。

Abstract

The purpose of this project is to figure out “Weight-control Behaviors” of national population overweight issue as well as adult obesity issue. We also intend to investigate whether or not if personality will turn out different results of “Weight-control Behaviors”. We started and analyzed this project by using the national symbolic samples from the “Panel Study of Family Dynamics” data-base studied by the Academia Sinica. Overall, we have gathered 1,266 valid samples.
There are three groups of sample: a) overweight b) minor obesity and c) major obesity. The results showed these three groups undertook the weight loss behaviors by different ratios: a) 27.1% b) 38.4%) and c) 44.1%. Secondly, the ratios of maintaining bodyweight of these three groups are a) 34.5% b) 23.5 and c) 23.0%.
In general, these results showed that the following people will have higher possibility to undertake weight-control behaviors. 1) People with high income, 2) people with high BMI, 3) people assume obesity will result cancer or chronic disease, 4) people consider obesity will have negative impact toward to marriage, interpersonal relation, career (or promotion), personal image, and individual health. However, statistics showed no significant differences among gender, age(male), education background, and marriage status, which are not related with people's weight-control behaviors. The result of this research will be supportive to provide as the reference to work out a policy for relative institute.

Keywords: overweight, obesity, BMI – Body Mass Index, weight loss behaviors, weight-control behaviors.

目 錄
摘要
目錄
圖目錄
表目錄
第一章 緒論 1
第一節　研究背景與動機 1
第二節　研究目的 9
第三節　名詞界定 10
第二章 文獻探討 11
第一節　體重過重與肥胖 11
第二節　體重控制行為 40
第三節　體重控制行為之相關因素 47
第三章 研究方法 56
第一節　研究架構 56
第二節　研究假設 57
第三節　資料來源與結構 59
第四節　研究變項與操作型定義 63
第五節　資料處理與分析 68
第四章 分析與結果 69
第一節　描述性統計分析 69
第二節　卡方檢定分析 75
第三節　多元羅吉斯?歸分析 82
第五章 結論與建議 91
第一節　體重過重／肥胖成人進行減重行為之相關因素分析 91
第二節　體重過重／肥胖成人從事維持現有體重行為之相關因素分析 97
第三節　總結 98
第四節　研究限制與建議 100
參考文獻 103
附錄一 2000年第二次調查原始問卷（擇要） 128
附錄二 2003年第五年調查原始問卷（擇要） 129
附錄三 2004年第六年調查原始問卷（擇要） 130
圖目錄
圖3-1 研究架構 56
圖3-2 華人家庭動態資料關係示意圖 61
表目錄
表2-1 WHO、亞太地區以及台灣地區之肥胖定義標準（kg/m2）： 16
表2-2 與肥胖相關之疾病相對危險性一覽表 17
表2-3 體重過重、肥胖與死亡率 19
表2-4 體重過重／肥胖與癌症 20
表2-5 體重過重／肥胖與心臟血管疾病 22
表2-6 體重過重／肥胖與第二型糖尿病 23
表2-7 體重過重／肥胖與高血壓 24
表2-8 體重過重／肥胖與呼吸系統疾病 25
表2-9 體重過重／肥胖與消化系統疾病 27
表2-10 體重過重／肥胖與關節炎、骨質相關疾病 28
表3-1 研究變項名稱及定義 64
表3-2 研究變項操作型定義 66
表3-3 個人肥胖影響態度次數分配表 67
表4-1-1 體重過重／肥胖成人個人背景變項描述性統計 70
表4-1-2 體重過重／肥胖成人個人肥胖影響認知變項描述性統計 72
表4-1-3 體重過重／肥胖成人個人體重控制行為變項描述性統計 73
表4-1-4 體重過重／肥胖成人個人體重控制行為從事方式描述性統計 74
表4-2-1 體重過重／肥胖成人體重控制行為在個人背景的差異 76
表4-2-2 體重過重／肥胖成人體重控制行為在個人肥胖影響認知的差異 78
表4-2-3 體重過重／肥胖成人體重控制行為從事方式在個人特性的差異 81
表4-3-1 有從事減重行為對沒有從事體重控制行為之羅吉斯?歸分析 84
表4-3-2 有維持目前體重行為對沒有進行體重控制行為之羅吉斯?歸分析 86
表4-3-3 兩羅吉斯?歸式之比較 88
表5-1研究假設實徵結果 91

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