The Effect of Aerobic Training on the Physical Symptoms and Sleep Quality of Climacteric Women

[[abstract]]目的：本研究在探討有氧訓練對更年期婦女生理症狀及睡眠品質的影響，並瞭解更年期婦女生理症狀與睡眠品質之關係。方法：以34位年齡介於45至55歲（M=49.91歲，SD=3歲），正處自然停經（M=49.83歲，SD=2.56歲）階段之更年期婦女為研究對象。以二十四週每週三次每次50~60分鍾（暖身運動5-10分鐘、主要有氧運動30-40分鐘、緩和運動5-10分鐘）之中低強度（最大心跳數55%~75%）有氧訓練進行實驗，並於實驗前、後以匹茲堡睡眠品質量表、Greene更年期症狀量表檢測，籍以評估有氧訓練對更年期婦女「生理症狀」與「睡眼品質」之效益。以t-檢定、皮爾森積差相關等分析處理。結果：一、有氧訓練對更年期婦女「身體症狀」有顯著改善效果(p<0.05)；且對「整體睡眠品質」、「主觀睡眼品質認知」、「睡眠潛伏期」、「睡眠時數」、「睡眠效率」、「睡眠困擾」、「白天功能障礙」等變項有顯著改善(p<0.05)。二、更年期婦女之「生理症狀」及「身體症狀」分別與「主觀睡眠品質認知」、「睡眠困擾」皆呈現顯著正相關(p<0.05)。結論：二十四週有氧訓練可改善更年期婦女生理症狀及睡眠品質。 The purposes of this study were to investigate the effect of 24 weeks aerobic training on the physical symptoms and sleep quality of climacteric women, and to understand the relationship between the physical symptoms and sleep quality. The subjects were 34 climacteric women of 45 to 55 years olds (M=49.91 years, SD=3 years) at the stages of natural menopause (M=49.83 years, SD=2.56 years). The exercise training contained 3 times a week, 50 to 60 minutes each session and lasted for 24 weeks. Each session was consisted of 5-10 minutes warming up, 30-40 minutes aerobic exercise, and 5-10 minutes cool down. The intensity of aerobic exercise was low to moderate, about 55-75% maximal heart rate. The Greene Climacteric Scale and Pittsburgh Sleep Quality Index were used to evaluate physical symptoms and sleep quality respectively before and after training program. The collected data were analyzed by Independent t test, Pearson's product-moment correlation, the significant level was a=.05. The results of this study were as followed: 1. The physical symptoms was significantly improved (P<.05) after 24 weeks of training. In addition, the whole sleep quality, the subjective recognition of sleep quality, the sleep incubation period, sleep hours, sleep efficiency, sleep disturbances and day function limitation were significantly improved (P<.05). 2. The body symptoms and the physical symptoms of climacteric women had significant positive correlation with subjective recognition of sleep quality and sleep disturbances (P<.05). 24 weeks of aerobic training had improved the physical symptoms and sleep quality of climacteric women