[[alternative]]The effectiveness of qi gong exercise on body mass index、perimenopausal disturbances and sleep quality among middle- aged women

[[abstract]]目前國內更年期婦女缺乏運動習慣，因此建立合於本土之居家運動非常重要。本研究旨在探討氣功介入對中年婦女身體質量指數、更年期困擾症狀、睡眠品質改變的成效，採類實驗研究設計，以台北市某兩里里民為研究對象，以方便取樣共52位，分為實驗組25位，以氣功運動介入其生活，每天早晚二次，每次15~20分鐘，對照組27位維持正常生活，共為期八週。以身體質量指數、更年期困擾症狀、睡眠品質取得前測、後測（介入後四週）及後後測資料（介入後八週）作為實驗組與對照組成效比較。統計分析以GEE model進行重複測量之時間與組別交叉比較。研究結果顯示，1.身體質量指數在八週後，具有統計上的顯著差異（β=-0.3519，P<0.005）。2.更年期困擾症狀在時間與組別交叉比對結果，未達統計上的顯著差異。3.睡眠品質方面，有三項次變相在介入後八週具有成效：主觀睡眠品質（β=-0.6311，P=0.0010）、睡眠總時數（β=0.8726，P=0.0008）、日間功能失調（β=-0.3822，P=0.0374）。結論：八週的太極氣功在實驗組婦女具以下成效：1.減緩身體質量指數的增加。2.改善主觀睡眠品質與日間功能失調情形，縮短睡眠總時數。此研究結果，可做為更年期婦女居家運動的參考。[[abstract]]At the present day in Taiwan, women with menopause lack the habit to do exercises therefore, it is very important to build up a home exercises which complies with the local housing condition. The purpose of this research is to discuss the effectiveness on how the Qi-Gong can affect the middle aged women for the changes of the BMI, perimenopausal disturbance, sleep quality when Qi-Gong was intervened. A quasi experiment was designed for this research. In the experiment, 52 inhabitants in two different subdivisions of the district were chosen to be the study objects by convenience sampling. Twenty five objects, categorized as the treatment group, took a 10 to 15 minutes Qi-Gong exercise in their daily life twice a day, in the morning and in the afternoon for 8 weeks while the 27 objects, categorized as the control group, maintained the normal life as usual. The data of the pre-test, post-test (four weeks after the intervention of the Qi-Gong exercise) and the achievement test of the BMI, perimenopausal disturbance and sleep quality were collected for comparing the effectiveness between the treatment group and control group. The GEE model was employed for statistic analysis to proceed the cross comparisons with repeated measurements of the time and between-groups. The result of this research indicates 1. the change of the BMI had statistically significant difference (β=-0.3519，P