臺灣原住民族身體活動、心血管疾病、代謝症候群綜述

Review of Exercise, Cardiovascular Diseases and Metabolic Syndrome in Indigenous Peoples in Taiwan

過去有關原住民族身體活動、心血管疾病、代謝症候群之研究文獻顯示，其比率分佈和其他族群有所不同。本研究資料彙整後發現，原住民族肥胖比例占人口44.1%高於其他族群，且壽命較全體國民平均壽命少8.34 歲，運動習慣比率11.66%顯著低於漢族25.13%；罹患高血壓性疾病高於國人2.4倍、腦血管疾病高於國人2.3倍；原住民整體代謝症候群盛行率為42.6%，其中男性代謝症候群盛行率為41.5%，女性為43.5%。原住民在飲食習慣不同與環境地區，造成參與身體活動之不便性及身體肥胖之情形，建議未來運動模式設計應有文化適宜性的服務，以符合原住民之需求。

Previous studies demonstrated that the demographic distributions varied between indigenous peoples and other ethnic groups in terms of exercise, cardiovascular diseases and metabolic syndrome. After data collection and analysis, this study found that 44.1% of indigenous peoples had obesity. Such percentage was higher than that of other ethnic groups. Meanwhile, the indigenous peoples had a life expectancy 8.34 years shorter than the average of all nationals. They also presented a significantly lower percentage than Han people in doing exercise. The chance for the indigenous peoples to have hypertension and cerebrovascular diseases was 2.4 and 2.3 times higher than the average rate of all nationals respectively. The overall prevalence of metabolic syndrome among them was 42.6%, with males accounting for 41.5% and females for 43.5% compared with other ethnic groups. Diet and environment have caused the indigenous peoples inconvenience for doing exercise and led to obesity. Therefore, it is suggested that cultural appropriateness should be taken into consideration while designing exercise models in order to fulfill the needs of the indigenous peoples in the future.