目的︰本研究旨在探討運動對健康高齡者肺功能和心肺耐力的影響，並為未來社區健康促進計畫提供參考。
方法︰本研究於2024年3月至12月間，針對台灣西部雲林四個鄉村的55歲以上社區民眾進行，最終招募72位參與者，並收集年齡、腰圍、握力等資料。研究設計為10週運動訓練，課程每週一次，包含暖身、肌力運動和緩和運動，運動強度設定為中等，並由志工協助進行。測量指標涵蓋健康體能的四大要素，使用maximum inspiratory pressure (MIP)、maximum expiratory pressure (MEP)、peak flow等指標評估心肺功能，並測量心跳、血氧、血壓等指標。資料分析使用SPSS 22.0進行成對樣本t檢定，顯著性水準設定為雙尾p<0.05。
結果︰參加者平均年齡為74.6歲，女性佔65.8%，教育程度以不識字者最多(36.8%)。經過十週有氧運動後，肺功能指標顯著改善，最大吸氣壓、最大吐氣壓和最大呼氣流量均顯著提升(p<0.001)。心血管功能方面，靜態心跳、血氧濃度變化不大，收縮壓略降(p=0.057)，但舒張壓未達顯著性。功能性體適能方面，腰圍顯著減少(p=0.046)，握力無顯著變化(p=0.824)。總體來看，有氧運動對肺功能和部分體適能指標有顯著改善。
結論︰本研究結果顯示，運動介入對肺功能(MIP、MEP及peak flow)具有顯著促進作用，提升吸氣與吐氣肌群的力量，改善整體呼吸功能。這對老年族群的運動指導具有潛在臨床意義，且運動作為低成本、非侵入性的方法，對呼吸肌群的增強具有顯著效果。未來研究可進一步探討長期運動對心血管與呼吸系統的影響，以更全面了解運動的益處。
(台灣家醫誌2025; 35: 199-208) DOI: 10.53106/168232812025093503005
 
關鍵詞：老年人口、高齡者健康、有氧運動、心肺功能、多元性運動

---

¹長庚醫療財團法人雲林長庚紀念醫院呼吸治療科
²長庚醫療財團法人雲林長庚紀念醫院風濕免疫科
³長庚醫療財團法人雲林長庚紀念醫院胸腔內科
⁴長庚醫療財團法人雲林長庚紀念醫院家庭醫學科
⁵長庚醫療財團法人雲林長庚紀念醫院社區健康照護中心
受理日期：114年2月6日 修改日期：114年4月19日 同意刊登：114年4月29日
^*通訊作者：柯祈化 通訊地址： 雲林縣麥寮鄉中興村工業路1500號
E-mail：kochbye@gmail.com

---

---

Effects of Aerobic Exercise on Pulmonary Function and Cardiopulmonary Indicators in Rural Coastal Older Adults
 
Mei-Hua Yeh1, Chi-Hua Ko2*, Tung-Jung Huang3, Yu-Chih Lin4 and Yu-Chun Yen5
 

Purpose: This study aimed to investigate the effects of a structured aerobic exercise program on pulmonary function and cardiopulmonary indicators in rural coastal older adults to inform future community health promotion initiatives.
Methods: From March to December 2024, 72 community-dwelling individuals aged 55 and above from four rural coastal villages in Yunlin, western Taiwan, were recruited. Baseline data were collected, including age, waist circumference, and grip strength. Participants completed a 10-week exercise program consisting of one session per week. Each incorporated a warm-up, muscle strength training, and a cool-down phase, with moderate-intensity exercise guided by trained volunteers. Key health-related fitness components were assessed, including maximal inspiratory pressure (MIP), maximal expiratory pressure (MEP), and peak expiratory flow for pulmonary function, as well as heart rate, blood oxygen saturation, and blood pressure. Data were analyzed using paired-sample t-tests in SPSS 22.0, with statistical significance set at p<0.05.
Results: The participants had a mean age of 74.6 years; 65.8% were female, and 36.8% had no formal education. Significant post-intervention improvements were observed in pulmonary parameters: MIP, MEP, and peak expiratory flow all increased significantly (p<0.001). Cardiopulmonary indicators demonstrated mixed results: resting heart rate and blood oxygen saturation remained relatively stable, while systolic blood pressure showed a slight, non-significant decrease (p=0.057) with diastolic blood pressure revealing no significant change. Additionally, waist circumference decreased significantly (p=0.046), whereas grip strength remained unchanged (p=0.824). Overall, the aerobic exercise program improved lung function and selected fitness measures.
Conclusion: These findings indicate that moderate aerobic exercise helps enhance respiratory muscle strength and overall pulmonary function in rural coastal older adults. Given its low cost and noninvasive nature, exercise is a valuable strategy for maintaining and improving respiratory health in the aging population. Future research should explore its long-term effects on cardiopulmonary function and overall fitness in similar populations.
(Taiwan J Fam Med 2025; 35: 199-208) DOI: 10.53106/168232812025093503005
 
Key words: aerobic exercise, aging population, cardiopulmonary function, elderly health, multi-component exercis
 

---

¹Department of Respiratory Therapy, Yunlin Chang Gung Memorial Hospital, Chang Gung Medical Foundation
²Department of Rheumatology and Immunology, Yunlin Chang Gung Memorial Hospital, Chang Gung Medical Foundation
³Department of Pulmonary Medicine, Yunlin Chang Gung Memorial Hospital, Chang Gung Medical Foundation
⁴Department of Division of Family Medicine, Yunlin Chang Gung Memorial Hospital, Chang Gung Medical Foundation
⁵Department of Community health services center, Yunlin Chang Gung Memorial Hospital, Chang Gung Medical Foundation
Received: February 6, 2025; Revised: April 19, 2025; Accepted: April 29, 2025.
^*Corresponding author