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¡@¡@(¤@)¦b½FG¤¤³Q¤À¸Ñ¡G²Ê³J¥Õ½è¦b½FG¤¤³Q½FG·L¥Íª«¤À¸Ñ¡A²×²£ª«¬°®ò¡A½FG·L¥Íª«§Q¥Î¦¹®ò¦X¦¨½FG·L¥Íª«©Ò»Ý¤§³J¥Õ½è¡A¦X¦¨¹Lµ{»Ý¦³¨¬°÷¤§¯à¶q¡A¥Dn¥Ñ¤é³¤¤ºÒ¤ô¤Æ¦Xª«´£¨Ñ¡CÁý¹}¹L¦hªº²Ê³J¥Õ½è¡]¶W¹L½FG·L¥Íª«¤§»Ýn¡^¡A©Î¼ö¯à¤£¨¬®É¡AµLªk±N¥NÁ©ҥͦ¨¤§®ò¡A¶¶§Q¦X¦¨¬°½FG·L¥Íª«©Ò»Ý¤§³J¥Õ½è¡A¦¹®É¡A¹L³Ñªº®ò·|¸g¥Ñ½FG¾À¶i¤J¦å²G¨ì¹F¨xŦ¡A¤j³¡¤À®ò·|ÂàÅܬ°§¿¯À¡A¥Ñ§¿¤¤±Æ°£¡A¤Ö³¡¤À®ò·|¸g¥Ñ¦å²G¦^¨ì³è²G¤¤¡A¦A¶i¤J½FG¡A¥i¥H¦A³Q½FG·L¥Íª«§Q¥Î¡C¦Ó½FG·L¥Íª«¦Ü¤p¸z®É³Q¤À¸Ñ¬°Ói°ò»Ä¡A³Q¤p¸z§l¦¬¡A¨Ñ¬°¨Å¤û¥Íªø¡Bºû«ù¡B²£¨Å¡BÁc´Þ¤§¥Î¡C(¤G)¥¼³Q½FG·L¥Íª«¤À¸Ñ¤§³J¥Õ½è¡]ºÙ¹L½FG³J¥Õ½è¡^¡A¦Ü¤p¸z³Q¤À¸Ñ¬°Ói°ò»Ä¡A¤]³Q¤p¸z§l¦¬¨Ñ¬°¨Å¤û¥Íªø¡Bºû«ù¡BÁc´Þ©Î²£¨Å¤§¥Î¡A¦ýY¹L³Ñ¤]²¾¦Ü¨xŦÂàÅܬ°§¿¯À¡A¤j³¡¤À¥Ñ§¿±Æ¥X¡A¤Ö³¡¤À¸g®ø¤Æ¹D¦A¦^¨ì½FG¡A¥i¥H³Q½FG·L¥Íª«¦A§l¦¬§Q¥Î¦X¦¨·L¥Íª«Åé³J¥Õ½è¡C(¤T)¥¼³Q½FG¤Î¤p¸z®ø¤Æ¡A¥ÑÁT±Æ¥X¡C
¥|¡B¦å²G¤¤§¿¯Àªº©R¹B
¡@¡@¦]®ò¹ï°Êª«Å骺¬r©Ê±j¡A¦]¦¹®ò³Q²¾¦Ü¨xŦÂà¥H§¿¯À¤§§Î¦¡¦s¦b¡C§¿¯À¤À¤l¤p¡A¥i¦b²ÓM¤ºº¯³z¡A¬G·|ÀH¦å²G²¾¦æ¡C¦å²G¤¤§¿¯Àªº©R¹B¤]¦³¤T¡G(¤@)¤j³¡¤À¸gµÇŦ¹LÂo«á¥Ñ§¿±Æ¥X¡C(¤G)¤Ö³¡¤À¦^¦Ü³è²G¡A¸g®ø¤Æ¹D¦A¦^¨ì½FG¡A¥i¥H³Q½FG·L¥Íª«¦A§l¦¬¦X¦¨·L¥Íª«Åé³J¥Õ½è¡C(¤T)º¯¤J¨Å¤¤¡C¦]¦¹¡A§¿²G¡B¦å²G¡B¨Å²G¤¤¤§§¿¯À´á§t¶q§e±K¤Á¬ÛÃö¡C
¤¡B¨Å§¿¯À´á¼sªx³QÀ³¥Î¤§²z¥Ñ
¡@¡@¤û¨Å¤¤§¿¯À´á¶È¦û¨ÅÁ`´á¤§2.5¡ã3.0 %¡]De
Peters and Cant, 1992¡^¡A§t¶qÁö§C¡A¦ý¨Ï¥Î¤W·¥¨ã·N¸q¡C¦å¤¤§¿¯À´á¤§ÀË´ú¤wµo®i¼Æ¥@¬ö¡A¦ý¦]¨ú¼Ë¤£«K¤ÎµLªk¤j¶q¤ÀªR¡A¬G¥¼¼sªx³Q¨Ï¥Î¡C¨Å¤¤§¿¯À´á»P¦å§¿¯À´á¦³°ª¬ÛÃö¡]Broderick
and Clayton, 1997¡^¡A¦]¦¹¡A¨Å§¿¯À´á¥i§@¬°¦å§¿¯À´á¤§«ü¼Ð¡]Hof
et al., 1997¡^¡C¨Å²G¬°³Ì¤è«K¨ú±o¡A°£¥i§Q¥Î¤Æ¾Ç¤Î»Ã¯À¤ÀªRªkÀËÅç¤û¨Å§¿¯À´á¥~¡A1991¦~¤¦³Áµo®iª«²zªk¤ÀªR¤§¦Û°Ê¤Æ»ö¾¹¡A¾A¥Î©óDHI¨Å½èÀËÅç¡]Godden
et al., 2000¡^¡A·s¦Ë¤À©Ò§Y¥H¦¹«¬»ö¾¹¬°·~¬ÉªA°È¡A¥i¦P®É§Ö³tÀËÅç¨Å¯×ªÕ¡B³J¥Õ½è¡B¨Å¿}¡BÁ`©T§Îª«µ¥¨Å¦¨¤À»P¨Å§¿¯À´á¡C¨Ì°ê¥~¬ã¨s¡Aª«²zªk»P¤Æ¾Çªk¤Î»Ã¯À¤ÀªRªk§¡§eÅãµÛ¬ÛÃö¡A¥Bºë½T«×»P¦A²{©Ê§¡¨}¦n¡A¬G§Q¥Î¦Û°Ê¤Æ»ö¾¹ÀËÅç¨Å§¿¯À´á¤w³Q°ê»Ú»{©w¨Ã¼sªx±Ä¥Î¡C
¤»¡B¤û¨Å¤¤§¿¯À´á¥¿±`Ȥ§±ÀÂ˶q
¡@¡@¬ü°êNRC¡]National Research Council¡^±ÀÂˤ§¹}¾i¼Ð·Ç¤U¡A¹w¦ô²£¥X¨Å§¿¯À´á¶q¬°10¡ã16
mg/dl¡]Jonker, et al., 1998¡^¡C°ê¤ºDHI§¿¯À´á±ÀÂ˶q¬°11¡ã17 mg/dl¡AY¥H¨Å§¿¯À´á§t¶q11¡ã17
mg/dl©M¨Å³J¥Õ½è²v3.0 %¬°§PŪ¼Ð·Ç¡]¶À, 2001¡^¡C¨Å³J¥Õ½è²v¡Õ3.0
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¡@¡@¤û¨Å§¿¯À´á¶q·|¨ü¤é³¤§²Ê³J¥Õ½è»P¯à¶q¡B©u¸`¡BL¦¸¡Bªc¨Å´Á¡B¨Å¶q¡BÅé«¡BÁý¹}®É¶¡¤Î¤è¦¡¡B±Ä¼Ë®É¶¡¡B¨Å¼Ë¶J¦s±ø¥ó¡B¨Å¤û°·±d¡B¨Å©Ðª¢¡B¤ôªº®ø¯Ó¶qµ¥¼vÅT¡C¨ä¤¤¼vÅT³Ì¤jªÌ¬°¨Å¤û¤é³¤¤²Ê³J¥Õ½è»P¯à¶q¡A¨ä¥L¦]¯À¼vÅT¸û¤p¡A¦ý¨Ï¥Î®É¤´»Ý¦Ò¶q¤§¡C¦p¨Å§¿¯À´á¶q®L©u¤ñ¥V©u°ª¡F¨Å¤û¨Å§¿¯À´á¶q²Ä¤@L¸û§C¡A3¡ã4L³Ì°ª¡A¦Ñ¤û¤S¤U°¡A©Î»{¬°µL¼vÅTªÌ¡F¨Å§¿¯À´á¶qªc¨Åªì´Á¸û§C¡Aªc¨Å2¡ã3¤ë¹F°ª®p¡A«áÀHªc¨Å´Á¶i¦æ¦Ó°§C¡A©Î»{¬°»Pªc¨Å´ÁµLÃö¡F²£¨Å¶q¤ÎÅé«°ªªÌ¨Å§¿¯À´á¶q¤]¸û°ª¡FÁý¹}«á¬ù2¡ã4¤p®É¨Å§¿¯À´á¶q³Ì°ª¡A¦Ü¤U¦^Áý¹}«e³Ì§C¡AÁý¹}«á¤Sº¥¤W¤É¡F¬Û¦P¹}®Æ°t¤è¡A¥H§¹¥þ¥¿Å¤é³
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and Kilmer¡]1996¡^«ØijÅé²ÓM¼Æ¯S§O°ªªÌ¡A¦¹§¿¯À´áȼÆÈÀ³§R°£¡A¥H§K¼vÅT¤û¸s¤§¥§¡È¡A¶i¦Ó¼vÅT¤é³¤§½Õ¾ã¡C¤wª¾¼vÅT¤û¨ÅÅé²ÓM¼Æªº¦]¯À²³¦h¡A¦ý¤Ö¦³´£¤Î»P¨Å§¿¯À´áªºÃö«Y¡A°Ñ·Óªí1¡A¨äÅé²ÓM¼Æ½T»P¨Å§¿¯À´áȧeÅãµÛt¬ÛÃö¡A¥B2¸¹¤û¤§Åé²ÓM¼Æ°ª¹F2¤d¦h¸U¡A¦Ó¨Å§¿¯À´á¶È0.2
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¡@¡@¨Å§¿¯À´á¶q¹L°ª¡AP¨Å¤û¨Å²£¶q´î¤Ö¡B¹}¾i¦¨¥»¤W¤É¤Î¹L¦hªº´á¦Ã¬V¤gÄ[¤Î¤ô¡A¥B¥i¯à°§C¨Å¤ûÁc´Þ®Ä²v¤Î§K¬Ì¤O¡C¦Ó¨Å§¿¯À´á¶q°¾§C¡A¤]·|¨Ï¨Å¤û¨Å²£¶q´î¤Ö¡B¹}¾i¦¨¥»¤W¤É¡C¦]¦¹¡A¨Å§¿¯À´á¶q¹L°ª©Î¹L§C³£¨Ï¨Å¤û¨Å²£¶q´î¤Ö¡B¹}¾i¦¨¥»¤W¤É¡C¦¹¥~¡A±Æ¥X¹L¦hªº´á·|¦Ã¬V¤gÄ[¤Î¤ô¡A¤gÄ[¤¤²Óµß·|±N´áÁÙ쬰µv»ÄÆQ¡A³]Y¦Ã¬V¤ô·½¡Aµv»ÄÆQ¶i¤J¤HÅé®ø¤Æ¹D¡A±NÂàÅܬ°¨Èµv»ÄÆQ¡A¹L¦hªºµv»ÄÆQ¤Î¨Èµv»ÄÆQ³£·|PÀù¡A¥B¤ô¤¤´á¤Ó¦h·|¨ÏĦÃþ¹L«×¥Íªø¡A¦ÓĦÃþ¯Ó¾i¶q¤j«h¨Ï¤ô¤¤¨ä¥Lª«ºØ¤§¥Íªø¨ü¼vÅT¡C¦³¨Ç³ø§i»{¬°¨Å§¿¯À´á¶q¹L°ªÁö¤£¼vÅT¥À¤û°Ê±¡¶g´Á¡A¦ý·|°§C¥À¤û¨üL²v¡A¦Ó¦³¨Ç»{¬°µL¼vÅT¡A¥Dn¤D¦]¼vÅT¥À¤ûÁc´Þ®Ä²vªº¦]¯À«Ü¦h¡A¦]¦¹¡A¤Å¥H³æ¤@ÀY©Î³æ¤@¦¸ªº¼Æ¾Ú¤Uµ²½×¡C¨Å§¿¯À´á¶q¥¿±`¤§¥À¤û¡A¨ä¨üL²v¤ñ¨Å§¿¯À´á¶q°ª©ó25
mg/dlªÌ¨üL²v°ª29 %¡]McCormick et al., 2003¡^¡A¦ÓYoung¡]2003¡^»{¬°¨Å§¿¯À´á¶q¹L°ª·|PF¦´Á¦º¤`P¨üL²v¤U°¡C
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12.0 |
12.2 |
10.7 |
13.9 |
16 |
14.2 |
15.4 |
14.9 |
15.3 |
15.4 |
15.0 |
3.7 |
17 |
12.7 |
15.1 |
12.9 |
14.3 |
14.5 |
13.9 |
7.6 |
31 |
13.3 |
14.3 |
12.9 |
11.1 |
12.8 |
12.9 |
9.0 |
32 |
11.6 |
12.7 |
11.3 |
10.6 |
11.6 |
11.6 |
6.6 |
33 |
10.5 |
10.1 |
10.6 |
10.2 |
11.7 |
10.6 |
6.0 |
34 |
15.4 |
14.5 |
15.6 |
13.9 |
15.9 |
15.1 |
5.5 |
36 |
11.0 |
10.4 |
10.7 |
10.3 |
14.5 |
11.4 |
15.5 |
37 |
9.2 |
9.5 |
10.6 |
7.3 |
10.4 |
9.4 |
13.9 |
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12.3 |
8.6 |
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