背景及目的:代謝症候群是心血管疾病的重要健康警訊，證據顯示其與心肺適能間有密切相關。而在社區、職場、及學校等許多場域經常是採用簡易的現場測試方法來評估心肺適能1日:登階湖試，但是其是否適用於評估代謝症候群等健康狀況的風險則尚不確定。因此，本研究目的在於探討壹階測試之體能指數和代謝症候群及其代謝異常國子的相關性口方法:我們與某專業健檢中心合作，將體能檢測融合於一般的健康檢查，共納入了2409位(63%為男性，平均年齡的.7土9.0歲)的參與者。利用三分鐘登階測試進行心肺適能評估，量取測試後之恢復心率及實際登階步數計算壹階體能指數(Step Physical Fitness Index， SPFI) ，再依國人常模將其分成5個體能等級(優、良\平均、尚可\差)。並由健檢結果判讀參與者的代謝異常因子狀況?包括:腰圍過大、血壓偏高\高血糖、三酸甘油醋過高、高密度脂蛋白膽固醇過低，並依衛生署公告之判定標準區分有無代謝症候群。結果:登階體能指數SPFI和代謝異常國子集群的數目間具有顯著地負相關(Spear-man's r =-O.16， p

Background and Purpose: The field-based step test has been accepted as an alternative measure to reflect one 's cardiopulmonary fitness, however, its role on risk assessment of health status is yet unknown. The purpose of this study was to identify the association between step physical fitness index (SPFI) and the clustering metabolic risk factors associated with the metabolic Syndrome (MS). Methods: The sample consisted of 2409 volunteers (63% men, mean age 43.7:1:9.0 years) who completed a comprehensive health examination and fitness evaluation. SPFI, derived from the recovery heart rate, duration of exercise and actual number of steps on a modified three-minute step test, was used to measure cardiopulmonary fitness and categorize the subjects into 5 ranks: excellent, good, average, fair, and poor. Subjects with the clustering three or more metabolic risk factors including hypertension, hyperglycemia, hypertriglycerides, lower HDL, and central obesity were classified as having the MS. Results: A negative correlation between SPFI and numbers of clustering metabolic rísk factors was found significantly (Spearman 's r= -0.16, p