本研究旨在探討臺灣地區餐飲業廚師肌肉骨骼不適現況，及其與肥胖之相關性。研究方法是以橫斷性研究設計，於2009年期間以立意選樣方式選取北、中、南各地區餐飲業廚師為研究對象，進行「北歐肌肉骨骼問卷調查表」（Nordic Musculoskeletal Questionnaire, NMQ）問卷調查，調查內容包括：人口學資料、工作特性資料及肌肉骨骼不適之盛行率。研究結果完成765名廚師資料，獨立性卡方分析結果發現，男性廚師之身體質量指數（body mass index, BMI）與腳踝/腳不適有顯著正相關（p<0.05）；而女性廚師之BMI與肩膀不適有顯著正相關（p<0.05）。同時，經由邏輯斯迴歸（logistic regression model）分析，控制干擾因素後，男性廚師：BMI ≥ 27kg/m^2時，腳踝/腳不適的盛行率有統計上顯著增高的趨勢（OR=2.04, 95% CI=1.1-3.6）。女性廚師：BMI ≥ 27kg/m^2時，腳踝/腳不適的盛行率有統計上顯著增高的趨勢（OR=1.93, 95% CI=1.0-3.6）；24≤ BMI < 27kg/m^2時，肩膀（OR=2.1, 95% CI=1.2-3.5）、下背/腰（OR=1.74, 95% CI=1.1-2.8）不適的盛行率有統計上顯著增高的趨勢。整體而言，身體質量指數對女性廚師自覺肌肉骨骼不適的影響較男性明顯，尤其是在肩膀、下背/腰部位。本研究建議加強宣導健康促進可預防餐飲業廚師肌肉骨骼疾病的發生。

The study investigated musculoskeletal disorders (MSDs) prevalence and risk factor "obesity" for restaurant cooks in Taiwan. A cross-sectional survey was conducted in a convenience sample of 765 cook attendants during 2009 and the modified Nordic Musculoskeletal Questionnaires (NMQ) was used to collect the information regarding the demographic variables, occupational factors and data on subjective musculoskeletal disorders. The results of x^2 test showed that the BMI of male cooks showed a significant effect on the MSDs at ankles/feet. Nevertheless, the BMI of female cooks showed a significant effect on the MSDs at shoulders. The multiple logistic regression analysis suggested that both male with BMI ≥ 27 kg/m^2 (odds ratio, OR=2.04) and female cooks (OR=1.93) with BMI ≥ 27kg/m^2 had the higher MSDs at ankles/feet. In addition, female cooks with 24 ≤ BMI < 27kg/m^2 had the higher MSDs at shoulder (OR=2.1) and lower back (OR=1.74). In conclusion, the effect of BMI for female cooks on the MSDs is significant than for male cooks, especially at shoulder and lower back. The activity of weight control is suggested to be a good approach to prevent the MSDs of cooks.