| description |
Suomessa asevelvollisuuslakiin perustuvan varusmiespalveluksen aloittaa noin 75 prosenttia ikäluokan miehistä. Palveluksen keskeyttää noin 17 prosenttia kaikista palveluksen aloittaneista. Fyysisen kunnon ja painoindeksin on todettu olevan yhteydessä sotilaiden palveluksen keskeytyksiin, mutta Suomen kontekstissa tutkimusta on vain vähän. Tämän tutkielman tarkoituksena oli selvittää, onko fyysinen kunto ja painoindeksi yhteydessä terveydellisistä syistä johtuviin varusmiespalveluksen keskeytyksiin.
Tämä tutkielma tehtiin yhteistyössä Puolustusvoimien ja UKK-instituutin kanssa. Tutkimusaineisto kerättiin poikkileikkausasetelmalla ja se sisälsi saapumiserien 1/2012–2/2021 varusmiesten (n = 228 125) kuntotestitulokset ja taustatiedot. Fyysisen kunnon mittareina olivat 12 minuutin juoksutesti, vauhditon pituushyppy, istumaannousu- ja etunojapunnerrustesti. Painoindeksi laskettiin pituuden ja painon perusteella. Taustamuuttujana oli ikä. Analyysimenetelminä käytettiin riippumattomien otosten t-testiä ja logistista regressioanalyysia.
Varusmiespalveluksen keskeytys oli selvästi todennäköisempää fyysiseltä kunnoltaan alimpaan neljännekseen kuuluvilla kuin ylimpään neljännekseen kuuluvilla varusmiehillä (12 minuutin juoksutesti OR 1,99; 95 % CI 1,88–2,11; vauhditon pituushyppy OR 1,45; 95 % CI 1,38–1,53; istumaannousu OR 1,46; 95 % CI 1,38–1,54 ja etunojapunnerrus OR 1,50; 95 % CI 1,42–1,59). Painoindeksin osalta keskeyttäminen oli todennäköisintä (OR 1,35; 95 % CI 1,22–1,50) alipainoisilla (BMI < 18,5 kg/ m2) ja toiseksi yleisintä (OR 1,32; 95 % CI 1,23–1,42) lihavilla (BMI > 30 kg/ m2). Varusmiespalveluksen keskeytystä merkittävimmin selittävät tekijät olivat 12 minuutin juoksutestin tulos ja painoindeksi. Kun tulokset vakioitiin 12 minuutin juoksutestin tuloksella havaittiin, että suurimmassa riskissä palveluksen keskeytykseen olivat alipainoiset huonokuntoiset varusmiehet.
Fyysinen kunto ja painoindeksi olivat yhteydessä terveydellisistä syistä johtuviin palveluksen keskeytyksiin. Huonokuntoiset varusmiehet keskeyttivät palveluksen merkittävästi hyväkuntoisia todennäköisemmin. Myös ali- ja ylipainoiset keskeyttivät varusmiespalveluksen todennäköisemmin kuin normaalipainoiset. Tutkielma tulokset antavat tärkeää tietoa varusmiespalveluksen keskeytyksiin vaikuttavista tekijöistä. Johtopäätöksiä tulee kuitenkin tarkastella kriittisesti ottaen huomioon Suomen asevelvollisuusjärjestelmän erityispiirteet.
In Finland, approximately 75 % of the male age group start their compulsory military service. However, about 17 % of those who begin the service are premature discharged. Previous studies have shown that physical fitness and body mass index (BMI) are associated with dropouts from military service but research in the Finnish context is scarce. The aim of this thesis was to investigate whether physical fitness and body mass index are associated with health-related dropouts from military service.
This study was conducted in collaboration with the Finnish Defence Forces and the UKK Institute. The data were collected using a cross-sectional design and included the fitness test results and background information of conscripts (n = 228 125) from intake batches 1/2012–2/2021. The physical fitness measures included a 12-minute running test, standing long jump, sit-up test, and push-up test. Body mass index was calculated based on height and weight. Age was included as a background variable. Statistical methods included the independent samples t-test and logistic regression analysis.
Conscripts in the lowest quartile of physical fitness were significantly more likely to drop out compared to those in the highest quartile (12-minute running test OR 1,99; 95% CI 1,88–2,11; standing long jump OR 1,45; 95% CI 1,38–1,53; sit-up test OR 1,46; 95% CI 1,38–1,54; and push-up test OR 1,50; 95% CI 1,42–1,59). Regarding body mass index, the likelihood of dropout was highest (OR 1,35; 95% CI 1,22–1,50) among underweight conscripts (BMI < 18,5 kg/m²) and second highest (OR 1,32; 95% CI 1,23–1,42) among obese conscripts (BMI > 30 kg/m²). The most significant predictors of dropout were the 12-minute running test performance and body mass index. When results were adjusted for the 12-minute running test, the highest dropout risk was found among underweight conscripts with poor fitness.
Physical fitness and body mass index were associated with health-related dropouts from military service. Conscripts with poor physical fitness were more likely to drop out than those with good fitness. Similarly, both underweight and overweight conscripts had a higher probability of dropping out compared to those with a normal weight. This thesis provides valuable insights into the factors influencing dropouts from military service. However, the conclusions should be critically evaluated, considering the specific characteristics of the Finnish conscription system.
|
| fullrecord |
[{"key": "dc.contributor.advisor", "value": "Munukka, Matti", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "Honkanen, Tuomas", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Rinta-Hiiro, Marika", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2025-03-24T08:38:24Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2025-03-24T08:38:24Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2025", "language": null, "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/101016", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Suomessa asevelvollisuuslakiin perustuvan varusmiespalveluksen aloittaa noin 75 prosenttia ik\u00e4luokan miehist\u00e4. Palveluksen keskeytt\u00e4\u00e4 noin 17 prosenttia kaikista palveluksen aloittaneista. Fyysisen kunnon ja painoindeksin on todettu olevan yhteydess\u00e4 sotilaiden palveluksen keskeytyksiin, mutta Suomen kontekstissa tutkimusta on vain v\u00e4h\u00e4n. T\u00e4m\u00e4n tutkielman tarkoituksena oli selvitt\u00e4\u00e4, onko fyysinen kunto ja painoindeksi yhteydess\u00e4 terveydellisist\u00e4 syist\u00e4 johtuviin varusmiespalveluksen keskeytyksiin.\n\nT\u00e4m\u00e4 tutkielma tehtiin yhteisty\u00f6ss\u00e4 Puolustusvoimien ja UKK-instituutin kanssa. Tutkimusaineisto ker\u00e4ttiin poikkileikkausasetelmalla ja se sis\u00e4lsi saapumiserien 1/2012\u20132/2021 varusmiesten (n = 228 125) kuntotestitulokset ja taustatiedot. Fyysisen kunnon mittareina olivat 12 minuutin juoksutesti, vauhditon pituushyppy, istumaannousu- ja etunojapunnerrustesti. Painoindeksi laskettiin pituuden ja painon perusteella. Taustamuuttujana oli ik\u00e4. Analyysimenetelmin\u00e4 k\u00e4ytettiin riippumattomien otosten t-testi\u00e4 ja logistista regressioanalyysia.\n\nVarusmiespalveluksen keskeytys oli selv\u00e4sti todenn\u00e4k\u00f6isemp\u00e4\u00e4 fyysiselt\u00e4 kunnoltaan alimpaan nelj\u00e4nnekseen kuuluvilla kuin ylimp\u00e4\u00e4n nelj\u00e4nnekseen kuuluvilla varusmiehill\u00e4 (12 minuutin juoksutesti OR 1,99; 95 % CI 1,88\u20132,11; vauhditon pituushyppy OR 1,45; 95 % CI 1,38\u20131,53; istumaannousu OR 1,46; 95 % CI 1,38\u20131,54 ja etunojapunnerrus OR 1,50; 95 % CI 1,42\u20131,59). Painoindeksin osalta keskeytt\u00e4minen oli todenn\u00e4k\u00f6isint\u00e4 (OR 1,35; 95 % CI 1,22\u20131,50) alipainoisilla (BMI < 18,5 kg/ m2) ja toiseksi yleisint\u00e4 (OR 1,32; 95 % CI 1,23\u20131,42) lihavilla (BMI > 30 kg/ m2). Varusmiespalveluksen keskeytyst\u00e4 merkitt\u00e4vimmin selitt\u00e4v\u00e4t tekij\u00e4t olivat 12 minuutin juoksutestin tulos ja painoindeksi. Kun tulokset vakioitiin 12 minuutin juoksutestin tuloksella havaittiin, ett\u00e4 suurimmassa riskiss\u00e4 palveluksen keskeytykseen olivat alipainoiset huonokuntoiset varusmiehet.\n\nFyysinen kunto ja painoindeksi olivat yhteydess\u00e4 terveydellisist\u00e4 syist\u00e4 johtuviin palveluksen keskeytyksiin. Huonokuntoiset varusmiehet keskeyttiv\u00e4t palveluksen merkitt\u00e4v\u00e4sti hyv\u00e4kuntoisia todenn\u00e4k\u00f6isemmin. My\u00f6s ali- ja ylipainoiset keskeyttiv\u00e4t varusmiespalveluksen todenn\u00e4k\u00f6isemmin kuin normaalipainoiset. Tutkielma tulokset antavat t\u00e4rke\u00e4\u00e4 tietoa varusmiespalveluksen keskeytyksiin vaikuttavista tekij\u00f6ist\u00e4. Johtop\u00e4\u00e4t\u00f6ksi\u00e4 tulee kuitenkin tarkastella kriittisesti ottaen huomioon Suomen asevelvollisuusj\u00e4rjestelm\u00e4n erityispiirteet.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "In Finland, approximately 75 % of the male age group start their compulsory military service. However, about 17 % of those who begin the service are premature discharged. Previous studies have shown that physical fitness and body mass index (BMI) are associated with dropouts from military service but research in the Finnish context is scarce. The aim of this thesis was to investigate whether physical fitness and body mass index are associated with health-related dropouts from military service.\n\nThis study was conducted in collaboration with the Finnish Defence Forces and the UKK Institute. The data were collected using a cross-sectional design and included the fitness test results and background information of conscripts (n = 228 125) from intake batches 1/2012\u20132/2021. The physical fitness measures included a 12-minute running test, standing long jump, sit-up test, and push-up test. Body mass index was calculated based on height and weight. Age was included as a background variable. Statistical methods included the independent samples t-test and logistic regression analysis.\n\nConscripts in the lowest quartile of physical fitness were significantly more likely to drop out compared to those in the highest quartile (12-minute running test OR 1,99; 95% CI 1,88\u20132,11; standing long jump OR 1,45; 95% CI 1,38\u20131,53; sit-up test OR 1,46; 95% CI 1,38\u20131,54; and push-up test OR 1,50; 95% CI 1,42\u20131,59). Regarding body mass index, the likelihood of dropout was highest (OR 1,35; 95% CI 1,22\u20131,50) among underweight conscripts (BMI < 18,5 kg/m\u00b2) and second highest (OR 1,32; 95% CI 1,23\u20131,42) among obese conscripts (BMI > 30 kg/m\u00b2). The most significant predictors of dropout were the 12-minute running test performance and body mass index. When results were adjusted for the 12-minute running test, the highest dropout risk was found among underweight conscripts with poor fitness.\n\nPhysical fitness and body mass index were associated with health-related dropouts from military service. Conscripts with poor physical fitness were more likely to drop out than those with good fitness. Similarly, both underweight and overweight conscripts had a higher probability of dropping out compared to those with a normal weight. This thesis provides valuable insights into the factors influencing dropouts from military service. However, the conclusions should be critically evaluated, considering the specific characteristics of the Finnish conscription system.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Miia Hakanen (mihakane@jyu.fi) on 2025-03-24T08:38:24Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2025-03-24T08:38:24Z (GMT). No. of bitstreams: 0\n Previous issue date: 2025", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "63", "language": null, "element": "format", "qualifier": "extent", "schema": "dc"}, {"key": "dc.language.iso", "value": "fin", "language": null, "element": "language", "qualifier": "iso", "schema": "dc"}, {"key": "dc.rights", "value": "In Copyright", "language": null, "element": "rights", "qualifier": null, "schema": "dc"}, {"key": "dc.subject.other", "value": "varusmiespalveluksen keskeytys", "language": null, "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Fyysisen kunnon ja painoindeksin yhteys terveydellisist\u00e4 syist\u00e4 johtuviin varusmiespalveluksen keskeytyksiin", "language": null, "element": "title", "qualifier": null, "schema": "dc"}, {"key": "dc.type", "value": "master thesis", "language": null, "element": "type", "qualifier": null, "schema": "dc"}, {"key": "dc.identifier.urn", "value": "URN:NBN:fi:jyu-202503242823", "language": null, "element": "identifier", "qualifier": "urn", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Liikuntatieteellinen tiedekunta", "language": "fi", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Faculty of Sport and Health Sciences", "language": "en", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Liikunta- ja terveystieteet", "language": "fi", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Sport and Health Sciences", "language": "en", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "Jyv\u00e4skyl\u00e4n yliopisto", "language": null, "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "University of Jyv\u00e4skyl\u00e4", "language": null, "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Fysioterapia", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Physiotherapy", "language": "en", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.type.coar", "value": "http://purl.org/coar/resource_type/c_bdcc", "language": null, "element": "type", "qualifier": "coar", "schema": "dc"}, {"key": "dc.rights.copyright", "value": "\u00a9 The Author(s)", "language": "fi", "element": "rights", "qualifier": "copyright", "schema": "dc"}, {"key": "dc.rights.accesslevel", "value": "openAccess", "language": null, "element": "rights", "qualifier": "accesslevel", "schema": "dc"}, {"key": "dc.type.publication", "value": "masterThesis", "language": null, "element": "type", "qualifier": "publication", "schema": "dc"}, {"key": "dc.subject.yso", "value": "fyysinen kunto", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "varusmiehet", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "varusmiespalvelus", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "painoindeksi", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.rights.url", "value": "https://rightsstatements.org/page/InC/1.0/", "language": null, "element": "rights", "qualifier": "url", "schema": "dc"}, {"key": "dc.description.accessibilityfeature", "value": "unknown accessibility", "language": "en", "element": "description", "qualifier": "accessibilityfeature", "schema": "dc"}, {"key": "dc.description.accessibilityfeature", "value": "ei tietoa saavutettavuudesta", "language": "fi", "element": "description", "qualifier": "accessibilityfeature", "schema": "dc"}]
|